Quiz 2-4 Missed Questions

Question 1

Is cholecystitis or cholangitis more likely to present with elevated bilirubin?

Answer 1

Cholangitis

Question 2

Mid-abdominal pain that moves to the RLQ is typical of what pathology?

Answer 2

Appendicitis

Question 3

What should be done if asymptomatic gallstones are discovered?

Answer 3

Observe

Fewer than 25% of gallstones cause problems

Question 4

What are two symptoms of ischemic colitis? What is the most common cause?

Answer 4

Sudden pain, hypoperfusion

Hypoperfusion of the SMA

Question 5

Why are most cases of diverticular disease not true diverticulum?

Answer 5

They involve outpouchings of the mucosa and submucosa, but not the muscularis layer

Question 6

What is another name for primary biliary cirrhosis?

Answer 6

Primary biliary cholangitis

Question 7

Of primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) which involves only intrahepatic bile ducts? Which involves intra and extrahepatic ducts?

Answer 7

PBC affects intrahepatic ducts only

PSC affects intra and extrahepatic ducts

Question 8

Are women or men more likely to present with primary biliary cholangitis?

Answer 8

Women are 10x more likely than men to present with PBC

Question 9

Are women or men more likely to present with primary sclerosing cholangitis?

Answer 9

Men are roughly 2x more likely than women to present with PSC

Question 10

Is Crohn’s disease or Ulcerative colitis more likely to present with ileal fistula?

Answer 10

Chron’s disease

Question 11

Eosinophillic esophagitis is likely to present with what notable physical finding?

Answer 11

Esophageal ring-like structures

Question 12

Chronic reflux can result in a thickening of what layer of the lower esophagus?

Answer 12

The parabasal layer

Question 13

T/F: Hepatic encephalopathy can include cerebral astrocyte edema

Answer 13

True

Question 14

What is the most common cause of acute pancreatitis?

Answer 14

Gallstones ( I GET SMASHED), but ethanol (alcohol) and idiopathic causes are also major

Question 15

What is the most common cause of chronic pancreatitis?

Answer 15

Alcohol

Question 16

What type of thyroid pathology is responsible for involving parafollicular cells in amyloid matrix? What is the effect on the body?

Answer 16

Medullary carcinoma of the thyroid

Production of calcitonin, which usually has minimal effects but can lead to hypocalcemia in malignant cases

Question 17

Children at a BMI at the 85-95% would be classified by what designation?

Answer 17

Overweight

Question 18

Children at a BMI at the 95% are classified by what designation?

Answer 18

Obese

Question 19

What is the etiology of Waterhouse-Friderichsen syndrome? What are the expected lab values?

Answer 19

Adrenal hemorrhage ersulting in acute adrenal insufficiency

High ACTH, low adrenal hormone output

Question 20

What effect of insulin is responsible for having a corrective effect on acidosis in a patient with DKA?

Answer 20

The effect on adipose lipolysis

Question 21

Which hyperthyroid medication is teratogenic?

Answer 21

Methimazole

Question 22

Does exogenous testosterone have an effect on sperm count?

Answer 22

Yes it can decrease sperm count

Question 23

T/F: The sebaceous glands are stimulated by androgens and estrogens

Answer 23

False, the sebaceous glands are not stimulated by estrogens

Question 24

What would multiple nodules on the ovaries, uterine serosa, and pelvic area be most indicative of?

Answer 24

Endometriosis

Question 25

What is the pathology of cardiac failure in twin-twin syndrome?

Answer 25

The donor twin has an increase in CO and experiences cardiac failure from anemia

Question 26

T/F: Gynecomastia can occur normally during puberty

Answer 26

True

Question 27

What is the number one cause of post-partum hemorrhage?

Answer 27

Uterine atony

Question 28

In a prostate biopsy, evidence of perineural invasion as well as single large nuclei in gland cells would be most indicative of what pathology?

Answer 28

Prostatic adenocarcinoma

Question 29

Hypertrophy and trabeculation of the bladder would be most indicative of what pathology in a male?

Answer 29

BPH

Question 30

What is the most common complication of a teratoma in women?

Answer 30

Ovarian torsion

Question 31

A yellow, ovarian cystic structure encountered during pregnancy is most likely what?

Answer 31

A corpus luteal cyst

Question 32

What hormone can be added to an HRT regimen for a woman in menopause to prevent endometrial cancer?

Answer 32

Progesterone

Question 33

T/F: Progestins cause virilizing effects

Answer 33

False