GI/GU Quiz 3

Which signs/symptoms are not seen with celiac disease?

a. Anemia

b. Constipation

c. Blood in stools

d. Dermatitis

e. Glossitis

c. Blood in stools

3 multiple choice options

T/F Celiac disease causes villus atrophy in the small intestine.

a. True

b. False

a. True

1 multiple choice option

In class, we discussed of a specific type of storage protein within the gluten complex. What was this protein found in wheat, barley, and rye?

a. Casein

b. Gliadin

c. Collagen

d. Myosin

b. Gliadin

3 multiple choice options

T/F. If a person has celiac disease, symptoms are due to an allergic and immune reaction to rice.

a. True

b. False

b. False

1 multiple choice option

T/F. Anemia, joint pain, skin rash and bloating are symptoms that an adult may have if they suffer with celiac's disease.

a. True

b. False

a. True

1 multiple choice option

Which blood test would help diagnose celiac disease?

a. Anti-tissue transglutaminase antibody test

b. Serum PSA test

c. Anti-glomerular basement membrane antibody test

d. Serum glucose test

a. Anti-tissue transglutaminase antibody test

3 multiple choice options

Which test could show a positive finding if celiac disease is suspected?

a. MRCP

b. Upper GI endoscopy

c. Complete cystoscopy

d. Stool culture

b. Upper GI endoscopy

3 multiple choice options

All are risk factors for fatty liver except:

a. Obesity

b. Excessive use of NSAIDs

c. Diabetes Mellitus

d. Metabolic Syndrome

e. High triglycerides

b. Excessive use of NSAIDs

3 multiple choice options

What are the two types of fatty liver?

a. Simple fatty liver

b. NASH

c. Metabolic fatty liver

d. Extra-hepatic fatty liver

a. Simple fatty liver

b. NASH

3 multiple choice options

T/F. Fatty liver is most commonly found in people who have type 1 diabetes.

a. True

b. False

b. False

1 multiple choice option

Metabolic Syndrome is a risk factor for fatty liver. Which is not a risk factors in its contribution to high blood sugar?

a. Elevated HAIc

b. Elevated BP

c. Circumference

d. Low HDL

e. High LDL

e. High LDL

3 multiple choice options

Which is not correct regarding fatty liver?

a. Tenderness in the right upper quadrant

b. Palpation will reveal an enlarged liver

c. A blood test may reveal high levels of AST/ALT

d. The stomach may be enlarged due to this condition

d. The stomach may be enlarged due to this condition

3 multiple choice options

What exam finding would be associated with fatty liver disease?

a. Excessive weight

b. Poor sensation of the abdomen

c. Fever

d. Ascites

e. Visualization of the skin for rash

a. Excessive weight

3 multiple choice options

Select all the exam findings one would potentially find with someone diagnosed with pancreatitis:

a. Cullen's sign

b. Ascites

c. Positive Blumberg's test

d. Grey-Turner sign

e. Palpation over the pancreas produce pain

f. Leaning forward decreases pain

a. Cullen's sign

d. Grey-Turner sign

e. Palpation over the pancreas produce pain

f. Leaning forward decreases pain

3 multiple choice options

T/F. If there is suspicion of pancreatitis, a blood test could be performed looking for a decrease in ALT/AST.

a. True

b. False

b. False

1 multiple choice option

T/F. A fecal elastase test would demonstrate a deficiency of elastase in stool for a patient with pancreatitis.

a. True

b. False

a. True

1 multiple choice option

All of the following are risk factors for pancreatitis, except: (HINT: GETSMASHED)

a. Gallstones

b. Steroids

c. Drugs

d. Trauma

e. Tick bite

e. Tick bite

3 multiple choice options

What are the signs and symptoms of pancreatitis? (PATA)

a. Radiating pain to the back

b. Steatorrhea

c. Pain of the upper abdomen

d. Radiating pain to the right shoulder

a. Radiating pain to the back

b. Steatorrhea

c. Pain of the upper abdomen

3 multiple choice options

Select all the risk factors that can produce gallstones. (PATA)

a. Asian Americans

b. Overweight individuals

c. People of older age

d. Diabetic patients

b. Overweight individuals

c. People of older age

d. Diabetic patients

3 multiple choice options

In class we discussed the three different types of gallstones that can occur in cholelithiasis. Which one is the most common, large and not seen on x-ray?

a. Brown stones

b. Black stones

c. Cholesterol stones

d. Green stones

c. Cholesterol stones

3 multiple choice options

Which stone discussed in class that forms in the gallbladder was described as composed of bilirubinate and fatty acids, and due to parasitic infection.

a. Green stones

b. Black stones

c. Rolling stones

d. Brown stones

d. Brown stones

3 multiple choice options

What is composed of bilirubinate, cholesterol, and mucin with pregnancy being a risk factor?

a. Gallstones

b. Biliary sludge

c. Pancreatic pseudocyst

d. Bile duct stricture

b. Biliary sludge

3 multiple choice options

All of the following are risk factors for black stones, except...

a. Alcoholism

b. Old age

c. Male

d. Hemolytic conditions

c. Male

3 multiple choice options

T/F. Gallbladder attack due to cholelithiasis presents with pain of the upper right quadrant of the abdomen lasting several hours but usually not more than 6 hours.

a. True

b. False

a. True

1 multiple choice option

Which is correct regarding cholelithiasis?

a. These stones can cause obstruction to urine

b. Black stones are the most common observed in our population

c. This affects less than 1% of the population

d. Most people have no symptoms

d. Most people have no symptoms

3 multiple choice options

T/F. Many types of gallstones are composed of cholesterol and bilirubin.

a. True

b. False

a. True

1 multiple choice option

A 39-year old presents with abdominal pain that radiates to the right shoulder has been present for the last 10 hours. It gets worse after eating, and the last bowel movement was described as pale in color. What is the best diagnosis?

a. Pancreatic cancer

b. Cholecystitis

c. Peptic ulcer

d. Gastritis

b. Cholecystitis

3 multiple choice options

T/F. Most of cholecystitis causes are due to major surgery, severe trauma, and sepsis.

a. True

b. False

b. False

1 multiple choice option

A person may develop cholecystitis that is not due to a gallstone. Which risk factor can be involved in acalculous cholecystitis?

a. Pregnancy

b. Major surgery

c. Rapid weight loss

d. Drugs

b. Major surgery

3 multiple choice options

Select the risk factor(s) for cholecystitis. (PATA)

a. Increasing age

b. Alcohol consumption

c. Rapid weight loss

d. Females

a. Increasing age

c. Rapid weight loss

d. Females

3 multiple choice options

Which is a symptom associated with cholecystitis? (PATA)

a. Chest pain

b. Oliguria that also presents with dark urine

c. Abdominal pain after eating a fatty meal

d. Dehydration

e. Pain in RUQ for hours or days

c. Abdominal pain after eating a fatty meal

e. Pain in RUQ for hours or days

3 multiple choice options

What are the exam findings associated with Cholecystitis? (PATA)

a. Murphy's sign

b. Ortner sign

c. Boa's sign

d. Ray's sign

a. Murphy's sign

b. Ortner sign

c. Boa's sign

3 multiple choice options

Which test/finding would help diagnosing pancreatitis with a positive outcome?

a. A blood test indicating elevated AST and ALT

b. A blood test showing an increase in triglyceride

c. A stool test looking for bacteria

d. Blood test showing an elevation of bilirubin

b. A blood test showing an increase in triglyceride

3 multiple choice options

Cholelithiasis most frequently presents as _____?

a. Produces pain in the abdomen that lasts shorter than 6 hours

b. Causes intermittent diarrhea

c. Causes tension headaches

d. Asymptomatic

d. Asymptomatic

3 multiple choice options

T/F. A positive finding for for NASH is elevation of alanine transaminase in serum test.

a. True

b. False

a. True

1 multiple choice option

T/F. The two major risk factors for pancreatitis include smoking and alcohol.

a. True

b. False

b. False

1 multiple choice option

What positive exam finding would be found with someone presenting with cholecystitis?

a. Rebound tenderness

b. Terry's nails

c. Boas' sign

d. Kosher's sign

c. Boas' sign

3 multiple choice options

Which one of the following tests discussed in class would be positive for detecting Celiac's disease?

a. A lower endoscopic exam looking for inflammation

b. Serum tissue transglutaminase antibodies

c. ERCP

d. Ultrasound of the small intestine

b. Serum tissue transglutaminase antibodies

3 multiple choice options

Which one of the following symptoms is not seen with celiac disease for adults?

a. Fever

b. Anemia

c. Weakness

d. Glossitis

a. Fever

3 multiple choice options

Which one of the following is a sign or symptom for cholecystitis?

a. Bloody stool

b. Bruising of the flank

c. Fever

d. Diarrhea

c. Fever

3 multiple choice options

Metabolic syndrome is a risk factor for NASH. Which one of the following is a biomarker for metabolic syndrome?

a. High levels of creatine in blood

b. High levels of triglycerides in urine

c. Low levels of HDL in blood

d. Low levels of blood triglycerides

c. Low levels of HDL in blood

3 multiple choice options