Fecal Fat Test: Procedure and Management
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Questions and Answers

What is the primary purpose of collecting stool samples during the fat malabsorption test?

  • To evaluate the amount of fat excreted in the stool (correct)
  • To assess the amount of toilet paper in the sample
  • To determine the amount of urine in the sample
  • To measure the amount of electrolytes in the stool

What dietary modification is recommended for patients with lactose intolerance?

  • High-fat diet
  • Gluten-free diet
  • High-protein diet
  • Lactose avoidance (correct)

What is the primary treatment for small bowel bacterial overgrowth?

  • Replacement of nutrients and electrolytes
  • Dietary modifications
  • Pancreatic enzyme supplements
  • Antibiotic therapy (correct)

What is the name of the protein commonly found in wheat, rye, and barley that causes an immune response in patients with celiac disease?

<p>Gliadin (D)</p> Signup and view all the answers

What is the term for the inflammatory response that occurs in the intestines of patients with celiac disease after ingesting gliadin?

<p>Immunologically mediated inflammatory response (A)</p> Signup and view all the answers

What is the primary goal of replacing nutrients, electrolytes, and fluids in patients with fat malabsorption?

<p>To prevent deficiency and complications (A)</p> Signup and view all the answers

What is the purpose of collecting stool samples in a patient with diarrhea?

<p>To rule out certain intestinal infections (B)</p> Signup and view all the answers

What type of imaging test is used to diagnose blockages, abscesses, or fistulas in the abdomen?

<p>CT scan (B)</p> Signup and view all the answers

Which medication is available as a suppository or enema?

<p>Mesalamine (D)</p> Signup and view all the answers

What is the primary benefit of corticosteroids in treating severe IBD flare-ups?

<p>Improving appetite and sense of wellbeing (B)</p> Signup and view all the answers

Which symptom is associated with severe inflammation of the large intestine?

<p>Blood in the stool (C)</p> Signup and view all the answers

When are antidiarrheal medications typically taken?

<p>Before meals (A)</p> Signup and view all the answers

Which medication is given by injection in high doses and may help heal fistulas caused by Crohn disease?

<p>Cyclosporine (A)</p> Signup and view all the answers

What is the primary effect of immunomodulating medications on the immune system?

<p>They decrease the immune system's actions (B)</p> Signup and view all the answers

Which biologic agent is given as a series of infusions by vein?

<p>Infliximab (A)</p> Signup and view all the answers

What is the primary benefit of Azathioprine and Mercaptopurine in Crohn disease treatment?

<p>Maintaining long periods of remission (D)</p> Signup and view all the answers

Which medication is often beneficial for people who do not respond to or cannot tolerate corticosteroids, mercaptopurine, or azathioprine?

<p>Methotrexate (A)</p> Signup and view all the answers

What is the administration method of Certolizumab?

<p>Monthly subcutaneous injections (B)</p> Signup and view all the answers

Which of the following age groups is most likely to be affected by Whipple's disease?

<p>Adults between 30 to 60 (B)</p> Signup and view all the answers

What is the primary site of involvement in Whipple's disease?

<p>Small intestine (C)</p> Signup and view all the answers

Which of the following is NOT a cardinal symptom of Whipple's disease?

<p>Fever (D)</p> Signup and view all the answers

What is the suspected association between Whipple's disease and the following?

<p>HLA-B27 gene (A)</p> Signup and view all the answers

What is the mechanism of action of trimethoprim-sulfamethoxazole in the treatment of Whipple's disease?

<p>Inhibiting bacterial growth by inhibiting synthesis of dihydrofolic acid (D)</p> Signup and view all the answers

What is the significance of upper endoscopy with small-bowel biopsy in the diagnosis of Whipple's disease?

<p>The intestinal lesions are specific and diagnostic (A)</p> Signup and view all the answers

What is the typical location of involvement in tropical sprue?

<p>Distal small bowel (B)</p> Signup and view all the answers

What is the primary method of diagnosing celiac disease?

<p>Endoscopy with biopsy (C)</p> Signup and view all the answers

What is the characteristic histological change in duodenal biopsies in celiac disease?

<p>Increased percentage of intraepithelial lymphocytes (D)</p> Signup and view all the answers

What is the purpose of analyzing a stool sample in malabsorption syndrome?

<p>To exclude parasites or bacteria as a cause (A)</p> Signup and view all the answers

What is the term for the passage of fatty stools in malabsorption syndrome?

<p>Steatorrhea (D)</p> Signup and view all the answers

Which of the following infectious agents can cause total villous atrophy?

<p>Giardia lamblia (C)</p> Signup and view all the answers

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