Pathology Exam Iii - Gi

Front 1

In patients with pancreatic carcinoma who develop jaundice, the tumor would most likely be located in the _____

Back 1

Head of pancreas

Front 2

The most frequent site of malignant tumors in the gastrointestinal tract is the _____

Back 2

Sigmoid Colon

Front 3

The pancreatic enzyme which breaks down protein in the diet is _____

Back 3

Amylase

Front 4

Projectile vomiting in a three week old infant would be most characteristic of ____

Back 4

Pyloric Stenosis

Front 5

A complete twisting of a loop of bowel about its mesenteric base of attachment is known as a(n):

Back 5

Volvulus

Front 6

The most common lesion producing upper gastrointestinal bleeding in chronic alchoholics is:

Back 6

Esophageal varices

Front 7

All of the following are common alterations of blood seen with severe liver disease EXCEPT: Decreased serum albumin, decreased serum fibrinogen, elevated blood urea nitrogen, elevated serum ammonia levels, elevated serum bilirubin

Back 7

Elevated blood urea nitrogen

Front 8

Sudden onset of a constant severe epigastric pain that radiates to the back would be most characteristic of:

Back 8

Acute pancreatitis

Front 9

The most common malignant tumor that involves the liver would be:

Back 9

Metastatic carcinoma

Front 10

T or F: Acute cholecystitis is most often caused by bacterial infection

Back 10

False

Front 11

Laennec's cirrhosis is a term used to describe the liver cirrhosis that occurs with:

Back 11

Chronic alcoholism

Front 12

Which of the following complication of chronic duodenal ulcers is the most common: hemorrhage, intestinal obstruction, malignant transformation, perforation

Back 12

Hemorrhage

Front 13

Which of the following would be more characteristic of carcinoma of the caecum as compared to carcinoma of the sigmoid colon: anemia, bowel obstruction, constipation, radiologic "apple core" lesion

Back 13

anemia

Front 14

A cobblestone appearance to the bowel muscosa with transmural thickening of the wall of the bowel is the characteristic of :

Back 14

Regional enteritis
(Crohn's disease)

Front 15

The most common form of esophagitis is associated with:

Back 15

recurrent reflux of gastric contents

Front 16

T or F: Almost all carcinomas of the esophagus are adenocarcinomas

Back 16

False

Front 17

The most common cause of esophageal varices is:

Back 17

alcoholic cirrhosis

Front 18

The presenting symptoms of esophageal varices are:

Back 18

Hematemesis

Front 19

In which type of cirrhosis would antibodies to smooth muscle or mitochondria most likely be demonstrated?

Back 19

Biliary cirrhosis

Front 20

An obese 45y/o presents with intermittent RUQ pain and increased flatus. She drinks two 6 packs a day to wash down the tacos KFC and prok chops. Most likely diagnosis:

Back 20

Cholelithiasis

Front 21

Transmural thickening of the wall involved segment lending the bowel an inflexible "led pipe" or "rubber hose" quality would describe what disease

Back 21

Chron's disease

Front 22

Invagination of a segment of bowel onto an adjacent distal segment describes:

Back 22

Intussuception

Front 23

In what autosomal dominant diseases is there an increased risk for development of colon cancer?

Back 23

Familial multiple polyposis of the colon

Front 24

Which of the following would be more characteristic of carcinoma of the ceacum as compared to carcinoma of the sigmoid colon?

Back 24

Anemia

Front 25

Which complication of chronic duodenal ulcers is the most common?

Back 25

Hemorrhage

Front 26

The worst prognosis is associated with carcinoma of the:

Back 26

Colon

Front 27

Which disease usually affects the rectum?

Back 27

Ulcerative colitis

Front 28

The most frequent site of malignant GI tumors is:

Back 28

Sigmoid colon

Front 29

In which of the following locations would you most frequently expect to find mets from adenocarcinoma of the colon?

Back 29

Small bowel

Front 30

GI disease that predisposes to the development of colon cancer is:

Back 30

ulcerative colitis and villous adenoma

Front 31

A newborn develops explosive watery frothy diarrhea and abnominal distention. Diagnosis is:

Back 31

Disaccharidase deficiency

Front 32

Most common section of bowel obstruction is:

Back 32

N/V

Front 33

Increased gastric acid production is usually seen:

Back 33

Chronic duodenal ulcers

Front 34

Approx 3 weeks after recovering from ST, a 6 y/o male develops malaise, fever, periorbital edema, and rust colored urine. Diagnosis is:

Back 34

Glomerulonephritis

Front 35

2 pancreatic enzymes seen in serum in pancreatitis are:

Back 35

Amylase and lipase

Front 36

Complications of acute pancreatitis would not include:

Back 36

cystadenocarcinoma

Front 37

Majority of pancreatic cancers are located in:

Back 37

Head of pancreas

Front 38

Which pancreatic disease would have an increased mortality rate?

Back 38

Acute pancreatitis

Front 39

Hypertrophic pyloric stenosis occurs more often in males or females?

Back 39

Males

Front 40

Most chronic ulcers occur in which part of the duodenum?

Back 40

First part of duodenum

Front 41

Which is the most common lesion producing upper GI bleeding in chronic alcoholics?

Back 41

esophageal varices

Front 42

The most common GI bleed:

Back 42

Peptic ulcer

Front 43

Hepatocellular Carcinoma is often associated with:

Back 43

pre-existing cirrhosis

Front 44

Causes of post-hepatic jaundice does not include:

Back 44

hemolytic anemia

Front 45

In which of the hepatitis diseases may cancer occur:

Back 45

Hepatitis B and C

Front 46

Which hepatitis is found post-transfusion:

Back 46

Hepatitis C

Front 47

Esophageal varices and hemorrhoids caused by:

Back 47

cirrhosis induced portal HTN

Front 48

Which is least likely cause of cirrhosis?

Back 48

Hepatic infarction

Front 49

T or F: Almost all carcinomas of the esophagus are adenocarcinomas

Back 49

False

Front 50

The most common cause of esophageal varices is:

Back 50

alcoholic cirrhosis

Front 51

The presenting symptoms of esophageal varices are:

Back 51

Hematemesis

Front 52

In which type of cirrhosis would antibodies to smooth muscle or mitochondria most likely be demonstrated?

Back 52

Biliary cirrhosis

Front 53

An obese 45y/o presents with intermittent RUQ pain and increased flatus. She drinks two 6 packs a day to wash down the tacos KFC and prok chops. Most likely diagnosis:

Back 53

Cholelithiasis

Front 54

Transmural thickening of the wall involved segment lending the bowel an inflexible "led pipe" or "rubber hose" quality would describe what disease

Back 54

Chron's disease

Front 55

Invagination of a segment of bowel onto an adjacent distal segment describes:

Back 55

Intussuception

Front 56

In what autosomal dominant diseases is there an increased risk for development of colon cancer?

Back 56

Familial multiple polyposis of the colon

Front 57

Which of the following would be more characteristic of carcinoma of the ceacum as compared to carcinoma of the sigmoid colon?

Back 57

Anemia

Front 58

Which complication of chronic duodenal ulcers is the most common?

Back 58

Hemorrhage

Front 59

The worst prognosis is associated with carcinoma of the:

Back 59

Colon

Front 60

Which disease usually affects the rectum?

Back 60

Ulcerative colitis

Front 61

The most frequent site of malignant GI tumors is:

Back 61

Sigmoid colon

Front 62

In which of the following locations would you most frequently expect to find mets from adenocarcinoma of the colon?

Back 62

Small bowel

Front 63

GI disease that predisposes to the development of colon cancer is:

Back 63

ulcerative colitis and villous adenoma