Final TQ Flashcards by B Burr

Alkaline phospatase is present in tissue of…

A) Liver
B) Bile Duct
C) Bones
D) All the above

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High blood alkaline phosphatase may indicate…

Pagets

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Which enzyme plays most important role in development of acute pancreatitis?

Trypsin

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What may cause acute pancreatitis

Obstruction of hepatopancreatic ampulla

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Porcelain gallbladder is associated with..

Calcification of gallbladder wall

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Pain in acute pancreatitis… (cant see whole q)

radiation to left shoulder

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Better indicator of acute pancreatitis is…

increased concentration lipase in blood

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Complications of acute pancreatitis..

A) Pancreonecrosis
B) Internal bleeding
C) Calcification of pancreas
D) A and B
E) B and C

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WOTF is involved in Crohn’s Dz

Any segment of GI tract with inflammation of ALL layers of GI organ wall

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What condition is associated with acute pancreatitis?

Internal bleeding w/ hypovolemic shock

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What is NOT true for Whipple’s DZ?

A) CNS could be involved
B) Thinning of intestinal wall
C) Gram + bacteria cause this
D) Lymphadenopathy

*would be thickening

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Predisposing factor for development of pancreatic cancer is..

Helicopter Pylori infection

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Which location of pancreatic cancer usually results in jaundice?

Head of pancreas

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Bruising in flank may indicate…

A) Pancreonecrosis
B) Retro- and intra-abdominal bleeding
C) Chronic "skip lesions"
D) A and B
E) B and C

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Zollinger-Ellison syndrome is characterized by overproduction of ___

gastrin

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Malabsorption syndrome results from …

A) Only autoimmune disorders
B) Only decreased production of lactose
C) Overconsumption of gluten
D) Multiple causative factors

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What is NOT a symptom of Celiac?

A) Gluten intolerance
B) Tropic Sprue
C) Gluten Enteropathy
D) Celiac Sprue

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Chronic Pancreatitis is reversible T/F

False

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Better choice for Tx of Whipple’s Dz is…

Antibiotics therapy

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What bacteria could result in Crohn’s Dz?

Mycobacterium Paratuberculosis

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Granuloma of GI organ wall is found in…

Celiac Dz

What is description of UC?

Inflammatory DZ of colon starting in rectum and moving up

Compication of chronic pancreatitis is…

pancreatic cancer

UC always starts in the ___

rectum

Large amount of bright blood in stool happens with...

Colorectal polyps are associated with...

Familial Predisposition

Classical sign of colorectal cancer is..

Worsening constipation

Metastases from colorectal cancer spread is secondary to...

lymphatic nodes of peritoneum

Hirschprung's Dz often coexists with...

Down's Syndrome

First manifestations of Hirschprung's dz usually occur when?

In first 24 hours of life

Pain in typical acute appendicitis goes towards. which quadrant?

RLQ

IBS is a __ disorder of the __

functional | colon

What is a risk factor from formation of pigment gallstones?

Hemolytic Diseases

Pts. with gallstones remain asymptomatic for a long time T/F

True

Clinical Manifestations of acute diverticulitis are A) Sudden pain in LLQ, chills, leukocytosis B) Sudden pain in epigastrum, nausea, no fever C) Sudden Diarrhea 15-20x/day, fever D) Headache, fever

What etiological factor is more typical for acute appendicitis in children?

Viral infection

What is a complication of acute appendicitis?

Peritonitis

What is risk factor of a calculous cholecystitis?

Sepsis

What is not correct about acute cholecystitis? A) Acute severe constant pain in RUQ B) Pain radiated to right shoulder C) Pain decreased with breathing D) Pain occurring several hours after fatty meal

What statement is correct about acute cholecystitis? A) Vomiting doesnt relieve pain B) Vomiting relieves pain for a long time C) Change of position does not relieve pain D) B and C E) A and C

Risk factors for IBS A) Change of hormonal level B) Abnormalities of gut flora C) Decrease serotonin level D) All of the above

MC site of diverticula development is.. A) Esophagus B) Stomach C) Colon D) Duodenum

C *Sigmoid colon

Early symptom of chronic cholecystitis

Bitter and metal taste in the mouth in the mornings

Which calculi in cholelithiasis are more dangerous?

Small pigment calculi

What sign is positive in acute cholecystitis?

Ortner's

Clinical Manifestations of Celiac Disease include... A) Dermatitis Herpetiformis B) Malabsorption Syndrome C) Aphtous Stomatitis D) All of the above

Gold standard for Dx of Celiac Disease

Biopsy of descending suodenum (or endoscopy)

Celiac disease is most often associated with..

T1D

Whipple's most commonly affects whom?

Farmers

MC gallstones are...

cholesterol