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Generalist Exam Questions > GI tract > Flashcards

GI tract Flashcards

1
Q

What is the largest endocrine organ in the body?

A

GI tract

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2
Q

Where does most digestion occur within the GI tract?

A) Small intestine
B) Duodenum
C) Ascending colon
D) Descending colon

A

B

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3
Q

Between what two landmarks will you find the gastro-esophageal junction?

A

LLL and Ao

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4
Q

What are the normal measurements for the stomach wall when distended and when not distended?

A

Non-distended = 4-6mm

Distended = 2-4mm

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5
Q

If the stomach wall is >1cm, what should we be concerned about?

A

Malignancy

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6
Q

What is the requirement for prep to image the stomach?

A

5-800 mL of water 10-15 minutes prior to exam

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7
Q

Patient positioning for imaging the stomach?

A

LLD for fundus
RLD fro antrum and pylorus

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8
Q

What kind of gastritis is a precursor to gastric CA?

A) Acute
B) Chronic
C) Atrophic
D) Phlegmonous gastritis

A
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9
Q

What is the most common benign tumor of the stomach?

A

Leiomyoma

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10
Q

What gastric malignancy is associated with H pylori?

A) Leiomyoma
B) Leiomyosarcoma
C) Adenoma
D) Lymphoma

A

D

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11
Q

The bowel should be less than what measurement?

A

<3cm

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12
Q

What pathology is known as “diminished motility of bowel leading to failure to propel its contents”?

A

Ileus

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13
Q

What pathology demonstrates a “sandwhich sign” in long axis?

A) Small bowel obstruction
B) Intussusception
C) Ileus
D) Chron’s disease

A

B

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14
Q

What pathology demonstrates either absent or increased peristalsis and valvulae conniventes?

A) Small bowel obstruction
B) Intussusception
C) Ileus
D) Chron’s disease

A

A

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15
Q

What is the longest section of the small bowel?

A

Ileum

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16
Q

Chron’s disease most commonly affects what portion of the bowel?

A) Duodenum
B) Jejunum
C) Ileum
D) Large intestine

A

C

17
Q

Chron’s disease is AKA?

A

Granulomatous enteritis - hypervascular, thickened bowel wall with target sign

18
Q

What pathology may cause rectal bleeding?

A) Chron’s
B) Intussuseption
C) Small bowel obstruction
D) Meckel diverticulitis

A

D

19
Q

What part of the intestinal wall do leiomyomas form?

A

Muscularis PROPRIA

20
Q

The appendix is attached to what structure?

A

The cecum

21
Q

Whats the normal measurement of the appendix and its wall?

A

Appendix = <6mm
Wall = <2mm

22
Q

What is the most common surgical emergency of the abdomen?

A

Appendicitis

23
Q

The appendix is seen between what two structures?

A

Cecum and terminal ileum

24
Q

When assessing for appendicitis, what other findings may accompany it? (2)

A

Inflamed fat and free fluid

25
Q

What organ is involved with a mucocele?

A) Small bowel
B) Large bowel
C) Appendix
D) Cecum

A

C

26
Q

What condition is caused by rupture of mucinous adenocarcinoma of the appendix?

A

Pseudomyxoma Peritonei

27
Q

What is known as “abnormal nodes in the small bowel and are rounder and >4mm AP” ?

A) Meckel diverticulitis
B) Mesenteric Adenitis
C) Pseudomyxoma peritonei
D) Carcinoid tumor

A

B

28
Q

Normal measurements of the colon distended vs un-distended?

A

Undistended = 4-9mm
Distended = 2-4mm

29
Q

You are imaging a 25 year old female with history of chronic diarrhea, weight loss, abdominal pain, and fever. You detect a concentrically thickened small bowel that is hyperemic. What is the most likely diagnosis?

A) Adenocarcinoma
B) Chron’s disease
C) Acute appendicitis
D) Acute diverticulitis

A

B

30
Q

What is the innermost lining of the gut?

A) Mucosa
B) Submucosa
C) Serosa
D) Muscularis propria

A

A

31
Q

What is the most common retroperitoneal organ to be affected by lung cancer?

A) Kidney
B) Pancreas
C) Adrenal gland
D) Duodenum

A

C

32
Q

What part of the GI tract contains haustra?

A) Stomach
B) Duodenum
C) Small intestine
D) Colon
E) All of the above

A

D

33
Q

What retroperitoneal compartment contains the Aorta?

A) Anterior pararenal
B) Perirenal
C) Posterior pararenal
D) Retrofascial

A

Anterior pararenal

34
Q

What is the most common malignancy of the GI tract?

A) Lymphoma
B) Leiomyosarcoma
C) Lymphadenoma
D) Adenocarcinoma

A

D

35
Q

What part of the GI tract is most commonly affected by Chron’s disease?

A) Terminal ileum and prox colon
B) Duodenum
C) Rectosigmoid colon
D) Colon and antrum of stomach

A

A

36
Q

You detect dilated bowel with multiple concentric rings while the patient has severe abdominal pain. What finding is this most consistent with?

A) Chron’s disease
B) Ulcerative colitis
C) Intussusception
D) Acute diverticulitis

A

C

37
Q

With good imaging of the gut, how many layers do you expect to see?

A) Two
B) Three
C) Four
D) Five

A

D

Generalist Exam Questions (21 decks)

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