Old Quiz 2 Questions

Question 1

Cirrhosis is characterized by extensive fibrosis, which results in excess collagen synthesis by \_\_\_\_\_\_\_\_\_.
A. Hepatocytes
B. Stellate Cells
C. Endothelial Cells
D. Kupffer Cels

Answer 1

B. Stellate cells

Question 2

From the perspective of the patient, where is abdominal pain most likely to be localized in Crohn's disease?
A. Right upper quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Left lower quadrant

Answer 2

C. Right lower quadrant

Question 3

Which LES pressure reading is consistent with the pathophysiology of GERD?
A. 35mmHg
B. 25mmHg
C. 15mmHg
D. 5mmHg

Answer 3

D. 5mmHg

Question 4

Which best describes the pathophysiologic process underlying the development of NSAID-induced peptic ulcers?
A. Decreased mucus production
B. Increased stomach acid secretion
C Decreased bicarbonate secretion
D. Increased histamine production

Answer 4

A. Decreased mucus production

Question 5

What is the most common cause of cirrhosis?
A. Alcoholism
B. Hepatitis C
C. Hepatitis B
D. Gallstones

Answer 5

B. Hepatitis C

Question 6

Which symptom is considered an atypical symptom of GERD?
A. Heartburn
B. Regurgitation
C. Dysphagia
D. Wheezing

Answer 6

D. Wheezing

Question 7

Crohn's disease is associated with an increase in \_\_\_\_\_\_ activity
A. TH1 cells
B. TH2 cells
C. Neutrophil
D. Monocyte

Answer 7

A. TH1 cell

Question 8

Which pathophysiologic change occurs first in acute pancreatitis?
A. Leakage of pancreatic enzymes
B. Inflammation of the pancreas
C. Autodigestion of the pancreas
D. Severe pancreatic necrosis

Answer 8

A. Leakage of the pancreatic enzyme

Question 9

Which statement best supports the hypothesis that ulcerative colitis has an immunologic cause?
A. Attacks respond to immunosuppressive drugs
B. Inflammation is continuous and superficial
C. Disease risk is reduced in people who smoke
D. Colon cancer is a complication of chronic disease

Answer 9

A. Attacks respond to immunosuppressive drugs

Question 10

Which patient complaint is consistent with a diagnosis of a peptic ulcer?
A. “The pain goes away when I take antacids, but it comes back later
B. “Most days, the pain is the worst after eating lunch”
C. “The pain seems to go away when I drink at the bar with my friends”
D. “I feel a strange stabbing pain in my lower abdomen”

Answer 10

A. “The pain goes away when I take antacids but comes back later”

Question 11

If a patient has ambiguous colon pathology, which test would you recommend to help make a definitive diagnosis?
A. Complete blood count
B. Serology for ASCA
C. Proctosigmoidoscopy
D. ESR and CRP

Answer 11

B. Serology for ASCA

Question 12

Which physical finding is consistent with the spreading of inflammation from the pancreas to other organs in acute pancreatitis?
A. Lung crackles on auscultation
B. Abdomen tender and distended
C. Mild cases of jaundice
D. Pale and clammy skin

Answer 12

A. Lung crackles on auscultation

Question 13

What is the purpose of performing a stool culture in a patient with suspected Crohn’s disease?
A. To rule out an infection as the cause of diarrhea
B. To determine which gut bacteria caused the disease
C. To quantify the amount of blood in the stool
D. To test for the presence of antibodies

Answer 13

A. To rule of an infection as the cause of diarrhea

Question 14

A patient with ulcerative colitis is most likely to exhibit which pathologic feature?
A. Cobblestoning
B. Abscesses
C. Pseudopolyps
D. Strictures

Answer 14

C. Pseudopolyps

Question 15

What procedure is used to measure gastric emptying?
A. Upper endoscopy
B. Manometry
C. Barium swallow
D. Ambulatory pH

Answer 15

C. Barium swallow

Question 16

What complication would you suspect in a patient with peptic ulcer that complains of feeling full part way through a meal?
A. Obstruction
B. Perforation
C. Bleeding
D. Cancer

Answer 16

A. Obstruction