Medicine II: Final Exam

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Questions and Answers

Which of the following is a defining feature of Ulcerative Colitis?

  • Always involves the rectum (correct)
  • Involves the colon only
  • Always involves the stomach
  • Involves the small intestine only

What is the age range for the bimodal peak of Ulcerative Colitis?

  • 20s-30s and 50s-60s (correct)
  • 30s-40s and 60s-70s
  • 10s-20s and 40s-50s
  • 40s-50s and 70s-80s

Which of the following is NOT a symptom of Ulcerative Colitis?

  • Fever
  • Bloody diarrhea
  • Abdominal pain
  • Constipation (correct)

Which of the following is a potential extraintestinal manifestation (EIM) of Ulcerative Colitis?

<p>Swelling of eyes (A)</p> Signup and view all the answers

What is the first-line treatment for Ulcerative Colitis?

<p>5-ASA (D)</p> Signup and view all the answers

What is the last-line treatment for Ulcerative Colitis?

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

Which of the following is a common symptom of celiac disease?

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

What is the gold standard screening method for colon cancer?

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

What is the most common cause of upper gastrointestinal bleeding (UGIB)?

<p>Peptic ulcer disease (D)</p> Signup and view all the answers

What is the recommended treatment for acute alcoholic liver disease?

<p>Supportive care (B)</p> Signup and view all the answers

Which hepatitis virus has a vaccine available?

<p>All of the above (D)</p> Signup and view all the answers

What is the most common risk factor for hepatocellular carcinoma?

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

Which of the following is a symptom of Crohn's Disease in the small bowel?

<p>Non-bloody diarrhea (D)</p> Signup and view all the answers

Which of the following is a characteristic of transmural inflammation in Crohn's Disease?

<p>Inflammation involving the entire thickness of the colon wall (C)</p> Signup and view all the answers

Which of the following is a consequence of Crohn's Disease?

<p>Abscess, fistula, and stricture (C)</p> Signup and view all the answers

Which of the following is a characteristic of ulcerative colitis?

<p>Skip lesions in the colon (A)</p> Signup and view all the answers

Which of the following is a diagnostic test for Crohn's Disease?

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

Which of the following liver function tests is specific to the liver?

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

Which one of the following is a characteristic of chronic pancreatitis?

<p>Steatorrhea and digestive discomfort (A)</p> Signup and view all the answers

Which one of the following is a symptom of cholestasis?

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

Which one of the following is a complication of acute cholangitis?

<p>Hypotension and confusion (B)</p> Signup and view all the answers

Which one of the following is a characteristic of primary sclerosing cholangitis?

<p>Destruction/fibrosis of intra/extrahepatic ducts (C)</p> Signup and view all the answers

Which one of the following is a characteristic of non-alcoholic steatohepatitis?

<p>Inflammation + fat, asymptomatic a/w metabolic syndrome (D)</p> Signup and view all the answers

Which one of the following is a characteristic of diverticulitis?

<p>Inflammation/infection of diverticula (D)</p> Signup and view all the answers

Which of the following is a risk factor for acquiring pylori infection?

<p>Living in a crowded environment (C)</p> Signup and view all the answers

Which of the following is a diagnostic test for pylori infection?

<p>Urea breath test (B)</p> Signup and view all the answers

Which therapy is used less now for pylori infection due to increased resistance?

<p>Clarithromycin-based Triple Therapy (C)</p> Signup and view all the answers

Which of the following is a potential sequela of pylori infection?

<p>Gastric adenocarcinoma (C)</p> Signup and view all the answers

Which of the following is a leading cause of nosocomial diarrhea with high mortality in the elderly?

<p>C. diff infection (A)</p> Signup and view all the answers

Which of the following is a lifestyle factor associated with constipation?

<p>Low oral intake (D)</p> Signup and view all the answers

Which of the following is a potential extraintestinal manifestation (EIM) of Crohn's Disease?

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

Which of the following liver function tests is elevated in biliary tract obstruction or alcohol consumption?

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

Which of the following is a potential complication of acute pancreatitis?

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

Which of the following liver function tests is specific to the liver?

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

Which of the following is a potential risk factor for developing Crohn's Disease?

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

Which of the following is a characteristic of ulcerative colitis?

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

Which one of the following is a characteristic of acute Hepatitis A?

<p>Transmission through contaminated food/water (A)</p> Signup and view all the answers

Which one of the following is a diagnostic test for Hepatitis B?

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

Which one of the following is a potential consequence of chronic Hepatitis C infection?

<p>Risk for cirrhosis or hepatocellular carcinoma (C)</p> Signup and view all the answers

Which one of the following is a risk factor for developing hepatocellular carcinoma?

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

Which one of the following is the most common cause of lower gastrointestinal bleeding (LGIB)?

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

Which one of the following is a characteristic of occult gastrointestinal bleeding?

<p>Often slow and morbid (B)</p> Signup and view all the answers

Which one of the following is a characteristic of Crohn's Disease?

<p>Can involve the colon more proximally (B)</p> Signup and view all the answers

Which one of the following is a potential extraintestinal manifestation (EIM) of Crohn's Disease?

<p>All of the above (D)</p> Signup and view all the answers

What is the first-line treatment for Crohn's Disease?

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

Which one of the following is a potential extraintestinal manifestation (EIM) of Ulcerative Colitis?

<p>Swelling of eyes (A)</p> Signup and view all the answers

What is the last-line treatment for Crohn's Disease?

<p>Biologics/JAK (C)</p> Signup and view all the answers

What is the age range for the bimodal peak of Crohn's Disease?

<p>20s-30s (D)</p> Signup and view all the answers

Which of the following is a risk factor for acquiring pylori infection?

<p>Having a large number of siblings (A)</p> Signup and view all the answers

Which of the following is a characteristic of chronic constipation?

<p>Response to fiber and laxative (D)</p> Signup and view all the answers

Which of the following is a common cause of acute diarrhea?

<p>Lactose intolerance (C)</p> Signup and view all the answers

Which of the following is a potential consequence of chronic constipation?

<p>Diverticula formation (C)</p> Signup and view all the answers

Which of the following is a diagnostic test for Clostridium difficile infection?

<p>Toxin A&amp;B EIA (B)</p> Signup and view all the answers

Which of the following is a potential extraintestinal manifestation of Ulcerative Colitis?

<p>Gastric MALT lymphoma (C)</p> Signup and view all the answers

Which of the following is a potential complication of acute pancreatitis?

<p>Multi-organ failure (C)</p> Signup and view all the answers

Which of the following is a symptom of chronic pancreatitis?

<p>Pancreatic hemorrhage (B)</p> Signup and view all the answers

Which of the following is a symptom of cholestasis?

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

Which of the following is a characteristic of primary sclerosing cholangitis?

<p>Associated with ulcerative colitis (B)</p> Signup and view all the answers

Which of the following is a characteristic of fatty liver disease?

<p>Associated with metabolic syndrome (D)</p> Signup and view all the answers

Which of the following is a characteristic of diverticulitis?

<p>Inflammation of diverticula (A)</p> Signup and view all the answers

Which one of the following is a defining feature of Ulcerative Colitis?

<p>Involves the colon only (B)</p> Signup and view all the answers

Which one of the following is a characteristic of Ulcerative Colitis?

<p>Inflammation of mucosa layer only (A)</p> Signup and view all the answers

Which one of the following is a symptom of Ulcerative Colitis?

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

Which one of the following is a diagnostic test for Ulcerative Colitis?

<p>Colonoscopy &amp; biopsy (C)</p> Signup and view all the answers

Which one of the following is a first-line treatment for Ulcerative Colitis?

<p>5-ASA (C)</p> Signup and view all the answers

Which one of the following is an extraintestinal manifestation (EIM) of Ulcerative Colitis?

<p>Swelling of eyes (C)</p> Signup and view all the answers

Which one of the following is a characteristic of Crohn's Disease?

<p>Results in transmural inflammation (A)</p> Signup and view all the answers

Which one of the following is a symptom of Crohn's Disease?

<p>Episodic abdominal pain (C)</p> Signup and view all the answers

Which one of the following liver function tests is elevated in biliary tract obstruction or alcohol consumption?

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

Which one of the following is a potential cause of acute pancreatitis?

<p>All of the above (D)</p> Signup and view all the answers

Which one of the following is a diagnostic test for acute pancreatitis?

<p>Lipase or amylase &gt; 3 times normal (C)</p> Signup and view all the answers

Which one of the following liver function tests is elevated in hepatocellular injury?

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

Which one of the following is a potential complication of acute pancreatitis?

<p>Multi-organ failure (A)</p> Signup and view all the answers

Which one of the following is a symptom of chronic pancreatitis?

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

Which one of the following is a potential consequence of cholestasis?

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

Which one of the following is a characteristic of primary sclerosing cholangitis?

<p>Destruction of intrahepatic bile ducts (A)</p> Signup and view all the answers

Which one of the following is a characteristic of non-alcoholic steatohepatitis (NASH)?

<p>Inflammation + fat in liver (C)</p> Signup and view all the answers

Which one of the following is a characteristic of diverticulitis?

<p>Inflammation/infection of diverticula (A)</p> Signup and view all the answers

Which of the following is the most common cause of upper gastrointestinal bleeding (UGIB)?

<p>Peptic ulcer disease (D)</p> Signup and view all the answers

Which of the following is the gold standard for screening colon cancer?

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

Which of the following is a potential transmission route for Hepatitis B?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a potential consequence of chronic Hepatitis C infection?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a potential symptom of alcoholic liver disease?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a potential diagnostic test for celiac disease?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a risk factor for acquiring pylori infection?

<p>Living in a rural area (D)</p> Signup and view all the answers

Which of the following is a potential extraintestinal manifestation of Crohn's Disease?

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

Which of the following is a characteristic of primary constipation?

<p>Slow transit with coordinated colonic motility (B)</p> Signup and view all the answers

Which of the following is a potential complication of chronic pancreatitis?

<p>Change in stool caliber (A)</p> Signup and view all the answers

Which of the following is a characteristic of osmotic diarrhea?

<p>Decreased absorption of water and electrolytes (B)</p> Signup and view all the answers

Which of the following is a potential consequence of secondary constipation?

<p>Urinary incontinence (B)</p> Signup and view all the answers

Which one of the following is a defining feature of Crohn's Disease?

<p>Relapsing &amp; remitting episodes of inflammation (A)</p> Signup and view all the answers

What is a potential consequence of chronic constipation?

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

Which one of the following is a diagnostic test for Crohn's Disease?

<p>Colonoscopy &amp; biopsy (A)</p> Signup and view all the answers

Which of the following is a potential risk factor for developing colon cancer?

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

Which of the following is the gold standard for screening colon cancer?

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

Which of the following is the most common cause of upper gastrointestinal bleeding (UGIB)?

<p>Peptic ulcer disease (A)</p> Signup and view all the answers

Which of the following is a potential consequence of chronic Hepatitis C infection?

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

Which one of the following is a potential consequence of Crohn's Disease?

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

Which one of the following is a symptom of Crohn's Disease?

<p>Non-bloody diarrhea (C)</p> Signup and view all the answers

Which one of the following liver function tests is elevated in biliary tract obstruction?

<p>Alkaline phosphatase (Alk phos) (D)</p> Signup and view all the answers

Which one of the following is a risk factor for developing chronic pancreatitis?

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

Which of the following is a risk factor for acquiring H. pylori infection?

<p>Living in a crowded environment (A)</p> Signup and view all the answers

What is the recommended diagnostic test for H. pylori infection?

<p>Urea breath test (C)</p> Signup and view all the answers

Which of the following is a potential sequela of H. pylori infection?

<p>Gastric adenocarcinoma (C)</p> Signup and view all the answers

Which of the following is the leading cause of nosocomial diarrhea?

<p>C. difficile infection (C)</p> Signup and view all the answers

Which one of the following is a potential symptom of cholelithiasis?

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

Which one of the following is a potential consequence of primary biliary cholangitis?

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

Which one of the following is a potential cause of acute cholangitis?

<p>Stone in common bile or pancreatic duct (A)</p> Signup and view all the answers

Which one of the following is a potential consequence of alcoholic liver disease?

<p>Biliary cirrhosis (B)</p> Signup and view all the answers

Which of the following is a defining feature of Ulcerative Colitis?

<p>Involves the colon only (A)</p> Signup and view all the answers

What is the first-line treatment for Ulcerative Colitis?

<p>5-ASA (A)</p> Signup and view all the answers

Which of the following is an extraintestinal manifestation (EIM) of Ulcerative Colitis?

<p>Swelling of skin (Erythema nodosum) (D)</p> Signup and view all the answers

Which of the following is a risk factor for developing chronic Helicobacter pylori infection?

<p>Living in a crowded living environment (A)</p> Signup and view all the answers

Which of the following is a potential complication of chronic constipation?

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

Which of the following is a potential cause of secretory diarrhea?

<p>Inflammatory bowel disease (C)</p> Signup and view all the answers

Which of the following is a characteristic of chronic diarrhea?

<p>Increased stool consistency (B)</p> Signup and view all the answers

Which of the following is a potential symptom of celiac disease?

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

Which of the following is a risk factor for developing colon cancer?

<p>Ulcerative colitis (C)</p> Signup and view all the answers

Which of the following is the gold standard for diagnosing celiac disease?

<p>Duodenal biopsy (B)</p> Signup and view all the answers

Which of the following is a potential cause of upper gastrointestinal bleeding (UGIB)?

<p>Peptic ulcer disease (D)</p> Signup and view all the answers

Which one of the following is a potential symptom of Crohn's Disease?

<p>Non-bloody diarrhea (B)</p> Signup and view all the answers

Which one of the following liver function tests is elevated in biliary tract obstruction?

<p>Alkaline phosphatase (Alk phos) (C)</p> Signup and view all the answers

Which one of the following is a potential consequence of chronic Hepatitis C infection?

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

Which one of the following is a characteristic of non-alcoholic steatohepatitis?

<p>Presence of liver inflammation and fibrosis (D)</p> Signup and view all the answers

Which one of the following is a potential complication of acute cholangitis?

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

Which one of the following is a symptom of cholecystitis?

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

Which one of the following is a potential cause of chronic pancreatitis?

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

Which one of the following is a characteristic of primary sclerosing cholangitis?

<p>Associated with ulcerative colitis (D)</p> Signup and view all the answers

Flashcards

Ulcerative Colitis Defining Feature

Always involves the rectum.

Ulcerative Colitis Bimodal Peak Age

20s-30s and 50s-60s

Ulcerative Colitis Symptom (NOT)

Constipation

Ulcerative Colitis Extraintestinal Manifestation

Swelling of eyes (EIM)

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Ulcerative Colitis First-line Treatment

5-ASA

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Ulcerative Colitis Last-line Treatment

Surgery

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Celiac Disease Common Symptom

Diarrhea

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Colon Cancer Gold Standard Screening

Colonoscopy

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UGIB Most Common Cause

Peptic ulcer disease

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Acute Alcoholic Liver Disease Treatment

Supportive care

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Hepatitis Vaccine Availability

all of the above

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Hepatocellular Carcinoma Risk Factor

Hepatitis C

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Crohn's Small Bowel Symptom

Non-bloody diarrhea

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Crohn's Transmural Inflammation

Inflammation impacting the entire colon wall thickness.

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Crohn's Disease Consequences

Abscess, fistula, and stricture

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Ulcerative Colitis Characteristic

No skip lesions

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Crohn's Diagnosis

Colonoscopy and biopsy

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Liver Function Test Specific to Liver

ALT

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Chronic Pancreatitis Characteristic

Steatorrhea and digestive discomfort

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Cholestasis Symptoms

Jaundice and itching

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Acute Cholangitis Complication

Hypotension and confusion

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Study Notes

Gastrointestinal Conditions and Liver Function Tests

  • Ulcerative colitis and Crohn's disease are both immune-mediated conditions characterized by relapsing and remitting episodes of inflammation.
  • Ulcerative colitis specifically involves the colon and always involves the rectum, while Crohn's disease can affect any part of the GI tract.
  • Ulcerative colitis is characterized by inflammation of the mucosa layer of the colon, while Crohn's disease involves the entire thickness of the colon wall.
  • Symptoms of ulcerative colitis include bloody diarrhea, abdominal pain, fatigue, anemia, and joint swelling, among others.
  • Diagnosis of ulcerative colitis and Crohn's disease is done through colonoscopy and biopsy.
  • Treatment for both conditions includes medications such as 5-ASA, immunomodulators, steroids, and biologics, with surgery being a last-line option.
  • Irritable bowel syndrome (IBS) is characterized by altered GI motility and visceral hypersensitivity, and is diagnosed based on recurrent abdominal pain without other causes.
  • Treatment for IBS mainly involves vigorous exercise, while diet changes are not considered helpful.
  • Liver function tests such as ALT, AST, Alk phos, GGT, bilirubin, PT, and INR are used to assess liver function and injury.
  • Acute hepatocellular damage is indicated by elevated AST and ALT levels, while biliary obstruction/cholestasis is indicated by elevated Alk phos and GGT levels.
  • Gilbert's syndrome is a benign condition characterized by mildly elevated bilirubin levels.
  • Conditions such as acute pancreatitis, cholestasis, cholelithiasis, and cholecystitis have specific diagnostic criteria and treatment approaches.

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