Fitz GI Questions and answers verified
to pass 2025
Long-term PPI use is associated with all of the following except:
A. increased risk of pneumonia in hospitalized patients.
B. increased risk of C. difficile colitis in hospitalized patients.
C. reduced absorption of calcium and magnesium.
D. reduced absorption of dietary carbohydrates. - correct answer ✔D.
reduced absorption of dietary carbohydrates.
Which of the following patients should be evaluated for possible surgical
intervention for hemorrhoids?
A. a 28-year-old woman with symptomatic external hemorrhoids who gave
birth 6 days ago
B. a 48-year-old man with Grade II internal hemorrhoids and improvement
with standard medical therapy
C. a 44-year-old woman who has internal and external hemorrhoids with
recurrent prolapse
,D. a 58-year-old man who has Grade I internal hemorrhoids and improvement
with psyllium supplements - correct answer ✔C. a 44-year-old woman who
has internal and external hemorrhoids with recurrent prolapse
You are caring for a 45-year-old woman from a developing country. She
reports that she had "yellow jaundice" as a young child. Her physical
examination is unremarkable. Her laboratory studies are as follows: AST, 22
U/L (normal, 0 to 31 U/L); alanine aminotransferase (ALT), 25 U/L (normal, 0
to 40 U/L); hepatitis A virus immunoglobulin G (HAV IgG) positive. Laboratory
testing reveals:
A. chronic hepatitis A.
B. no evidence of prior or current hepatitis A infection.
C. resolved hepatitis A infection.
D. prodromal hepatitis A. - correct answer ✔C. resolved hepatitis A infection.
In a well adult with modest hepatic enzyme elevation and hepatitis B surface
antigen (HBsAg) positive, these findings are most consistent with:
A. no evidence of hepatitis B infection.
B. resolved hepatitis B infection.
C. chronic hepatitis B.
,D. evidence of effective hepatitis B immunization. - correct answer ✔C.
chronic hepatitis B.
Therapy for hemorrhoids includes all of the following except:
A. weight control.
B. low-fat diet.
C. topical corticosteroids.
D. the use of a stool softener. - correct answer ✔B. low-fat diet.
The clinical presentation of pancreatic cancer involving the head of the
pancreas usually includes:
A. painless jaundice.
B. polycythemia.
C. hematuria.
D. hyperkalemia. - correct answer ✔A. painless jaundice.
Which of the following does not increase a patient's risk of developing
colorectal cancer?
, A. family history of colorectal cancer
B. familial polyposis
C. personal history of neoplasm
D. long-term aspirin therapy - correct answer ✔D. long-term aspirin therapy
The obturator 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 ✔B. passive flexion and
internal rotation of the hip.
A 58-year-old man reports intermittent right upper quadrant abdominal pain.
He is obese and being actively treated for hyperlipidemia. Imaging in a patient
with suspected symptomatic cholelithiasis usually includes obtaining an
abdominal:
A. MRI.
B. CT scan.
to pass 2025
Long-term PPI use is associated with all of the following except:
A. increased risk of pneumonia in hospitalized patients.
B. increased risk of C. difficile colitis in hospitalized patients.
C. reduced absorption of calcium and magnesium.
D. reduced absorption of dietary carbohydrates. - correct answer ✔D.
reduced absorption of dietary carbohydrates.
Which of the following patients should be evaluated for possible surgical
intervention for hemorrhoids?
A. a 28-year-old woman with symptomatic external hemorrhoids who gave
birth 6 days ago
B. a 48-year-old man with Grade II internal hemorrhoids and improvement
with standard medical therapy
C. a 44-year-old woman who has internal and external hemorrhoids with
recurrent prolapse
,D. a 58-year-old man who has Grade I internal hemorrhoids and improvement
with psyllium supplements - correct answer ✔C. a 44-year-old woman who
has internal and external hemorrhoids with recurrent prolapse
You are caring for a 45-year-old woman from a developing country. She
reports that she had "yellow jaundice" as a young child. Her physical
examination is unremarkable. Her laboratory studies are as follows: AST, 22
U/L (normal, 0 to 31 U/L); alanine aminotransferase (ALT), 25 U/L (normal, 0
to 40 U/L); hepatitis A virus immunoglobulin G (HAV IgG) positive. Laboratory
testing reveals:
A. chronic hepatitis A.
B. no evidence of prior or current hepatitis A infection.
C. resolved hepatitis A infection.
D. prodromal hepatitis A. - correct answer ✔C. resolved hepatitis A infection.
In a well adult with modest hepatic enzyme elevation and hepatitis B surface
antigen (HBsAg) positive, these findings are most consistent with:
A. no evidence of hepatitis B infection.
B. resolved hepatitis B infection.
C. chronic hepatitis B.
,D. evidence of effective hepatitis B immunization. - correct answer ✔C.
chronic hepatitis B.
Therapy for hemorrhoids includes all of the following except:
A. weight control.
B. low-fat diet.
C. topical corticosteroids.
D. the use of a stool softener. - correct answer ✔B. low-fat diet.
The clinical presentation of pancreatic cancer involving the head of the
pancreas usually includes:
A. painless jaundice.
B. polycythemia.
C. hematuria.
D. hyperkalemia. - correct answer ✔A. painless jaundice.
Which of the following does not increase a patient's risk of developing
colorectal cancer?
, A. family history of colorectal cancer
B. familial polyposis
C. personal history of neoplasm
D. long-term aspirin therapy - correct answer ✔D. long-term aspirin therapy
The obturator 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 ✔B. passive flexion and
internal rotation of the hip.
A 58-year-old man reports intermittent right upper quadrant abdominal pain.
He is obese and being actively treated for hyperlipidemia. Imaging in a patient
with suspected symptomatic cholelithiasis usually includes obtaining an
abdominal:
A. MRI.
B. CT scan.
