Case 5

Question 1

Features that distinguish biliary colic from cholecystitis are :

Answer 1

-pain resolution within 4-6 hours
- and absence of abdominal tenderness, fever, and leukocytosis.

Question 2

Epigastric discomfort is accompanied by heartburn secondary to …… , …..

Answer 2

gastric acid hypersecretion and mucosal irritation.

Question 3

pain is usually described as a burning sensation and does not radiate to the right shoulder

Answer 3

Epigastric discomfort

Question 4

Symptoms include nausea, vomiting, and constant epigastric pain that radiates to the back. Pain usually does not resolve spontaneously within a few hours.

Answer 4

Fat necrosis

Question 5

Fat necrosis symptoms include

Answer 5

nausea, vomiting, and constant epigastric pain that radiates to the back. Pain usually does not resolve spontaneously within few hour

Question 6

The cystic duct is frequently obstructed with gallstones or sludge. Although the pain is similar to biliary colic pain in location, radiation, and associated symptoms, it usually lasts longer than 6 hours.

Answer 6

acute cholecystitis

Question 7

Bowel ischemia pain is often……………. , lasts longer than that of biliary colic, does not resolve spontaneously, and is frequently accompanied by nausea, vomiting, and fecal blood.

Answer 7

periumbilical ,

Question 8

Bariatric surgery is indicated for patients with a

Answer 8

BMI > 40 kg/m2 or those with a BMI> 35 kg/m2 and additional weight-related comorbidity.

Question 9

Weight loss medication is indicated for patients with a

Answer 9

BMI > 30 kg/m2 or those with a BMI 25-29.9 kg/m2 and weight-related complications

Question 10

This patient with
an inflamed perianal lesion associated with pain on defecation and chronic discharge has an

Answer 10

anorectal fistula

Question 11

This patient with an inflamed perianal lesion associated with pain on defecation and chronic discharge has an

Answer 11

Anorectal fistula

Question 12

Examination of an anorectal fistula often reveals an

Answer 12

external terminus and an indurated tract leading to the rectum

Question 13

Anorectal fistula (fistula in ano)

Answer 13

Tract lined by granulation tissue connecting the anal canal or rectum with skin

Question 14

Cause of Anorectal fistula

Answer 14

Perianal abscess
• Crohn disease
• Malignancy, radiation proctitis
• Infection (eg, lymphogranuloma venereum)

Question 15

Arterial flow & central scar on imaging

Answer 15

Follicular nodule hyperplasia

Question 16

A benign hepatic tumor, thought to arise rom hepatocytes and bile ducts, that has a characteristic “central scar” on pathologic evaluation.

Answer 16

FNH