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NBCE Part II/III. General Diagnosis (Irene Gold Associates) > Pages: 16-17 (Abdomen & GI = Liver, Gallbladder, Pancreas) > Flashcards

Pages: 16-17 (Abdomen & GI = Liver, Gallbladder, Pancreas) Flashcards

1
Q

Increased bowel sounds are associated with?

a. ) Late intestinal obstruction
b. ) Early intestinal obstruction
c. ) Normal

A

b.) Early intestinal obstruction

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2
Q

Absent bowel sounds are associated with?

a. ) Late intestinal obstruction
b. ) Early intestinal obstruction
c. ) Normal

A

a. ) Late intestinal obstruction

- a dynamic (paralytic) ileus

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3
Q

_____: refers to vomiting of blood?

a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis

A

c.) Hematemesis

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4
Q

_____: refers to blood in stool?

a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis

A

a.) Hematochesia

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5
Q

_____: refers to coughing up blood?

a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis

A

b.) Hemoptysis

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6
Q

Which of the following is the MC cause of liver destruction (Cirrhosis)?

a. ) Hypertension
b. ) Bulimia
c. ) Hepatitis
d. ) Alcoholism

A

d.) Alcoholism

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7
Q

_____: causes yellowing of the skin, sclera, and mucous membranes?

a. ) Cirrhosis
b. ) Hepatitis
c. ) Jaundice
d. ) Liver cancer

A

c.) Jaundice

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8
Q

_____: causes portal hypertension, ascities, and esophageal varices?

a. ) Cirrhosis
b. ) Hepatitis
c. ) Jaundice
d. ) Liver cancer

A

a.) Cirrhosis

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9
Q

_____: is the MC site for metastatic disease?

a. ) Spleen
b. ) Liver
c. ) Gallbladder
d. ) Kidneys

A

b.) Liver

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10
Q

Which of the following is a Thiamin deficiency caused by Alcoholism?

a. ) Mallory Weiss syndrome
b. ) Wernicke Korsakoff syndrome
c. ) Hepatitis
d. ) Beri Beri

A

b.) Wernicke Korsakoff syndrome

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11
Q

Which of the following is a Thiamin deficiency, not caused by alcoholism?

a. ) Mallory Weiss syndrome
b. ) Wernicke Korsakoff syndrome
c. ) Hepatitis
d. ) Beri Beri

A

d.) Beri Beri

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12
Q

In which of the following conditions is the liver tender and enlarged but the edge remains soft and smooth?

a. ) Liver cancer
b. ) Hepatitis
c. ) Mallory Weiss syndrome
d. ) Wernicke Korsakoff syndrome

A

b.) Hepatitis

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13
Q

In which of the following conditions is the liver enlarged with a hard and irregular border?

a. ) Liver cancer
b. ) Hepatitis
c. ) Mallory Weiss syndrome
d. ) Wernicke Korsakoff syndrome

A

a.) Liver cancer

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14
Q

Which of the following is a specific tumor marker for hepatocellular carcinoma?

a. ) Alkaline phosphate
b. ) Creatine phosphokinase
c. ) Alpha Fetoprotein
d. ) Alanine transaminase

A

c.) Alpha Fetoprotein

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15
Q

Which type of Hepatitis is from food through fecal/oral route, self-limiting and the patient is considered NOT a carrier?

a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D

A

a.) Hepatitis A (aka: “Infectious Hepatitis” or “Restaurant Hepatitis”)

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16
Q

Which type of Hepatitis is from blood transfusions?

a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D

A

c.) Hepatitis C

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17
Q

Which type of Hepatitis is from dirty needles and sexual intercourse and the patient is considered a carrier for life?

a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D

A

b.) Hepatitis B

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18
Q

Which type of Hepatitis is the MC to become liver cancer?

a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D

A

b.) Hepatitis B

19
Q

Which of the following is associated with Cholecystitis?

a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign

A

c.) Murphy’s sign (aka: Inspiratory Arrest Sign)

20
Q

Which of the following is associated with bleeding into the flank causing bluish coloration of the skin?

a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign

A

a.) Grey Turner’s sign

21
Q

Which of the following is associated with bluish periumbilical ecchymosis cause by intraperitoneal hemorrhage or seen with a ruptured ectopic pregnancy?

a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign

A

b.) Cullen sign

22
Q

_____: refers to a condition of the Posterior Pituitary gland in which there is insufficient ADH?

a. ) Diabetes Mellitus
b. ) Diabetes Insipidus
c. ) Hyperparathyroidism
d. ) Grave’s disease

A

b.) Diabetes Insipidus

23
Q

Pancreatic cancer is usually located where on the pancreas?

a. ) Tail
b. ) Body
c. ) Head
d. ) Lobules

A

c.) Head

24
Q

_____ bilirubin is water soluble?

a. ) Direct/Conjugated
b. ) Indirect/Unconjugated

A

a.) Direct/Conjugated

25
Q

_____ bilirubin is non-water soluble?

a. ) Direct/Conjugated
b. ) Indirect/Unconjugated

A

b.) Indirect/Unconjugated

26
Q

Increased amounts of _____ bilirubin in the blood may cause bilirubin in the urine (urobilinogen)?

a. ) Direct/Conjugated
b. ) Indirect/Unconjugated

A

a.) Direct/Conjugated

27
Q

Increased in spleen disorders and hemolytic disease?

a. ) Direct/Conjugated
b. ) Indirect/Unconjugated

A

b.) Indirect/Unconjugated

28
Q

Increased in duct obstruction (gallstones) hepatic disease and pancreatic disease?

a. ) Direct/Conjugated
b. ) Indirect/Unconjugated

A

a.) Direct/Conjugated

29
Q

Which type of anemia is associated with Indirect/Unconjugated bilirubin?

a. ) Sickle cell anemia
b. ) Iron deficiency anemia
c. ) Thalassemia
d. ) Hemolytic anemia

A

d.) Hemolytic anemia

30
Q

What “sign(s)” are associated with Acute Pancreatitis?

A
  • Cullens sign

- Grey Turner’s Sign

31
Q

What “sign(s)” are associated with Cholecystitis?

A
  • Murphy’s sign (aka: “Inspiratory Arrest sign”)
32
Q

Which of the following is associated with gallbladder disease in which the patient is asked to inhale while the examiner’s fingers are hooked under the liver border at the bottom of the rib cage?

a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign

A

c.) Murphy’s sign (aka: “Inspiratory Arrest sign”)

33
Q

What is the pain referral site for Cholecystitis?

a. ) RLQ
b. ) RUQ
c. ) LLQ
d. ) LUQ

A

b.) RUQ

34
Q

Which of the following is a condition in which the pancreas does not produce a sufficient amount of insulin to take the sugar our of the blood and transport it to the tissues of the body?

a. ) Diabetes Mellitus
b. ) Diabetes Insipidus
c. ) Hyperparathyroidism
d. ) Grave’s disease

A

a.) Diabetes Mellitus

35
Q

Which type of Diabetes Mellitus characteristically seen in thin juveniles, under 30 y/o?

a. ) Type I
b. ) Type II

A

a.) Type I

36
Q

Which type of Diabetes Mellitus characteristically seen in obese adults, over 40 y/o?

a. ) Type I
b. ) Type II

A

b.) Type II

37
Q

Which type of Diabetes Mellitus is Insulin Dependent?

a. ) Type I
b. ) Type II

A

a.) Type I

38
Q

Which type of Diabetes Mellitus is Non-Insulin Dependent?

a. ) Type I
b. ) Type II

A

b.) Type II

39
Q

Which of the following presents with dark urine, clay colored stools, and jaundice?

a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer

A

d.) Pancreatic cancer

40
Q

Which of the following is the most common cause of Gallbladder disease?

a. ) Nephrolithiasis
b. ) Pancreatolithiasis
c. ) Cholelithiasis
d. ) Phlebitis

A

c.) Cholelithiasis

41
Q

Which of the following is most commonly seen in overweight females over 40 y/o?

a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer

A

a.) Cholecystitis

42
Q

What is the key characteristic difference between Diabetes Mellitus and Diabetes Insipidus?

A

Diabetes Insipidus has polydypsia (thirst), polyuria (urination), but NOT polyphagia (hunger)

43
Q

Patient that has increased amylase and lipase in there lab work has which of the following?

a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer

A

c.) Acute pancreatitis

44
Q

What is the site of pain referral for Acute Pancreatitis?

A

epigastric pain (T10-T12)

  • knife like
  • viscerosomatic

NBCE Part II/III. General Diagnosis (Irene Gold Associates) (16 decks)

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