Final TQ Flashcards
Alkaline phospatase is present in tissue of…
A) Liver
B) Bile Duct
C) Bones
D) All the above
D
High blood alkaline phosphatase may indicate…
Pagets
Which enzyme plays most important role in development of acute pancreatitis?
Trypsin
What may cause acute pancreatitis
Obstruction of hepatopancreatic ampulla
Porcelain gallbladder is associated with..
Calcification of gallbladder wall
Pain in acute pancreatitis… (cant see whole q)
radiation to left shoulder
Better indicator of acute pancreatitis is…
increased concentration lipase in blood
Complications of acute pancreatitis..
A) Pancreonecrosis B) Internal bleeding C) Calcification of pancreas D) A and B E) B and C
D
WOTF is involved in Crohn’s Dz
Any segment of GI tract with inflammation of ALL layers of GI organ wall
What condition is associated with acute pancreatitis?
Internal bleeding w/ hypovolemic shock
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
B
*would be thickening
Predisposing factor for development of pancreatic cancer is..
Helicopter Pylori infection
Which location of pancreatic cancer usually results in jaundice?
Head of pancreas
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
D
Zollinger-Ellison syndrome is characterized by overproduction of ___
gastrin
Malabsorption syndrome results from …
A) Only autoimmune disorders
B) Only decreased production of lactose
C) Overconsumption of gluten
D) Multiple causative factors
D
What is NOT a symptom of Celiac?
A) Gluten intolerance
B) Tropic Sprue
C) Gluten Enteropathy
D) Celiac Sprue
B
Chronic Pancreatitis is reversible T/F
False
Better choice for Tx of Whipple’s Dz is…
Antibiotics therapy
What bacteria could result in Crohn’s Dz?
Mycobacterium Paratuberculosis
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…
UC
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
A
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
C
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
E
Risk factors for IBS
A) Change of hormonal level
B) Abnormalities of gut flora
C) Decrease serotonin level
D) All of the above
D
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
D
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
