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22 Cards in this Set

  • Front
  • Back
Which of the following is more likely to be associated with ulcerative colitis than with regional enteritis (Crohn's disease)?

a. Bowel obstruction
b. Skip lesions
c. Carcinoma of the colon
d. Peritonitis
c. Carcinoma of the colon
Carcinoma of the colon is most often located in the:

a. Sigmoid colon and rectum
b. Cecum
c. Splenic flexure of the colon
d. Transverse colon
a. Sigmoid colon and rectum
Traveler's diarrhea is probably a secretory diarrhea caused by:

a. Food allergy
b. Infection
c. Salts in water
d. Fruits
b. Infection
Adenocarcinoma of the colon spreads via blood in the portal venous system to the:

a. Lungs
b. Liver
c. Brain
d. Vertebral column
b. Liver
Many malignant tumors of the gastrointestinal tract, including esophagus, stomach and gallbladder, have a very low percentage of patients surviving to five years after diagnosis. For this group of tumors, the usual reason for this low survival rate is:

a. The patients are usually older and deny their symptoms longer
b. The lesions are very difficult for the pathologist to diagnose once a biopsy is performed
c. The tumors produce few clinical symptoms until they are advanced lesions
d. The gastrointestinal tract wall is so thin that the tumors invade and spread much faster
c. The tumors produce few clinical symptoms until they are advanced lesions
Diarrhea associated with cholera is best explained by which of the following mechanisms?

a. Massive hemorrhage from gut wall ulceration caused by invasive bacteria
b. Decreased permeability to water, due to inflammation of the gut wall
c. An osmotic effect of bacteria in the gut lumen
d. Increased secretion of fluid and electrolytes due to the effect of a bacterial toxin on gut mucosa
d. Increased secretion of fluid and electrolytes due to the effect of a bacterial toxin on gut mucosa
Chronic peptic ulcer disease is most likely to occur in the:

a. Jejunum
b. Esophagus
c. Stomach
d. Duodenum
d. Duodenum
Complications of peptic ulcer disease include all of the following except:

a. Massive hemorrhage
b. Gastric mucosal atrophy
c. Iron deficiency anemia
d. Perforation and peritonitis
b. Gastric mucosal atrophy
Ulcers of chronic peptic ulcer disease occur in all of the following areas except:

a. Pylorus
b. Gastric fundus (body)
c. Duodenum
d. Gastric antrum
b. Gastric fundus (body)
Fat absorption is defective and fat appears in excessive amounts in feces (a condition known as steatorrhea) in all except:

a. Lack of bile salts in the intestine due to obstruction of the bile duct
b. Disease of the large intestine such as diverticulosis
c. Lack of absorptive area due to extensive surgery of the small intestine
d. Disease of the pancreas decreasing exocrine gland secretions
b. Disease of the large intestine such as diverticulosis
Which of the following is least likely to be a cause of small bowel obstruction?

a. Volvulus
b. Crohn's disease (regional enteritis)
c. Ulcerative colitis
d. Intussusception
c. Ulcerative colitis
A strong association has been reported between upper gastrointestinal disease and the presence of:

a. Shigella dysenteriae
b. Helicobacter pylori
c. Salmonella typhi
d. Campylobacter jejuni
b. Helicobacter pylori
Barrett's esophagus is a:

a. Condition which can predispose to adenocarcinoma of the esophagus
b. Consequence of sever vomiting
c. Common cause of esophageal varices
d. Common cause of esophageal obstruction
a. Condition which can predispose to adenocarcinoma of the esophagus
Treating with antibiotics to eradicate the H. pylori infection accompanying peptic ulcer disease has resulted in a:

a. Marked increase in recurrence rate of peptic ulcers
b. No change in the recurrence rate of peptic ulcers
c. Marked decrease in recurrence rate of peptic ulcers
d. None of the above
c. Marked decrease in recurrence rate of peptic ulcers
An example of a disorder that produces malaborbtion is:

a. Ulcerative colitis
b. Peptic ulcer disease
c. Celiac disease
d. Diverticulitis
c. Celiac disease
Which of the following is more likely to be associated with Crohn's disease than with ulcerative colitis?

a. Is a continuous mucosal disease diffusely distributed in the colon only.
b. Inflammation involves full thickness of the bowel wall (in all layers); appears as a patchy lesion
c. Inflammation involves only a superficial ulceration of the mucosa
d. Left-sided distal involvement of the intestine is typically most severe
b. Inflammation involves full thickness of the bowel wall (in all layers); appears as a patchy lesion
Which of the following is not true about cancer of the colon?

a. Most cases appear after the age of 50
b. Early symptoms include melana and blood in the feces as seen in a positive fecal blood test
c. Most often occurs in the tranverse colon
d. A good prognosis is given when the carcinoma is limited to the mucosa
c. Most often occurs in the tranverse colon
A person with a deficiency in the enzyme lactase, cannot completely absorb or digest lactose and lactose-containing foods resulting in:

a. Changes in the gut mucosa, flattening the normal villi
b. Bacteria fermentation of unabsorbed lactose in the colon and defective terminal digestion
c. Massive hemorrhage from ulcers in the gut wall caused by bacterial growth
d. Progression to adenocarcinoma of the intestinal tract
b. Bacteria fermentation of unabsorbed lactose in the colon and defective terminal digestion
In Barrett's esophagus, the changes in the epithelial mucosa from one type of cell to another is an example of:

a. Anaplasia
b. Hyperplasia
c. Dysplasia
d. Metaplasia
d. Metaplasia
Predisposing factors for squamous cell carcinoma of the esophagus worldwide is/are:

a. Alcohol consumption
b. Smoking cigarettes
c. Both
d. Neither
c. Both
Chronic gastropathy is frequently associated with:

a. Enterogastric reflux
b. Use of non-steroidal anti-inflammatory drugs
c. Both
d. Neither
c. Both
Which of the following is true about the hormone gastrin:

a. Produced in the antrum of the stomach
b. Stimulates production of acid by the stomach
c. I associated with presence of Helicobacter pylori
d. Absorbs water and electrolytes
b. Stimulates production of acid by the stomach