FITZGERALD GI EXAM QUESTIONS
WITH ALL CORRECT ANSWERS
Which of the following is least likely to be found in a person with pancreatic cancer?
A. history of chronic pancreatitis
B. lesion identified on abdominal CT
C. normocytic, normochromic anemia
D. elevation of amylase level - Answer- D. elevation of amylase level
Which of the following best describes colonic diverticulosis?
A. bulging pockets in the intestinal wall
B. poorly contracting intestinal walls
C. strictures of the intestinal lumen
D. flaccidity of the small intestine - Answer- A. bulging pockets in the intestinal wall
What is the equivalent amount of background radiation as an abdominal ultrasound?
A. no radiation
B. 62 to 88 days
C. 3 years - Answer- A. no radiation
Long-term, recurrent, high-dose, oral use of mineral oil can lead to deficiency in:
A. iron.
B. vitamin A.
C. vitamin C.
D. vitamin B12. - Answer- B. vitamin A.
According to current American Cancer Society data, colorectal cancer is the number
_______ cause of cancer death in men and women.
A. 1
B. 3
C. 5
D. 7 - Answer- B. 3
Lower GI hemorrhage associated with diverticular disease usually manifests as:
,A. a painless event.
B. a condition noted to be found with a marked febrile response.
C. a condition accompanied by severe cramp-like abdominal pain.
D. a common chronic condition. - Answer- A. a painless event.
Which of the following hepatitis forms is most effectively transmitted from man to
woman via heterosexual vaginal intercourse?
A. hepatitis A
B. hepatitis B
C. hepatitis C
D. hepatitis D - Answer- B. hepatitis B
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in
a middle-aged man, you prescribe:
A. a proton pump inhibitor (PPI).
B. timed antacid use.
C. antimicrobial therapy.
D. a histamine2-receptor antagonist (H2RA). - Answer- C. antimicrobial therapy.
An ulcer that is noted to be located in the region below the lower esophageal sphincter
and before the pylorus is usually referred to as a(n) ________ ulcer.
A. duodenal
B. esophageal
C. gastric
D. stomach - Answer- C. gastric
After a decade of disease, a person with ulcerative colitis is at increased risk of
malignancy involving the:
A. small bowel.
B. large intestine.
C. duodenum.
D. stomach. - Answer- B. large intestine.
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.
,C. ultrasound of the right upper quadrant.
D. flat plate. - Answer- C. ultrasound of the right upper quadrant.
Which of the following findings would you expect to encounter in a 33-year-old man with
appendiceal abscess?
A. leukopenia with lymphocytosis
B. positive Cullen's sign
C. protracted nausea and vomiting
D. dullness to percussion in the abdominal right lower quadrant - Answer- D. dullness to
percussion in the abdominal right lower quadrant-percuss somebody with suspected
appendicitis? wtf
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. - Answer- D.
adipose tissue.
2.
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. - Answer- A. abdominal rebound tenderness
3.
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. - Answer- C. the junction of the
esophagus and the stomach.
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. - 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. - 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 - 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 - 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. - 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 - 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. - Answer- C. maintenance of gastric
protective mucosal layer.
11.
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 - Answer- B. IBS
12.
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. - Answer- b. diminished platelet count
WITH ALL CORRECT ANSWERS
Which of the following is least likely to be found in a person with pancreatic cancer?
A. history of chronic pancreatitis
B. lesion identified on abdominal CT
C. normocytic, normochromic anemia
D. elevation of amylase level - Answer- D. elevation of amylase level
Which of the following best describes colonic diverticulosis?
A. bulging pockets in the intestinal wall
B. poorly contracting intestinal walls
C. strictures of the intestinal lumen
D. flaccidity of the small intestine - Answer- A. bulging pockets in the intestinal wall
What is the equivalent amount of background radiation as an abdominal ultrasound?
A. no radiation
B. 62 to 88 days
C. 3 years - Answer- A. no radiation
Long-term, recurrent, high-dose, oral use of mineral oil can lead to deficiency in:
A. iron.
B. vitamin A.
C. vitamin C.
D. vitamin B12. - Answer- B. vitamin A.
According to current American Cancer Society data, colorectal cancer is the number
_______ cause of cancer death in men and women.
A. 1
B. 3
C. 5
D. 7 - Answer- B. 3
Lower GI hemorrhage associated with diverticular disease usually manifests as:
,A. a painless event.
B. a condition noted to be found with a marked febrile response.
C. a condition accompanied by severe cramp-like abdominal pain.
D. a common chronic condition. - Answer- A. a painless event.
Which of the following hepatitis forms is most effectively transmitted from man to
woman via heterosexual vaginal intercourse?
A. hepatitis A
B. hepatitis B
C. hepatitis C
D. hepatitis D - Answer- B. hepatitis B
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in
a middle-aged man, you prescribe:
A. a proton pump inhibitor (PPI).
B. timed antacid use.
C. antimicrobial therapy.
D. a histamine2-receptor antagonist (H2RA). - Answer- C. antimicrobial therapy.
An ulcer that is noted to be located in the region below the lower esophageal sphincter
and before the pylorus is usually referred to as a(n) ________ ulcer.
A. duodenal
B. esophageal
C. gastric
D. stomach - Answer- C. gastric
After a decade of disease, a person with ulcerative colitis is at increased risk of
malignancy involving the:
A. small bowel.
B. large intestine.
C. duodenum.
D. stomach. - Answer- B. large intestine.
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.
,C. ultrasound of the right upper quadrant.
D. flat plate. - Answer- C. ultrasound of the right upper quadrant.
Which of the following findings would you expect to encounter in a 33-year-old man with
appendiceal abscess?
A. leukopenia with lymphocytosis
B. positive Cullen's sign
C. protracted nausea and vomiting
D. dullness to percussion in the abdominal right lower quadrant - Answer- D. dullness to
percussion in the abdominal right lower quadrant-percuss somebody with suspected
appendicitis? wtf
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. - Answer- D.
adipose tissue.
2.
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. - Answer- A. abdominal rebound tenderness
3.
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. - Answer- C. the junction of the
esophagus and the stomach.
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. - 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. - 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 - 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 - 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. - 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 - 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. - Answer- C. maintenance of gastric
protective mucosal layer.
11.
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 - Answer- B. IBS
12.
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. - Answer- b. diminished platelet count
