Gastroenterology and Oral Pathology Quiz
48 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What type of polyps are associated with Peutz-Jeghers syndrome?

  • Hamartomatous (correct)
  • Tubulovillous
  • Adenomatous
  • Hyperplastic
  • Which syndrome is characterized by a triad of iron deficiency anemia, esophageal webs, and angular cheilitis?

  • Osler-Weber-Rendu syndrome
  • Peutz-Jeghers syndrome
  • Plummer-Vinson syndrome (correct)
  • Lip psoriasis
  • Which condition is commonly associated with nosebleeds and may lead to high-output cardiac failure?

  • Lip psoriasis
  • Plummer-Vinson syndrome
  • Peutz-Jeghers syndrome
  • Osler-Weber-Rendu syndrome (correct)
  • What characterizes the appearance of a canker sore?

    <p>Self-resolving lesion on labial mucosa</p> Signup and view all the answers

    Which of the following syndromes might present with pica as a symptom?

    <p>Plummer-Vinson syndrome</p> Signup and view all the answers

    What is the primary feature of perioral melanosis?

    <p>Hyperpigmentation around the lips and mouth</p> Signup and view all the answers

    In which condition might you expect to see koilonychia as a sign?

    <p>Plummer-Vinson syndrome</p> Signup and view all the answers

    What is a common trigger for lip psoriasis?

    <p>Spicy food</p> Signup and view all the answers

    What is a common cause of irritation of the esophageal mucosa in gastroesophageal reflux disease (GERD)?

    <p>Lower esophageal sphincter (LES) tone</p> Signup and view all the answers

    Which factor is identified as a risk factor for GERD that relates to anatomical changes?

    <p>Hiatal hernia</p> Signup and view all the answers

    Which symptom is commonly associated with GERD after eating?

    <p>Burning sensation in the throat/chest</p> Signup and view all the answers

    What is the first step in the diagnosis of GERD?

    <p>Two-week trial of proton pump inhibitor (PPI)</p> Signup and view all the answers

    Which medication class is more effective for treating GERD symptoms?

    <p>Proton pump inhibitors (PPIs)</p> Signup and view all the answers

    What is a key distinguishing feature of pediatric GERD presentation?

    <p>Coughing up milk 2-3 times daily</p> Signup and view all the answers

    What conservative management technique is recommended for pediatric GERD before considering medications?

    <p>Thickening feeds and positional changes</p> Signup and view all the answers

    What surgical procedure is considered a last resort for severe cases of GERD?

    <p>Nissen fundoplication</p> Signup and view all the answers

    What is the consequence of low levels of leptin in individuals with low BMI or anorexia?

    <p>Decreased LH and FSH levels</p> Signup and view all the answers

    What mechanism does SGLT-1 use for glucose absorption in the enterocyte?

    <p>Secondary active transport</p> Signup and view all the answers

    Which type of ulcer causes pain 1-2 hours after meals?

    <p>Duodenal ulcer</p> Signup and view all the answers

    Which treatment regimen is typically employed for H.pylori infection associated with community-acquired pneumonia (CAP)?

    <p>Clarithromycin, amoxicillin, PPI</p> Signup and view all the answers

    What is a key finding on chest and abdomen X-rays indicating a ruptured viscus?

    <p>Air under the diaphragm</p> Signup and view all the answers

    What is the primary cause of duodenal ulcers in patients?

    <p>Helicobacter pylori infection</p> Signup and view all the answers

    What is the mechanism by which Helicobacter pylori contributes to ulcer formation?

    <p>Secretion of proteinaceous substrates that damage the mucosal lining</p> Signup and view all the answers

    Which of the following statements is true regarding Zollinger-Ellison syndrome?

    <p>It can be part of Multiple Endocrine Neoplasia type 1.</p> Signup and view all the answers

    Which diagnostic test is most commonly used to identify Helicobacter pylori infection?

    <p>Urease breath test</p> Signup and view all the answers

    Which drug is considered first-line for the treatment of gastric ulcers?

    <p>PPIs</p> Signup and view all the answers

    What condition is associated with antral or pyloric ulcers, indicating potential complications?

    <p>Gastric outlet obstruction</p> Signup and view all the answers

    What mechanism leads to ischemic ulcers in patients with burns?

    <p>Decreased blood flow to the stomach</p> Signup and view all the answers

    What effect does Helicobacter pylori have on gastrin levels?

    <p>Increases gastrin levels</p> Signup and view all the answers

    Which condition is NOT generally associated with duodenal ulcers?

    <p>Vitamin B12 deficiency</p> Signup and view all the answers

    What is misoprostol used for in the context of NSAID-induced ulcers?

    <p>To replenish reduced prostaglandin levels</p> Signup and view all the answers

    Which condition primarily affects acid production in the stomach due to increased intracranial pressure?

    <p>Increased parasympathetic outflow</p> Signup and view all the answers

    What is the next best step for a patient suspected of having cholangiocarcinoma with a negative CT scan?

    <p>ERCP</p> Signup and view all the answers

    Which demographic is most closely associated with the formation of cholesterol stones?

    <p>Obese, middle-aged females</p> Signup and view all the answers

    What process is commonly associated with biliary colic pain?

    <p>Obstruction of cystic duct by stone</p> Signup and view all the answers

    Which factor can contribute to the risk of gallstone formation in pregnancy?

    <p>Increased progesterone and decreased biliary peristalsis</p> Signup and view all the answers

    Which condition is often linked to the presence of pigment stones?

    <p>Hereditary spherocytosis</p> Signup and view all the answers

    What does an 'increased secretion of cholesterol into bile' lead to?

    <p>Formation of cholesterol stones</p> Signup and view all the answers

    Which organism is associated with the development of cholangiocarcinoma?

    <p>Clonorchis sinensis</p> Signup and view all the answers

    What is the treatment option for hereditary spherocytosis that helps reduce the incidence of cholelithiasis?

    <p>Splenectomy</p> Signup and view all the answers

    What imaging sequence is preferred for diagnosing choledocholithiasis?

    <p>Abdominal ultrasound followed by ERCP</p> Signup and view all the answers

    In the context of gallstone pancreatitis, where is the obstruction usually located?

    <p>Hepatopancreatic ampulla</p> Signup and view all the answers

    Which condition is most likely if a patient presents with obstructive jaundice and weight loss, especially if they are a heavy smoker?

    <p>Head of pancreas cancer</p> Signup and view all the answers

    What laboratory findings are expected in a case of gallstone pancreatitis?

    <p>Elevated direct bilirubin and elevated amylase/lipase</p> Signup and view all the answers

    If a CT scan is performed and is negative, what diagnosis should be considered if symptoms suggest pancreatic cancer?

    <p>Cholangiocarcinoma</p> Signup and view all the answers

    What implication does the absence of intra-operative cholangiography have during cholecystectomy?

    <p>Potential for retained stones in the biliary tree</p> Signup and view all the answers

    What is the typical reason for performing an ERCP in cases of suspected choledocholithiasis?

    <p>To assess bile duct patency</p> Signup and view all the answers

    Which factor does NOT indicate choledocholithiasis when evaluating a patient with obstructive jaundice?

    <p>Weight loss and heavy smoking</p> Signup and view all the answers

    Study Notes

    Contact Information

    • Website: mehlmanmedical.com
    • YouTube: @mehlmanmedical
    • Instagram: @mehlman_medical

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Test your knowledge on various syndromes and conditions related to gastroenterology and oral health. This quiz covers topics such as Peutz-Jeghers syndrome, GERD, and common oral lesions. Each question is designed to challenge your understanding of the connections between systemic diseases and their oral manifestations.

    More Like This

    Use Quizgecko on...
    Browser
    Browser