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GE FINAL Flashcards

1
Q

High blood amount of alkaline phosphatase may be found in

  • Pagets
  • appedicitis
  • diverticulosis
  • Crohns
A

Pagets

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2
Q

Which enzymes plays the most important role in the development of acute pancreatitis?

  • insulin
  • cholecystikinin
  • gastrin
  • trypsin
A

trypsin

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3
Q

What may cause acuse pancreatitis

3-4 hour fasting
obstruction of hepatopancreatic ampulla
h. pylori
obstruction of proximal part of bile duct

A

obstruction of hepatopancreatic ampulla

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4
Q

Porcelain gallbladder is associated with

  • calcification of cystic duct
  • calcification of gallbladder wall
  • acute cholecystitis
  • all of the above
A

calcification of gallbladder wall

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5
Q

Pain in the pancreas is characterized by

  • band like distribution
  • getting worse after a meal
  • radiation into left shoulder
  • never decreases after changing position
A
  • radiation into left shoulder
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6
Q

Better indicator of pancreatitis is

  • decreased concentration of amylase in urine
  • decreased concentration of amylase in blood
  • increased concentration of lipase in blood
  • increase concentration of lipase in urine
A

increased concentration of lipase in blood

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7
Q

Complications of acute pancreatitis is (are)

  • pancreonecrosis
  • internal bleeding
  • calcification of pancreas
  • A and B
  • B and C
A
  • A and B
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8
Q

Which of the following is involved in Crohn’s disease?

  • Any segment of GI tract with inflammation of all layers of GI organ wall
  • any segment of GI tract with inflammation of only inner lining
  • any segment of colon with inflammation of inner lining of colinic wall
  • only small intestine with inflammation of all layers of intestinal wall
A

Any segment of GI tract with inflammation of all layers of GI organ

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9
Q

Which of the following conditions is associated with acute pancreatitis?

  • diabetes mellitus type 1
  • decreased serum lipase and amylase levels
  • increased production of insulin
  • internal bleeding with hypovolemic shock
A

internal bleeding with hypovolemic shock

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10
Q

What is NOT true for Whipple disease?

  • CNS could be involved
  • thinning of intestinal wall
  • Gram +ve bactera cause this disease
  • lymphadenopathy
A
  • thinning of intestinal wall
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11
Q

Predisposing factor for development of pancreatic cancer is ___

  • heliobacter pylori infection
  • young age of a pt
  • long term fasting
  • hemolytic hereditary disease
A

h. pylori infxn

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12
Q

Which location of pancreatic cancer usually results in jaundice

  • body of pancrease
  • head of pancreas
  • tail of panc
  • retroperitoneal portion
A
  • head
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13
Q

Bruising in the flank may indicate ___

  • pancreonecrosis
  • retro and intra abdominal bleeding
  • chronic skip lesions
  • A and B
  • B and C
A

A and B

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14
Q

Zollinger- Ellison syndrome is characterized by

  • overproduction of insulin
  • ” cholescystikinin
  • ” gastrin
  • ” secretin
A

Overproduction of gastrin

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15
Q

Malabsorption syndrome results from

  • only autoimmune disorders
  • only decreased production of lactose
  • overconsumption of gluten
  • multiple causative factors
A

Multiple causative factors

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16
Q

What is NOT a synonym of Celiac disease?

  • gluten intolerance
  • Tropic sprue
  • gluten enteropathy
  • celiac sprue
A

Tropic sprue

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17
Q

Chronic pancreatitis is reversible

t or f

A

False

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18
Q

Better choice for treatment of Whipples

  • upper cervical adjustments
  • antibiotics
  • surgery
  • nutrition
A

Antibiotics

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19
Q

Which of the following bacteria could result in Crohns

  • mycobacterium tuberculosis
  • mycobacterium paratuberculosis
  • tropheryma
  • gram -ve bacilli
A

mycobacterium paratuberculosis

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20
Q

Granuloma of GI organ wall is found in

  • whipples
  • celiacs
  • crohns
  • ulcerative colitis
A

Crohns

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21
Q

Which of the following is the best description of ulcerative collitis?

  • it is an inflammatory disease of the colon starting in the rectum then moving up
  • it is inflammation of the colon with skip lesions
  • it is chonric SI disease with skip lesions
  • characterized by multiple polyps
A

it is an inflammatory disease starting at rectum moving up

22
Q

Complication of chronic pancreatitis is

  • diabetes type 1
  • pancreatic cancer
  • multiple ulceration of jejenum
  • severe constipatin
A

diabetes type 1

23
Q

Ulcerative colitis always starts in the

  • ileocecal valve
  • descending colon
  • any part of GI
  • rectum
24
Q

Large amount of bright coloured blood in stool are characterized by

  • ulcerative colitis
  • peptic ulcer of esophagus
  • peptic ulcer complication
  • acute appenditicits
A

ulcerative colitis

25
Development of colorectal polyps is associated with - whipple's disease - familial predisposition - malabsorption syndrome - only females
familial predisposition
26
Classical sign for colorectal cancer is - worsening constipation - diarrhea 15 to 20 times / day - paraumbilical bruising - tenesmus
worsening constipation
27
Metastases from colorectal cancer spread secondary to ___ - liver - lymph nodes of peritoneum - lungs - brain
lymph nodes of peritoneum
28
Hirschprung's disease often coexists with ___ - erythema nodosum - Downs - cafe au lait spots - diabetes 2
Downs
29
First manifestation of Hirschprungs disease occur usually - in age after 40 - in first 24 hours of life - after severe acute enterocolitis - after prego
in first 24 hours of life
30
Pain in typical acute appendicitis goes towards - LLQ - RLQ - RUQ - LUQ
RLQ
31
IBS is ___ - acute infectious disease - chronic disease due to mycobacterium paratuberculosis - chronic fxn'l disorder of SI - fxn'l disorder of colon
fxnl disorder
32
What is a risk factor for formation of pigment gallstones? - obesity - fat food - hemolytic diseases - excessive hydration
hemolytic diseases
33
Patients with gall stones remain asymptomatic for a long time
True
34
Clinical manifestations of acute diverticulitis are ____ - sudden pain in LLQ, chills, leukocytosis - sudden pain in epigastrum, nausea, no fever - sudden diarrhea 15-20 times per day, fever - headache, fever
sudden pain in LLQ, chills, leukocytosis
35
Which of the following etiological factors is more typical for acute appendicitis in children - neoplasm - constipation - foreign bodies - viral infxn
viral infection
36
Which is a complication of acute appendicitis peritonitis rectal bleeding bloody vomit periumbilical lymphadenopathy
peritonitis
37
what is a risk factor fo acalculous cholecystitic - sepsis - increased production of gastrin - lymphopenia - hemolytic anemia
sepsis
38
What is NOT correct about acute cholecystitis - acute severe constant pain in RUQ - pain radiated to right shoulder - pain decreased with breathing - pain occured several hours after fat meal
Pain decreased with breathing
39
Which statement is correct acute cholecystitis - vomitting does not relieve pain - vomiting relieves pain for a long time - change of position does not relieve pain - B and C - A and C
A and C
40
Risk factor for IBS is? - change in hormonal level - abnormalities in gut flora - decrease of serotonin level - all of the above
all of the above
41
Most common site of diverticula devlopment is - esophagus - stomach - colon - duodenum
colin
42
What is an early symptom of chronic cholecystitis - acute pain in LLQ - prolonged constipation - bitter and metal taste in the mouth in the mornings - fever and chills
bitter and metal taste in mouth in the morning
43
Which calculi in cholelithiasis are more dangerous? - large pigment - small pigment - large cholesterol - all of the above
small pigment
44
Which sign is positive in acute cholecystitis - Rosvings - Murphys punch - Ortners sign - obturator sign
Ortner's
45
Clinical manifestations of celiac disease include - dermatitis herpetiformis - malabsorption syndrome - aphtous stomatitis - all of the above
all of the above
46
What is the gold standard for diagnosis of celiac disease? - biopsy of descending duodenum - schilling test - colonoscopy - none of the above
none of the above
47
Celiac disease is often associated with - hyperinsulinemia - diabetes 1 - diabetes 2 - diabetes insipidus
diabetes 2
48
Whipple disease most commonly affects - farmers - fishers - athletes - dancers
farmers
49
More common gallstones are - pigment - mixed - cholesterol - radiopaque
cholesterol
50
Alkaline phosphatase is present in tissue of the - liver - bile duct - bones - all of the above
All of the above

GE (2 decks)

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