Quiz 5: Disease of the Intestines

Question 1

cc______: persistance of the omphalomesenteric duct (vitelline duct or yolk stalk) On the antimesenteric border of the ileum

Answer 1

meckel’s diverticulum

Question 2

incidence of meckel’s diverticulum

Answer 2

adult men

Question 3

a complicantion of ____ is that it develops tumors (leimyoma or carcinoid tumor)

Answer 3

meckle’s diverticulum

Question 4

Rules of 2’s for meckle’s diverticulum

Answer 4

2 inches long
2% incidence
2 ft from the cecum

Question 5

____ is a congenital SI dx

Answer 5

meckles diverticulum

Question 6

cc______: parasite (giarda lamblia) infesting the SI (mainly duodemum)

Answer 6

infection (giardiasis)

Question 7

_____ is the MC SI dx in the US

Answer 7

infection (giardiasis)

Question 8

_____ is diagnosed by cysts or trophozoites in stool

Answer 8

infection (giardiasis)

Question 9

cc_______: increased fecal excretion of fat and concurrent deficieencies of vit, minerals, carbs, and protein

Answer 9

malabsorption

Question 10

in Malabsorption this diseases can cause:
_____= absent villi
_____= infection
_____= Excessive resection
_____= abnor. transport of absorbed products

Answer 10

celiac sprue - absent villi
giardiasis or trophical sprue- infection
Crohn’s dx- excessive resection
whipple’s - abnor. transport of absorption products

Question 11

An Iron def. in ____ dx can lead to microcytic hypochromic anemia

Answer 11

malabsorption

Question 12

cc_____: gluten sensitive enteropathy that leads to malabsorption

Answer 12

celiac sprue (non-tropical sprue)

Question 13

incidence of celiac sprue____

Answer 13

children

Question 14

cc________- AI dx w/ AB against gluten (alcohol extract gliadin)

Answer 14

Celiac sprue

Question 15

_____ dx has HLA-B8

Answer 15

celiac sprue

Question 16

what is the major difference btw celiac sprue and tropical sprue?

Answer 16

celiac: HLA-B8

tropical : E.coli

Question 17

cc_______: malabsorption due to chronic infection with E.Coli

Answer 17

tropical sprue

commin in : Caribbean, India, and Far East

Question 18

Where is tropical sprue MC (3)

Answer 18

Caribbean, India, and Far East

Question 19

cc_____: systemic dx which interferes with the lymphatic uptake of chylomicron from the intestine

Answer 19

whipple’s dx

Question 20

Incidence of Whipple’s dx

Answer 20

middle aged males

Question 21

the pathology of the_____ dx is infectious (bact.) and has foamy macrophages with periodic cid schiff (PAS) positive granules in the lamina propria

Answer 21

Whipple’s dx

Question 22

cc_____: telescoping of one seg of the prox bowel into the distant bowel

MC in _____

Answer 22

Intussusception

MC: children

MC site: terminal ileum into the cecum

Question 23

MC site of intussusception

Answer 23

terminal ileum into the cecum

MC : children

Question 24

adeno-virus infections and hyperplasia of peyer’s pathces leads to ____

Answer 24

intussusception

Question 25

cc____: twisting of the bowel around the mesenteric root

Answer 25

volvulus

Question 26

volvulus location in

elderly: ____
children: ____

Answer 26

elderly: sigmoid colon
children: cecum

Question 27

complication from volvulus

Answer 27

infarction of the segment

Question 28

Leiomyoma is MC in what part of the intestines

Answer 28

Jejunum

can cause intussusception and volvulus

Question 29

_____ tmor is the MC SI cancer

Answer 29

Carcinoid Tumor

• arise from enterochromaffin cells
• release NT serotonin

Question 30

Location for malignant Carcinoid tumors

Answer 30

Terminal Ileum

Question 31

NT that is released by Carcinoid tumors

Answer 31

Serotonin

Question 32

Hirsch Sprung’s dx has an increased incidence in ___ & ___

Answer 32

Down’s syndrome

Chagas’ disease

Question 33

cc_____:deficiency of ganglion cells in Meissner’s submucosal plexus & Auerbach’s myenteric plexus

Answer 33

Hirsch sprung’s dx

MC: in rectum

Question 34

What is the MC complication seen in Hirsch sprung’s dx

Answer 34

Entercolitis

Question 35

Name (3) dx that cause inflammation of the L.I

Answer 35

Antibiotic colitis (pseudomembranous colitis)
Crohn’s dx
Ulcerative colitis

Question 36

cc____:Inflammation- characterized by membranous exudate coating colonic mucosa

Answer 36

antibiotic colitis

Question 37

cc______ results in overgrowth of Clostridium difficile

Answer 37

antibiotic colitis

Question 38

Crohn’s dx involved ___ layers of the intestine

Answer 38

all layers

Question 39

Crohn’s dx involvea both the ___ & ___ 50% of the time

Answer 39

Ileum & colon

Question 40

Ulcerative colitis mainly involves the ___ & ___

Answer 40

rectum and L colon

begins in rectum and spreads to colon

Question 41

Which is rectal bleeding seen in (ulcerative colitis/ Crohn’s dx)

Answer 41

ulcerative colitis

it involves the rectum - lower

Question 42

Obstruction, stricture, Skipareas and fistulas are seen in (ulcerative colitis/ Crohn’s dx)

Answer 42

Crohn’s dx

Question 43

Layers affected in ulcerative colitis

Answer 43

Mucosal

submucosal

Question 44

Layers affected in Crohn’s dx

Answer 44

transmural

Question 45

Pseudo-Polys and Crypt Abcess are seen in (ulcerative colitis/ Crohn’s dx)

Answer 45

ulcerative colitis

Question 46

Dysplasia and Toxic Megacolon are seen in (ulcerative colitis/ Crohn’s dx)

Answer 46

ulcerative colitis