Medicine II: Final Exam
128 Questions
36 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

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</p> Signup and view all the answers

    What is the first-line treatment for Ulcerative Colitis?

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

    What is the last-line treatment for Ulcerative Colitis?

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

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

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

    What is the gold standard screening method for colon cancer?

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

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

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

    What is the recommended treatment for acute alcoholic liver disease?

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

    Which hepatitis virus has a vaccine available?

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

    What is the most common risk factor for hepatocellular carcinoma?

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

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

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

    Which of the following is a characteristic of ulcerative colitis?

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

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

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

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

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

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

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

    Which one of the following is a symptom of cholestasis?

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

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

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

    Which one of the following is a characteristic of diverticulitis?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Which of the following is a characteristic of ulcerative colitis?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Which of the following is a characteristic of chronic constipation?

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

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

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

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

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

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

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

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

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

    Which of the following is a symptom of chronic pancreatitis?

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

    Which of the following is a symptom of cholestasis?

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

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

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

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

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

    Which of the following is a characteristic of diverticulitis?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Which one of the following is a characteristic of diverticulitis?

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

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

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

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

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

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

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

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

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

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

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

    Which of the following is a characteristic of primary constipation?

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

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

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

    Which of the following is a characteristic of osmotic diarrhea?

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

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

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

    What is a potential consequence of chronic constipation?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    What is the first-line treatment for Ulcerative Colitis?

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

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

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

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

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

    Which of the following is a characteristic of chronic diarrhea?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Which one of the following is a symptom of cholecystitis?

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

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

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

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

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

    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.

    Studying That Suits You

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

    Quiz Team

    Related Documents

    Exam 5 GI OH PDF

    Description

    Test your knowledge on the complications and symptoms of pancreatitis, including inflammation, necrosis, and pancreatic pseudocysts. Learn about treatment options such as cholecystectomy, stone removal by ERCP, apheresis, and insulin drip for elevated triglyceride levels. Don't forget to review the specific characteristics of chronic pancreatitis in alcoholic patients.

    More Like This

    Gastrointestinal Conditions Quiz
    5 questions

    Gastrointestinal Conditions Quiz

    FastestGrowingBlessing avatar
    FastestGrowingBlessing
    Liver and Gastrointestinal Conditions Quiz
    23 questions

    Liver and Gastrointestinal Conditions Quiz

    RegalComprehension8302 avatar
    RegalComprehension8302
    Pediatric Gastrointestinal and Liver Disorders Quiz
    17 questions

    Pediatric Gastrointestinal and Liver Disorders Quiz

    IntuitiveSmokyQuartz2494 avatar
    IntuitiveSmokyQuartz2494
    Gastrointestinal Conditions Quiz
    14 questions

    Gastrointestinal Conditions Quiz

    StrongerBoltzmann avatar
    StrongerBoltzmann
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser