Quiz Ch39 Flashcards

1
Q
  1. Which of the following is NOT one of the Rome 2 criteria for constipation?
    A. Straining
    B. Hard stool
    C. Less than one bowel movement per week
    D. Sensation of incomplete evacuation
A

C. Less than one bowel movement per week

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2
Q
2. A woman experiences diarrhea, and her physician believes this is due to increased mucosal secretion of chloride- or bicarbonate-rich fluid. Which of the following types of diarrhea is this?
A.   Osmotic  
B.   Secretory 
C.   Motility  
D.   Small-volume
A

B. Secretory

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3
Q
3. A person experiences abdominal pain that is very localized and intense. Which type of pain does this describe?
A.   Parietal 
B.   Visceral 
C.   Referred  
D.   Phantom
A

A. Parietal

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4
Q
4. A person experiences bright red blood from the rectum. Which of the following is the BEST term to describe this finding?
A.   Hematemesis  
B.   Hematochezia 
C.   Melena  
D.   Occult bleeding
A

B. Hematochezia

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5
Q
5. Which of the following is a cause of functional dysphagia?
A.   Tumor  
B.   Stricture  
C.   Herniations  
D.   Achalasia
A

D. Achalasia

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6
Q
  1. Which of the following is TRUE regarding hiatal hernia?
    A. There are three types.
    B. The most common type is paraesophageal.
    C. Paraesophageal is herniation of the greater curvature of the stomach.
    D. Sliding hernia is caused by standing.
A

C. Paraesophageal is herniation of the greater curvature of the stomach.

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7
Q
7. A person experiences an inflammation of the gastric mucosa. Which of the following bacteria is associated with gastritis?
A.   Escherichia coli  
B.   Haemophilus influenzae  
C.   Helicobacter pylori 
D.   Streptococcus pneumoniae
A

C. Helicobacter pylori

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8
Q
  1. Which of the following regarding chronic gastritis is TRUE?
    A. There are four types.
    B. Type A, or fundal gastritis, is the most severe.
    C. Type B, or antral gastritis, is the most rare.
    D. It tends to occur in young individuals.
A

B. Type A, or fundal gastritis, is the most severe.

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9
Q
9. An individual develops a peptic ulcer. Which of the following diseases has been linked to the development of a peptic ulcer?
A.   Rheumatoid arthritis  
B.   Osteoarthritis 
C.   Influenza  
D.   Anemia
A

A. Rheumatoid arthritis

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10
Q
10. A man experiences chronic intermittent pain in the epigastric area. It begins 30 minutes to 2 hours after eating when the stomach is empty. The pain also occurs in the middle of the night. Based on this history, which of the following is the most likely cause?
A.   Acute gastritis  
B.   Chronic gastritis  
C.   Gastric ulcer  
D.   Duodenal ulcer
A

D. Duodenal ulcer

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11
Q
11. A person experiences severe head trauma in an accident. There is decreased mucosal blood flow and overstimulation of the vagal nuclei causing hypersecretion of acid. Which of the following stress-related mucosal diseases does this person have?
A.   Stress ulcer  
B.   Ischemic ulcer   
C.   Cushing ulcer   
D.   Peptic ulcer
A

C. Cushing ulcer

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12
Q
12. Which of the following is a fat-soluble vitamin?
A.   Vitamin C  
B.   Vitamin B12  
C.   Vitamin K  
D.   Vitamin B6
A

C. Vitamin K

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13
Q
  1. Which of the following is a TRUE statement regarding ulcerative colitis?
    A. It extends throughout the entire GI tract.
    B. It generally appears in childhood.
    C. Blacks are more commonly affected.
    D. Lesions are limited to the mucosa.
A

D. Lesions are limited to the mucosa.

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14
Q
14. Which of the following extraintestinal manifestations is NOT found in ulcerative colitis?
A.   Gallstones  
B.   Uveitis  
C.   Polyarthritis  
D.   Urinary tract infections
A

D. Urinary tract infections

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15
Q
15. Which of the following is a TRUE statement regarding Crohn disease?
A.   It involves the mucosa only.  
B.   Skip lesions are common.  
C.   It affects only the rectum.  
D.   The most common site is the rectum.
A

B. Skip lesions are common.

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16
Q
16. A 20-year-old man presents with periumbilical pain, fever, and loss of appetite. Which of the following is the most likely cause of his abdominal discomfort?
A.   Diverticulosis  
B.   Diverticulitis  
C.   Appendicitis  
D.   Mesenteric venous thrombosis
A

C. Appendicitis

17
Q
  1. Which of the following is NOT a characteristic of anorexia nervosa?
    A. Fear of becoming obese
    B. Distorted body image
    C. Body weight 25% less than normal
    D. Absence of three consecutive menstrual periods
A

C. Body weight 25% less than normal

18
Q
18. A person is diagnosed with portal hypertension due to liver disease. Which of the following is the most common clinical manifestation of portal hypertension?
A.   Bleeding from esophageal varices  
B.   Abdominal pain from splenomegaly  
C.   Ascites  
D.   Altered mental status
A

A. Bleeding from esophageal varices

19
Q
19. A woman is told that she has hepatitis. She is in a foreign country and was told that the form that she has is self-limiting and is transferred via the fecal-oral route. Which of the following types of hepatitis is most likely?
A.   Hepatitis A  
B.   Hepatitis B  
C.   Hepatitis C  
D.   Hepatitis D
A

A. Hepatitis A

20
Q
  1. Which of the following is NOT true regarding cirrhosis?
    A. Cirrhosis develops rapidly.
    B. The causes are not clearly understood.
    C. Portal hypertension is a complication.
    D. If caused by a toxin, severity is determined by amount of the toxin.
A

A. Cirrhosis develops rapidly.

21
Q
  1. Which of the following is TRUE regarding cholelithiasis?
    A. It is prevalent in underdeveloped countries.
    B. Incidence is well known and documented.
    C. Cholesterol stones are the most common.
    D. Risk factors include male gender.
A

C. Cholesterol stones are the most common.

22
Q
22. Which of the following is NOT a risk factor for esophageal carcinoma?
A.   Alcohol use  
B.   Tobacco use  
C.   Thin body habitus 
D.   Zinc deficiency
A

C. Thin body habitus

23
Q
24. A person is diagnosed with colorectal cancer and was told that it is limited to the mucosal lining. Which stage is this person’s cancer?
A.   Stage 0 
B.   Stage I  
C.   Stage II  
D.   Stage III
A

A. Stage 0