3 - GI Disease

Question 1

canker sores, aka _

Answer 1

aphthous ulcers

Question 2

herpes virus, aka _; approx _% of population

Answer 2

herpetic stomatitis; 75

Question 3

herpes simplex 1 stays dormant in ganglia associated with oral cavity and can be reactivated by: (3)

Answer 3

viral respiratory infections, sun, extreme cold

Question 4

herpes virus are vesicles containing _

Answer 4

necrotic cells and edema fluid

Question 5

oral thrush is fungal, caused by _

Answer 5

candida albicans

Question 6

biggest threat with oral thrush?

Answer 6

can spread to esophagus, become systemic and cause life threatening injury

Question 7

white, well defined mucosal plaque caused by epidermal thickening and hyperkeratosis

Answer 7

leukoplakia

Question 8

strong association with _ and leukoplakia; males or females?

Answer 8

smoking; males

Question 9

leukoplakia can undergo transformation into squamous cell carcinoma, _%

Answer 9

6

Question 10

oral squamous cell carcinoma represents _% of cancers in USA

Answer 10

3

Question 11

even though oral squamous cell carcinoma is diagnosed early, it is likely to _;
_ result in death within 5 years of diagnosis

Answer 11

metastasize to mouth lymph nodes;

half

Question 12

salivary gland infection, aka _; 3 types?

Answer 12

sialadenitis

-bacterial, viral, autoimmune

Question 13

viral salivary gland infection is _ (aka _)

Answer 13

paramyxovirus, mumps

Question 14

bacterial salivary gland infection is usually _

Answer 14

retrograde

Question 15

sjogren syndrome affects _

Answer 15

all salivary and lacrimal glands

Question 16

dry mouth is called _
dry eye is called _
(both associated with sjogren)

Answer 16

xerostomia

keratoconjunctivitis sicca

Question 17

tumors of salivary glands most often occur in which 2 glands?

Answer 17

paratoid and submandibular

Question 18

tumors of salivary glands affect males or females more?

_% are benign

Answer 18

both equally

75

Question 19

hiatal hernia is to allow separation between muscles of diaphragm and esophagus, this allows _

Answer 19

stomach to protrude into thoracic cavity

Question 20

hiatal hernia where esophageal-gastric junction is displaced cranially, 95% of cases

Answer 20

axial or sliding hernia

Question 21

hiatal hernia where esophageal-gastric junction stays in place

Answer 21

paraesophageal hernia

Question 22

esophageal varices refers to _

Answer 22

varicose veins of esophagus

Question 23

esophageal varices usually happen secondary to _

Answer 23

cirrhosis of the liver (venous congestion)

Question 24

GERD is _

Answer 24

reflux of gastric contents into esophagus, leading to inflammation of esophageal mucosa

Question 25

functional obstruction of esophagus, failure to relax of lower esoph sphincter

Answer 25

achalasia

Question 26

what makes up 90% of esophageal cancers?

Answer 26

squamous cell carcinoma

Question 27

inflammation of the stomach mucosal lining

Answer 27

gastritis

Question 28

50% of those over 50 yrs have _

Answer 28

chronic gastritis

Question 29

chronic gastritis is often associated with which bacteria?

Answer 29

helicobacter pylori

Question 30

chronic ulcers of stomach and duodenum

Answer 30

peptic ulcers

Question 31

frequency of ulcers is higher in stomach or duodenum?

Answer 31

duodenum

Question 32

inflammation of the vermiform appendix at the proximal end of the colon near the ileocolon junction

Answer 32

appendicitis

Question 33

pain is where with appendicitis?

Answer 33

lower right quadrant

Question 34

major concern of appendicitis?

Answer 34

rupturing and potentially life threatening peritonitis

Question 35

chronic relapsing inflammatory disease of the alimentary tract

Answer 35

inflammatory bowel disease - idiopathic

Question 36

patchy, granulomatous inflammatory disease involving all layers of the intestinal wall

Answer 36

Chron's disease

Question 37

Chron's disease usually occurs where? (but can affect esophagus to anus)

Answer 37

small intestine and colon

Question 38

ulcerative inflammatory condition of mucosa and submucosa of the colon, starts in rectum and progresses to entire colon

Answer 38

idiopathic ulcerative colitis

Question 39

IBS results in: weight _ _albuminemia

Answer 39

loss | hypo

Question 40

with IBS, ulcers on face or shins with necrotic centers and advancing borders

Answer 40

pyoderma gangrenosum

Question 41

with IBS, tender subcutaneous nodules on anterior tibia

Answer 41

erythema nodosum

Question 42

_% of patients with IBD will acquire arthritis

Answer 42

45

Question 43

failure to digest/absorb food

Answer 43

malabsorption syndrome

Question 44

luminal phase of malabsorption, usually reduction of _ enzymes; which 3 nutrients

Answer 44

pancreatic | carbs, lipid, protein

Question 45

most common type of malabsorption

Answer 45

involvement of mucosal phase

Question 46

out-pouching on the serosal surface of colon

Answer 46

colonic diverticulitis

Question 47

varicose veins in the anorectal area

Answer 47

anorectal hemorrhoids

Question 48

solidification of the feces due to longer periods within GIT

Answer 48

fecoliths

Question 49

bowel telescopes on itself

Answer 49

intussusception

Question 50

intestinal tract twists itself on itself

Answer 50

torsion