GI/GU Quiz 4

T/F. Choledocholithiasis is a condition in which a kidney obstructs the common bile duct.

a. True

b. False

b. False

1 multiple choice option

T/F. One in seven people with gallstones develop choledocholithiasis.

a. True

b. False

a. True

1 multiple choice option

Which is a symptom for choledocholithiasis? (select all that apply)

a. Jaundice

b. Fever

c. Right upper quadrant abdominal pain

d. Clay-colored stools

e. Nausea and vomiting

a. Jaundice

b. Fever

c. Right upper quadrant abdominal pain

d. Clay-colored stools

e. Nausea and vomiting

3 multiple choice options

Which is a symptom for choledocholithiasis? (select all that apply)

a. Heartburn

b. Left lower quadrant abdominal pain

c. Steatorrhea

d. Polyuria

e. jaundice

e. jaundice

3 multiple choice options

Which is a risk factor for colorectal cancer?

a. A high fiber diet

b. Barrett's

c. Polyposis

d. Cirrhosis

c. Polyposis

3 multiple choice options

Which is NOT correct regarding colon cancer?

a. Blood in the stool is a sign of this disease in the later stages

b. A serum test is vital for diagnosis for these cancers

c. Risk of developing this increases with age especially over 50 years of age

d. Symptoms are going to be specific to where the cancer is found

b. A serum test is vital for diagnosis for these cancers

3 multiple choice options

Which is NOT correct regarding colon cancer?

a. Blood in the stool is a sign of this disease

b. Symptoms occur from the onset

c. A risk factor is diabetes

d. A risk factor is obesity

e. Risk of developing this increases with age especially over 50 years of age

b. Symptoms occur from the onset

3 multiple choice options

T/F. Diarrhea or constipation could be symptoms later in the disease process of colorectal cancer.

a. True

b. False

a. True

1 multiple choice option

Select which statement correctly identifies with colorectal carcinoma?

a. Blood in the stool

b. Sudden onset of severe right upper quadrant pain

c. Excessive salivation during meals

d. Polyuria and polydipsia

e. Radiating pain to the right scapular region

a. Blood in the stool

3 multiple choice options

Which test would you recommend for a patient that you suspect has colorectal cancer?

a. Fecal occult blood test (FOBT)

b. MRCP

c. Upper GI endoscopy

d. Serum amylase test

e. Thyroid function panel

a. Fecal occult blood test (FOBT)

3 multiple choice options

Which test would you NOT recommend for a patient that you suspect has colorectal cancer?

a. barium enema

b. DRE

c. colonoscopy

d. biopsy

e. MRCP

e. MRCP

3 multiple choice options

Which is a sign for diabetes mellitus type 1?

a. Weight loss

b. Proteinuria

c. Hypotriglyceridemia

d. Hematuria

a. Weight loss

3 multiple choice options

Which is NOT a complication of diabetes mellitus type 1?

a. Neuropathy

b. Steatorrhea

c. Retinopathy

d. Nephropathy

b. Steatorrhea

3 multiple choice options

T/F. Nephrogenic diabetes insipidus is due to the pituitary not producing enough ADH.

a. True

b. False

b. False

1 multiple choice option

Which form of diabetes insipidus is due to the breakdown of vasopressin?

a. Central

b. Dipsogenic

c. Nephrogenic

d. Gestational

d. Gestational

3 multiple choice options

Which of the following are CORRECTLY matched? (PATA)

a. Nephrogenic DI - ADH unresponsiveness

b. Central DI - ADH deficiency

c. Dipsogenic DI - defective thirst mechanism

d. Gestational DI: Placenta break down vasopressin

a. Nephrogenic DI - ADH unresponsiveness

b. Central DI - ADH deficiency

c. Dipsogenic DI - defective thirst mechanism

d. Gestational DI: Placenta break down vasopressin

3 multiple choice options

Risk factors for colorectal cancer include all of the following EXCEPT?

a. Excessive NSAID use.

b. Smoking

c. polyposis

d. inflammatory bowel disease

a. Excessive NSAID use.

3 multiple choice options

Diabetes insipidus is diagnosed with a positive outcome of which one of the following?

a. Urinalysis revealing low urine osmolality

b. Hemoglobin A1C level of 7%

c. Serum lipase elevation

d. Fecal occult blood test

e. Elevated serum bilirubin

a. Urinalysis revealing low urine osmolality

3 multiple choice options

Choledocholithiasis is a condition that may develop from which one of the following?

a. Bacteria from the large intestine

b. Colorectal cancer

c. A stone from the liver that blocks the bile duct.

c. A stone from the liver that blocks the bile duct.

2 multiple choice options

T/F. Psychogenic polydipsia is a disorder that can cause a suppression of vasopressin secretion.

a. True

b. False

a. True

1 multiple choice option

Which one of the following is NOT a symptom of central diabetes insipidus?

a. Polydipsia

b. Polyphagia

c. Polyuria

d. Nocturia

b. Polyphagia

3 multiple choice options

Which one of the following was discussed as a potential trigger for a person to develop type 1 diabetes mellitus?

a. Radiation

b. A cytomegalovirus infection.

c. Calicivirus

d. Heavy metal exposure

b. A cytomegalovirus infection.

3 multiple choice options

Which one of the following is a sign for diabetes mellitus type 1?

a. Ketoa

b. Weight loss

c. Weight gain

d. Nonketotic hyperosmolar coma

b. Weight loss

3 multiple choice options

All of the following are symptoms of choledocholithiasis EXCEPT?

a. Vomiting

b. Jaundice

c. Fever

d. Heartburn

d. Heartburn

3 multiple choice options

T/F. Diabetes mellitus type 1 is caused by an autoimmune reaction to the endocrine function of the pancreas.

a. True

b. False

a. True

1 multiple choice option

All of the following tests were discussed as part of identifying colorectal cancer except?

a. MRCP

b. Digital rectal exam

c. Fecal occult blood test

d. Biopsy

a. MRCP

3 multiple choice options

Which of the following is NOT a s/s of DM type 1

a. Polyuria

b. Polydipsia

c. Polyphagia

d. Nocturia

d. Nocturia

3 multiple choice options

Pick the INCORRECT statement regarding diabetes mellitus type 1:

a. it is an autoimmune reaction that causes the destruction of B cells

b. it is associated with coxsackie and cytomegalovirus

c. it is a syndrome of insulin resistance with relative insulin deficiency

d. a special test would be hemoglobin A1C test

c. it is a syndrome of insulin resistance with relative insulin deficiency

3 multiple choice options

Which of the following would be indicative of DM?

a. fasting glucose of 115 mg/dL

b. high triglycerides

c. OGTT of 130

d. Hemoglobin A1C of 7%

d. Hemoglobin A1C of 7%

3 multiple choice options

What s/s is unique to DM type 1?

a. Polydipsia

b. ketoacidosis

c. Polyphagia

d. Nocturia

b. ketoacidosis

3 multiple choice options

What s/s is unique to DM type 2?

a. non-ketotic hyperosmolar coma

b. ketoacidosis

c. Polyphagia

d. Nocturia

a. non-ketotic hyperosmolar coma

3 multiple choice options

Diabetes could lead to all of the following except?

a. retinopathy

b. nephropathy

c. neuropathy

d. encephalopathy

d. encephalopathy

3 multiple choice options

Which of the following would be indicative of DI? PATA

a. >1.005 specific gravity

b. OGTT of 200+

c. >200 Osmolality

d.Hemoglobin A1C of 6.5+

a. >1.005 specific gravity

c. >200 Osmolality

3 multiple choice options

T/F. Gestational DI can be due to the placenta producing an enzyme that reduces the kidney sensitivity to ADH.

a. True

b. False

b. False

1 multiple choice option

Which of the following statements about DI is correct?

a. central DI is an issue with the thirst centers?

b. gestational could lead to dec ADH

c. lithium is a risk factor dipsogenic DI

d. nephrogenic could be due to trauma of the hypothalamus or pituitary

b. gestational could lead to dec ADH

3 multiple choice options

T/F. There are two types of gestational DI, one that affects kidneys responsiveness and one that destroys ADH.

a. True

b. False

a. True

1 multiple choice option

T/F. primary stones are formed in the gallbladder and secondary stones are formed in the bile duct.

a. True

b. False

b. False

1 multiple choice option

All of the following are risk factors for choledocholithiasis except?

a. Damage to duct after surgery

b. Scarring from chronic hepatitis

c. Ductal obstruction form a cyst

d. PSC strictures

b. Scarring from chronic hepatitis

3 multiple choice options

All of the following are risk factors for colorectal cancer except?

a. Lack of physical activity

b. Diet low in fruits and veggies

c. High-fiber, low fat diet

d. Obesity

c. High-fiber, low fat diet

3 multiple choice options

All of the following are s/s of colorectal cancer except?

a. Diarrhea and/or constipation

b. Red discoloration of distal colon/rectum

c. Blood in the stool

d. Unexplained weight loss

e. Fever

e. Fever

3 multiple choice options

T/F. colon cancer is MC in females while rectal is MC in males.

a. True

b. False

a. True

1 multiple choice option

T/F. Colorectal is cancer is the 2nd MC cancer and the 4th MC cause of death.

a. True

b. False

b. False

1 multiple choice option

All of the following are risk factors for colorectal cancer except?

a. Alcohol

b. Family history

c. Under the age of 50

d. Crohn's

e. Polyposis

c. Under the age of 50

3 multiple choice options

A 70 year old patient who has a history of smoking presented with abdominal pain. Your exam findings show rectal bleeding and hepatomegaly due to metastasis. Which of the following would not be a special test?

a. biopsy

b. barium enema

c. FIT test

d. PTCA

d. PTCA

3 multiple choice options

Which of the following is NOT an exam finding of DI?

a. sunken eyes

b. dry cracked lips

c. bradycardia

d. confusion

e. sluggishness

c. bradycardia

3 multiple choice options

T/F. Increased C peptide indicates DM type 1.

a. True

b. False

b. False

1 multiple choice option