pretest

Question 1

Omeprazole moa

Answer 1

Omeprazole (Prilosec) irreversibly inhibits the hydrogen-potassium-ATPase (proton pump) in the secretory canaliculus of the gastric parietal cell.

Question 2

Often affecting older patients, they may present with symptoms mimicking those of acute appendicitis

Answer 2

appendiceal adenocarcinoma, a rare neoplasm accounting for less than 0.5% of GI tumors,

Question 3

Definitive surgical management options for UC include

Answer 3

total proctocolectomy with end ileostomy (typically
reserved for older or incontinent patients)

total proctocolectomy with ileoanal pouch anastomosis

given that UC always involves the rectum, definitive management of UC requires resection of most of the rectal mucosa

Question 4

The treatment for infected pancreatic pseudocysts is similar to that for pancreatic abscesses—>

Answer 4

percutaneous catheter drainage with antibiotics

Question 5

the most frequent SERIOUS complication of end

colostomies is

Answer 5

parastomal herniation

commonly occurs when the stoma is placed lateral to, rather than through, the rectus muscle.

Question 6

Minor problems are frequently encountered with colostomies. They include :

Answer 6

irregularity of fxn
irritation of skin from leakage of enteric contents
bleeding from the exposed mucosa
Prolapse

Question 7

characterized by intestinal polyposis and melanin spots of the oral mucosa.

Answer 7

Peutz-Jeghers syndrome

Question 8

The average age of cancer development in patients with chronic UC is _______

Answer 8

37 years

Question 9

Amebic liver abscesses should be treated initially with _____________

Answer 9

metronidazole monotherapy,