Quiz 2

Question 1

What imaging procedure is used to access a biopsy for Chron’s dz

Answer 1

Colonoscopy of the recutum colon and last few cm of the ileum

Question 2

What imaging procedure is used to access a biopsy for celiac dz?

Answer 2

Upper endoscopy (EGD) w/ biopsy down to the 3-4 section of the duodenum

Question 3

What are the best locations to biopsy for this purpose?

Answer 3

3-4 segment of the duodenum

Question 4

How long should the patient consume daily gluten prior to b in order to assure the most accurate results

Answer 4

3g for 2 weeks!

Question 5

What is the most distal site reached on average for EGD (upper endoscopy) imaging?

Answer 5

• Proximal duodenum

- the extended version can reach the jejunum

Question 6

What is the most proximal site reached on average colonoscopy?

Answer 6

-Terminal/distal ileum

Question 7

What does a sitz marker test tell you about your patient

Answer 7

-how quickly their transit time is

• often used in patients with constipation
• transit time/ motility

Question 8

Give a reason why you would order a small bowel follow-through series?

Answer 8

-Any suspected frank bleed, perforated ulcer etc

Question 9

What procedure do you always order with a small bowel follow-through series?

Answer 9

Barium swallow

Question 10

What is a small bowel follow-through series?

Answer 10

x-rays taken every 20 minutes as barium enters the colon

Question 11

Why would you order an HIDA scan and what does it tell you?

Answer 11

HIDA= Hepatobiiary scan

• used to dx problems of the liver/gallbladder/bile ducts
• it is a gallbladder scan is the only method used to dx conditions of the liver, gallbladder and bile duct