Day 4 - quiz questions Flashcards

1
Q

What are the causes of gastritis?

a. NSAID use
b. alcohol use
c. H. pylori infection
d. all of the above

A

d. all of the above

slide 2

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2
Q

Type A gastritis is associated with…

a. iron deficiency anemia
b. pernicious anemia
c. folic acid deficiency anemia
d. hemolytic anemia

A

b. pernicious anemia

slide 2

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3
Q

Type B gastritis is associated with…

a. caffeine use
b. alcohol use
c. h. pylori infection
d. steroid use

A

c. H. pylori infection

slide 2

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4
Q

Medication that decreases gastric acid secretions by blocking histamine receptors in parietal cells, EXCEPT…

a. Ranitidine (Zantac)
b. Famotidine (Pepcid)
c. Nizatidine (Axid)
d. Cetirizine (Zyrtec)

A

d. Cetirizine (Zyrtec)
(slide 6)
the first 3 are all H2 blockers, Zyrtec is an H1 blocker

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5
Q

What is a complication of PUD (peptic ulcer disease)?

a. hemorrhage
b. obstruction
c. perforation
d. intractable pain
e. all of the above

A

e. ALL of the above

* **pneumonic - HOPI

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6
Q

All of these are risk factors for a duodenal ulcer EXCEPT…

a. smoking
b. alcohol use
c. H. pylori
d. blood type A

A

d. blood type A

blood type O is associated with duodenal ulcer - “DO”

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7
Q

A 56-year old woman was recently diagnosed with osteoarthritis. Two months later she started having abdominal pain that worsens with consumption of food. What is the likely diagnosis?

a. gastric ulcer
b. duodenal ulcer
c. Crohn’s disease
d. ulcerative colitis

A

a. gastric ulcer

she most likely started taking NSAIDS to deal with pain of osteoarthritis - NSAIDS cause gastric ulcers

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8
Q

Zollinger-Ellison Syndrome characterized by _______-producing tumors in the duodenum or pancreas

a. gastrin
b. secretin
c. cholecystokinin (CCK)
d. gastric inhibitory peptide

A

a. gastrin

the only thing you need to know about Zollinger-Ellison Syndrome is that there are gastrin-producing tumors

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9
Q

Hormone that stimulates bile secretion in the liver

a. gastrin
b. secretin
c. cholecystokinin (CCK)
d. gastric inhibitory peptide (GIP)

A

b. secretin

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10
Q

Hormone that stimulates emptying of bile in the gallbladder

a. gastrin
b. secretin
c. cholecystokinin (CCK)
d. gastric inhibitory peptide (GIP)

A

c. cholecystokinin (CCK)

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11
Q

Half of all patients with IBS have comorbid _____ disturbance

a. cardiac
b. pulmonic
c. hematologic
d. psychiatric

A

d. psychiatric

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12
Q

Treatment options for IBS:

a. psychological
b. dietary
c. pharmacologic
d. all of the above

A

d. ALL of the above

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13
Q

Patients withe GERD should avoid all of these EXCEPT:

a. caffeine
b. alcohol
c. nicotine
d. H2 receptor antagonists

A

d. H2 receptor antagonists

these drugs are actually a TREATMENT option for GERD patients

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14
Q

All of these are studies for GERD except

a. barium swallow
b. upper endoscopy with biopsy
c. 24 hour pH monitoring
d. hysteroscopy

A

d. hysteroscopy

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15
Q

Abnormal change (metaplasia) in the cells of the lower portion of the esophagus

a. pheochromocytoma
b. Zollinger-Ellison syndrome
c. Barret esophagus
d. hiatal hernia

A

b. Zollinger-Ellison syndrome

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16
Q

A 20-year old female develops headaches after drinking red wine

a. migraine headache
b. cluster headache
c. tension headache
d. sinus headache

A

a. migraine headache

red wine is a TRIGGER - triggers happen with migraines

17
Q

classic migraines (vs. common migraines)

a. unilateral, preceded by a visual aura
b. unilateral, without preceding aura
c. bilateral, preceded by a visual aura
d. bilateral, without preceding aura

A

a. unilateral, preceded by a visual aura

18
Q

A 25-year old male wakes up repeatedly during the night with unilateral periorbital pain associated with ipsilateral lacrimation

a. migraine headache
b. cluster headache
c. tension headache
d. sinus headache

A

b. cluster