FITZGERALD GI EXAM QUESTIONS
WITH ALL CORRECT ANSWERS
Which of the following best describes the hemogram results in a person with anemia of
chronic disease that often accompanies IBD?
A. microcytic, hypochromic
B. macrocytic, normochromic
C. normocytic, normochromic
D. hyperproliferative - Answer- C. normocytic, normochromic
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. - Answer- C. resolved hepatitis A infection.
129.
Risk factors for the development of hemorrhoidal symptoms include all of the following
except:
A. prolonged sitting.
B. insertive partner in anal intercourse.
C. chronic diarrhea.
D. excessive alcohol use. - Answer- B. insertive partner in anal intercourse.
130.
You see a 62-year-old man diagnosed with esophageal columnar epithelial metaplasia.
You realize he is at increased risk for:
A. esophageal stricture.
B. esophageal adenocarcinoma.
C. gastroesophageal reflux.
D. H. pylori colonization. - Answer- B. esophageal adenocarcinoma.
,Risk factors for acute pancreatitis include all of the following except:
A. hypothyroidism.B. dyslipidemia.C. abdominal trauma.D. thiazide diuretic use. -
Answer-
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Potential complications include fistula formation and perineal disease.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- A. IBD
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Extraintestinal manifestations occasionally include nondestructive arthritis and renal
calculi.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- A. IBD
138.
150.
Which of the following is an appropriate treatment for IBS?
A. high-fat, low-residue diet.
B. high-fiber, low-fat diet and stress modification.
C. antispasmotics and loperamide for diarrhea predominance.
D. tricyclic antidepressants for constipation predominance - Answer- C. antispasmotics
and loperamide for diarrhea predominance.
151.
A 38-year-old man with a recent history of injection drug use presents with malaise,
nausea, fatigue, and "yellow eyes" for the past week. After ordering diagnostic tests,
you confirm the diagnosis of acute hepatitis B. Anticipated laboratory results include:
A. the presence of hepatitis B surface antibody (HBsAb).
B. neutrophilia.
C. thrombocytosis.
D. the presence of HBsAg. - Answer- D. the presence of HBsAg.
,You see a 48-year-old woman who has been taking a COX-2 inhibitor for the past 3
years. In counseling her, you mention that long-term use of COX-2 inhibitors is
associated with all of the following except:
A. hepatic dysfunction.
B. gastropathy.
C. cardiovascular events.
D. cerebrovascular events. - Answer- A. hepatic dysfunction.
153.
An example of a medication with prokinetic activity is:
A. dicyclomine (Bentyl®).
B. metoclopramide (Reglan®).
C. loperamide (Imodium®).
D. psyllium (Metamucil®). - Answer- B. metoclopramide (Reglan®).
154.
Which of the following imaging studies potentially exposes the patient being evaluated
for abdominal pain to the lowest ionizing radiation burden?
A. ultrasound
B. barium enema
C. CT scan
D. abdominal flat plate - Answer- A. ultrasound
155.
You see a 72-year-old woman who reports vomiting and abdominal cramping occurring
over the past 24 hours. In evaluating a patient with suspected appendicitis, the clinician
considers that:
A. the presentation can differ according to the anatomical location of the appendix.
B. this is a common reason for acute abdominal pain in elderly patients.
C. vomiting before onset of abdominal pain is often seen.
D. the presentation is markedly different from the presentation of pelvic inflammatory
disease. - Answer- A. the presentation can differ according to the anatomical location of
the appendix.
156.
A 54-year-old man with an anal fissure responds inadequately to dietary intervention
and standard therapy during the past 2 weeks. Additional treatment options include all
of the following except:
A. intra-anal nitroglycerine ointment.
B. botulinum toxicum injection to the internal anal sphincter.
C. surgical sphincterotomy.
, D. rubber band ligation of the lesion. - Answer- D. rubber band ligation of the lesion.
157.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
The etiology is considered to be an alteration in small and large bowel motility.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- B. IBS
158.
Tenesmus is defined as which of the following?
A. rectal burning with defecation
B. a sensation of incomplete bowel emptying that is distressing and sometimes painful
C. weight loss that accompanies many bowel diseases
D. appearance of frank blood in the stool - Answer- B. a sensation of incomplete bowel
emptying that is distressing and sometimes painful
159.
Which of the following statements about Helicobacter pylori is false?
A. H. pylori is a gram-negative, spiral-shaped bacterium.
B. Infection with H. pylori is the most potent risk factor for duodenal ulcer.
C. The organism is often resistant due to the production of beta-lactamase.
D. H. pylori is transmitted via the oral-fecal or oral-oral route. - Answer- C. The organism
is often resistant due to the production of beta-lactamase.
160.
Which of the following medications is a PPI?
A. loperamide
B. metoclopramide
C. nizatidine
D. lansoprazole - Answer- D. lansoprazole
161.
A gallstone that is not visualized on standard x-ray is said to be:
A. radiopaque.
B. radiolucent.
C. calcified.
D. unclassified. - Answer- B. radiolucent.
162.
Long-term PPI use is associated with all of the following except:
WITH ALL CORRECT ANSWERS
Which of the following best describes the hemogram results in a person with anemia of
chronic disease that often accompanies IBD?
A. microcytic, hypochromic
B. macrocytic, normochromic
C. normocytic, normochromic
D. hyperproliferative - Answer- C. normocytic, normochromic
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. - Answer- C. resolved hepatitis A infection.
129.
Risk factors for the development of hemorrhoidal symptoms include all of the following
except:
A. prolonged sitting.
B. insertive partner in anal intercourse.
C. chronic diarrhea.
D. excessive alcohol use. - Answer- B. insertive partner in anal intercourse.
130.
You see a 62-year-old man diagnosed with esophageal columnar epithelial metaplasia.
You realize he is at increased risk for:
A. esophageal stricture.
B. esophageal adenocarcinoma.
C. gastroesophageal reflux.
D. H. pylori colonization. - Answer- B. esophageal adenocarcinoma.
,Risk factors for acute pancreatitis include all of the following except:
A. hypothyroidism.B. dyslipidemia.C. abdominal trauma.D. thiazide diuretic use. -
Answer-
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Potential complications include fistula formation and perineal disease.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- A. IBD
Is the following statement most consistent with IBD, with IBS, or with both conditions?
Extraintestinal manifestations occasionally include nondestructive arthritis and renal
calculi.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- A. IBD
138.
150.
Which of the following is an appropriate treatment for IBS?
A. high-fat, low-residue diet.
B. high-fiber, low-fat diet and stress modification.
C. antispasmotics and loperamide for diarrhea predominance.
D. tricyclic antidepressants for constipation predominance - Answer- C. antispasmotics
and loperamide for diarrhea predominance.
151.
A 38-year-old man with a recent history of injection drug use presents with malaise,
nausea, fatigue, and "yellow eyes" for the past week. After ordering diagnostic tests,
you confirm the diagnosis of acute hepatitis B. Anticipated laboratory results include:
A. the presence of hepatitis B surface antibody (HBsAb).
B. neutrophilia.
C. thrombocytosis.
D. the presence of HBsAg. - Answer- D. the presence of HBsAg.
,You see a 48-year-old woman who has been taking a COX-2 inhibitor for the past 3
years. In counseling her, you mention that long-term use of COX-2 inhibitors is
associated with all of the following except:
A. hepatic dysfunction.
B. gastropathy.
C. cardiovascular events.
D. cerebrovascular events. - Answer- A. hepatic dysfunction.
153.
An example of a medication with prokinetic activity is:
A. dicyclomine (Bentyl®).
B. metoclopramide (Reglan®).
C. loperamide (Imodium®).
D. psyllium (Metamucil®). - Answer- B. metoclopramide (Reglan®).
154.
Which of the following imaging studies potentially exposes the patient being evaluated
for abdominal pain to the lowest ionizing radiation burden?
A. ultrasound
B. barium enema
C. CT scan
D. abdominal flat plate - Answer- A. ultrasound
155.
You see a 72-year-old woman who reports vomiting and abdominal cramping occurring
over the past 24 hours. In evaluating a patient with suspected appendicitis, the clinician
considers that:
A. the presentation can differ according to the anatomical location of the appendix.
B. this is a common reason for acute abdominal pain in elderly patients.
C. vomiting before onset of abdominal pain is often seen.
D. the presentation is markedly different from the presentation of pelvic inflammatory
disease. - Answer- A. the presentation can differ according to the anatomical location of
the appendix.
156.
A 54-year-old man with an anal fissure responds inadequately to dietary intervention
and standard therapy during the past 2 weeks. Additional treatment options include all
of the following except:
A. intra-anal nitroglycerine ointment.
B. botulinum toxicum injection to the internal anal sphincter.
C. surgical sphincterotomy.
, D. rubber band ligation of the lesion. - Answer- D. rubber band ligation of the lesion.
157.
Is the following statement most consistent with IBD, with IBS, or with both conditions?
The etiology is considered to be an alteration in small and large bowel motility.
A. IBD
B. IBS
C. Both IBD and IBS - Answer- B. IBS
158.
Tenesmus is defined as which of the following?
A. rectal burning with defecation
B. a sensation of incomplete bowel emptying that is distressing and sometimes painful
C. weight loss that accompanies many bowel diseases
D. appearance of frank blood in the stool - Answer- B. a sensation of incomplete bowel
emptying that is distressing and sometimes painful
159.
Which of the following statements about Helicobacter pylori is false?
A. H. pylori is a gram-negative, spiral-shaped bacterium.
B. Infection with H. pylori is the most potent risk factor for duodenal ulcer.
C. The organism is often resistant due to the production of beta-lactamase.
D. H. pylori is transmitted via the oral-fecal or oral-oral route. - Answer- C. The organism
is often resistant due to the production of beta-lactamase.
160.
Which of the following medications is a PPI?
A. loperamide
B. metoclopramide
C. nizatidine
D. lansoprazole - Answer- D. lansoprazole
161.
A gallstone that is not visualized on standard x-ray is said to be:
A. radiopaque.
B. radiolucent.
C. calcified.
D. unclassified. - Answer- B. radiolucent.
162.
Long-term PPI use is associated with all of the following except:
