Fitzgerald GI
1.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
The patient population is predominately female.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-B. IBS
2.
All of the following laboratory findings are expected in a patient with pancreatic cancer
except:
A. elevated total bilirubin.B. diminished platelet count.C. elevated alkaline
phosphatase.D. elevated direct bilirubin. - CORRECT ANSWER-b. diminished platelet
count
3.
Peptic ulcer disease can occur in any of the following locations except:
A. duodenum.B. stomach.C. esophagus.D. large intestine. - CORRECT ANSWER-D.
large intestine
4.
Diagnostic testing in IBS often reveals:
A. evidence of underlying inflammation.B. anemia of chronic disease.C. normal results
on most testing.D. mucosal thickening on abdominal radiological imaging. - CORRECT
ANSWER-C. normal results on most testing.
5.
In a patient who presents with a history consistent with anal fissure but with notation of
an atypical anal lesion, alternative diagnoses to consider include all of the following
except:
A. condyloma acuminata.B. Crohn's disease.C. anal squamous cell carcinoma.D. C.
difficile colitis. - CORRECT ANSWER-C. C. diff colitis
6.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Potential complications include increased risk for colonic malignancy.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-A. IBD
,7.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Patients should be advised to avoid trigger foods.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-C. Both IBD and IBS
8.
A 24-year-old man presents with a 3-month history of upper abdominal pain. He
describes it as an intermittent, centrally located "burning" feeling in his upper abdomen,
most often occurring 2 to 3 hours after meals. His presentation is most consistent with
the clinical presentation of:
A. acute gastritis.B. gastric ulcer.C. duodenal ulcer.D. cholecystitis. - CORRECT
ANSWER-B. gastric ulcer
9.
What is the equivalent amount of background radiation as an abdominal CT scan?
A. no radiationB. 62 to 88 daysC. 3 years - CORRECT ANSWER-B. 62 to 88 days
10.
Cyclooxygenase-1 (COX-1) contributes to:
A. the inflammatory response.B. pain transmission.C. maintenance of gastric protective
mucosal layer.D. renal arteriole constriction. - CORRECT ANSWER-C. maintenance of
gastric protective mucosal layer.
11.
Other than the pancreas, other sources of amylase include all of the following except:
A. salivary glands.B. lung cancer.C. ovarian cyst.D. adipose tissue. - CORRECT
ANSWER-D. adipose tissue.
12.
Clinical findings in patients with acute hepatitis B likely include all of the following
except:
A. abdominal rebound tenderness.B. scleral icterus.C. a smooth, tender, palpable
hepatic border.D. report of myalgia. - CORRECT ANSWER-A. abdominal rebound
tenderness
13.
,Esophageal adenocarcinoma is usually located:
A. in the upper esophagus.B. near the upper esophageal sphincter.C. at the junction of
the esophagus and stomach.D. in the lower esophagus. - CORRECT ANSWER-C. the
junction of the esophagus and the stomach.
14.
Cyclooxygenase-2 (COX-2) contributes to:
A. the inflammatory response.B. pain transmission inhibition.C. maintenance of gastric
protective mucosal layer.D. renal arteriole dilation. - CORRECT ANSWER-A. the
inflammatory response.
15.
A 62-year-old woman who reports frequent constipation is diagnosed with an anal
fissure. First-line therapy includes all of the following except:
A. stool-bulking supplements.B. high-fiber diet.C. intra-anal corticosteroids.D. the
periodic use of oral mineral oil. - CORRECT ANSWER-C. intra-anal corticosteroids.
16.
Immune modulators are often used for intervention in:
A. ulcerative colitis.B. irritable bowel syndrome.C. Crohn's disease.D. ulcerative colitis
and Crohn's disease. - CORRECT ANSWER-D. UC and Crohn's.
17.
The psoas sign can be best described as abdominal pain elicited by:
A. passive extension of the hip.B. passive flexion and internal rotation of the hip.C. deep
palpation.D. asking the patient to cough. - CORRECT ANSWER-A. passive extension of
the hip
18.
Monitoring for hepatoma in a patient with chronic hepatitis B or C often includes periodic
evaluation of:
A. erythrocyte sedimentation rate.B. HBsAb.C. alpha-fetoprotein.D. bilirubin. -
CORRECT ANSWER-C. alpha-fetoprotein
19.
Crohn's disease is associated with increased risk of malignancy involving the:
A. small bowel.B. large intestine.C. duodenum.D. stomach. - CORRECT ANSWER-A.
small bowel
, 20.
To avoid the development of acute diverticulitis, treatment of diverticulosis can include:
A. avoiding foods with seeds.B. the use of fiber supplements.C. ceasing cigarette
smoking.D. limiting alcohol intake. - CORRECT ANSWER-B. the use of fiber
supplements.
21.
IBD is associated with all of the following types of anemia except:
A. anemia of chronic disease.B. iron-deficiency anemia.C. megaloblastic anemia.D.
anemia associated with acute blood loss. - CORRECT ANSWER-C. megaloblastic
anemia. why?
22.
Risk factors for the development of cholelithiasis include all of the following except:
A. rapid weight loss.B. male gender.C. obesity.D. Native American ancestry. -
CORRECT ANSWER-B. male gender.
23.
The most common source of hepatitis A infection is:
A. sharing intravenous drug equipment.B. cooked seafood.C. contaminated water
supplies.D. sexual contact. - CORRECT ANSWER-C. contaminated water supplies
24.
An 18-year-old man with a BMI = 40 kg/m2 presents with periumbilical pain, vomiting,
and abdominal cramping over the past 48 hours. Physical examination reveals rebound
tenderness, and laboratory analysis shows the presence of bandemia and a total WBC
of 28,000/mm3. To support the diagnosis of acute appendicitis with suspected
appendiceal rupture, you consider obtaining the following abdominal imaging study:
A. magnetic resonance image (MRI).B. computed tomography (CT) scan.C.
ultrasound.D. flat plate. - CORRECT ANSWER-B. CT
25.
A serological marker for acute hepatitis A virus (HAV) infection is:
A. HAV IgM.B. HAV viral RNA.C. TNF-a.D. IL-10. - CORRECT ANSWER-A. HAV IgM.
26.
When discussing the use of immunoglobulin (IG) with a 60-year-old woman who was
recently exposed to the hepatitis A virus, you consider that:
1.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
The patient population is predominately female.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-B. IBS
2.
All of the following laboratory findings are expected in a patient with pancreatic cancer
except:
A. elevated total bilirubin.B. diminished platelet count.C. elevated alkaline
phosphatase.D. elevated direct bilirubin. - CORRECT ANSWER-b. diminished platelet
count
3.
Peptic ulcer disease can occur in any of the following locations except:
A. duodenum.B. stomach.C. esophagus.D. large intestine. - CORRECT ANSWER-D.
large intestine
4.
Diagnostic testing in IBS often reveals:
A. evidence of underlying inflammation.B. anemia of chronic disease.C. normal results
on most testing.D. mucosal thickening on abdominal radiological imaging. - CORRECT
ANSWER-C. normal results on most testing.
5.
In a patient who presents with a history consistent with anal fissure but with notation of
an atypical anal lesion, alternative diagnoses to consider include all of the following
except:
A. condyloma acuminata.B. Crohn's disease.C. anal squamous cell carcinoma.D. C.
difficile colitis. - CORRECT ANSWER-C. C. diff colitis
6.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Potential complications include increased risk for colonic malignancy.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-A. IBD
,7.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Patients should be advised to avoid trigger foods.
A. IBDB. IBSC. Both IBD and IBS - CORRECT ANSWER-C. Both IBD and IBS
8.
A 24-year-old man presents with a 3-month history of upper abdominal pain. He
describes it as an intermittent, centrally located "burning" feeling in his upper abdomen,
most often occurring 2 to 3 hours after meals. His presentation is most consistent with
the clinical presentation of:
A. acute gastritis.B. gastric ulcer.C. duodenal ulcer.D. cholecystitis. - CORRECT
ANSWER-B. gastric ulcer
9.
What is the equivalent amount of background radiation as an abdominal CT scan?
A. no radiationB. 62 to 88 daysC. 3 years - CORRECT ANSWER-B. 62 to 88 days
10.
Cyclooxygenase-1 (COX-1) contributes to:
A. the inflammatory response.B. pain transmission.C. maintenance of gastric protective
mucosal layer.D. renal arteriole constriction. - CORRECT ANSWER-C. maintenance of
gastric protective mucosal layer.
11.
Other than the pancreas, other sources of amylase include all of the following except:
A. salivary glands.B. lung cancer.C. ovarian cyst.D. adipose tissue. - CORRECT
ANSWER-D. adipose tissue.
12.
Clinical findings in patients with acute hepatitis B likely include all of the following
except:
A. abdominal rebound tenderness.B. scleral icterus.C. a smooth, tender, palpable
hepatic border.D. report of myalgia. - CORRECT ANSWER-A. abdominal rebound
tenderness
13.
,Esophageal adenocarcinoma is usually located:
A. in the upper esophagus.B. near the upper esophageal sphincter.C. at the junction of
the esophagus and stomach.D. in the lower esophagus. - CORRECT ANSWER-C. the
junction of the esophagus and the stomach.
14.
Cyclooxygenase-2 (COX-2) contributes to:
A. the inflammatory response.B. pain transmission inhibition.C. maintenance of gastric
protective mucosal layer.D. renal arteriole dilation. - CORRECT ANSWER-A. the
inflammatory response.
15.
A 62-year-old woman who reports frequent constipation is diagnosed with an anal
fissure. First-line therapy includes all of the following except:
A. stool-bulking supplements.B. high-fiber diet.C. intra-anal corticosteroids.D. the
periodic use of oral mineral oil. - CORRECT ANSWER-C. intra-anal corticosteroids.
16.
Immune modulators are often used for intervention in:
A. ulcerative colitis.B. irritable bowel syndrome.C. Crohn's disease.D. ulcerative colitis
and Crohn's disease. - CORRECT ANSWER-D. UC and Crohn's.
17.
The psoas sign can be best described as abdominal pain elicited by:
A. passive extension of the hip.B. passive flexion and internal rotation of the hip.C. deep
palpation.D. asking the patient to cough. - CORRECT ANSWER-A. passive extension of
the hip
18.
Monitoring for hepatoma in a patient with chronic hepatitis B or C often includes periodic
evaluation of:
A. erythrocyte sedimentation rate.B. HBsAb.C. alpha-fetoprotein.D. bilirubin. -
CORRECT ANSWER-C. alpha-fetoprotein
19.
Crohn's disease is associated with increased risk of malignancy involving the:
A. small bowel.B. large intestine.C. duodenum.D. stomach. - CORRECT ANSWER-A.
small bowel
, 20.
To avoid the development of acute diverticulitis, treatment of diverticulosis can include:
A. avoiding foods with seeds.B. the use of fiber supplements.C. ceasing cigarette
smoking.D. limiting alcohol intake. - CORRECT ANSWER-B. the use of fiber
supplements.
21.
IBD is associated with all of the following types of anemia except:
A. anemia of chronic disease.B. iron-deficiency anemia.C. megaloblastic anemia.D.
anemia associated with acute blood loss. - CORRECT ANSWER-C. megaloblastic
anemia. why?
22.
Risk factors for the development of cholelithiasis include all of the following except:
A. rapid weight loss.B. male gender.C. obesity.D. Native American ancestry. -
CORRECT ANSWER-B. male gender.
23.
The most common source of hepatitis A infection is:
A. sharing intravenous drug equipment.B. cooked seafood.C. contaminated water
supplies.D. sexual contact. - CORRECT ANSWER-C. contaminated water supplies
24.
An 18-year-old man with a BMI = 40 kg/m2 presents with periumbilical pain, vomiting,
and abdominal cramping over the past 48 hours. Physical examination reveals rebound
tenderness, and laboratory analysis shows the presence of bandemia and a total WBC
of 28,000/mm3. To support the diagnosis of acute appendicitis with suspected
appendiceal rupture, you consider obtaining the following abdominal imaging study:
A. magnetic resonance image (MRI).B. computed tomography (CT) scan.C.
ultrasound.D. flat plate. - CORRECT ANSWER-B. CT
25.
A serological marker for acute hepatitis A virus (HAV) infection is:
A. HAV IgM.B. HAV viral RNA.C. TNF-a.D. IL-10. - CORRECT ANSWER-A. HAV IgM.
26.
When discussing the use of immunoglobulin (IG) with a 60-year-old woman who was
recently exposed to the hepatitis A virus, you consider that:
