Colonic Diverticulosis Fitz

Question 1

42. Colonic diverticulosis most commonly occurs in the
walls of the:
A. ascending colon.
B. descending colon.
C. transverse colon.
D. sigmoid colon.

Answer 1

D. sigmoid colon.

Question 2

43. Approximately what percentage of the population will develop diverticulosis by the time they reach 50 years
of age?
A. 10%
B. 20%
C. 33%
D. 50%

Answer 2

C. 33%

Question 3

44. Which of the following is most consistent with the presentation of a patient with colonic diverticulosis?
    A. diarrhea and leukocytosis
    B. constipation and fever
    C. few or no symptoms
    D. frank blood in the stool with reduced stool caliber

Answer 3

C. few or no symptoms

Question 4

45. Which of the following is most consistent with the presentation
    of a patient with acute colonic diverticulitis?
    A. cramping, diarrhea, and leukocytosis
    B. constipation and fever
    C. right-sided abdominal pain
    D. frank blood in the stool with reduced stool caliber

Answer 4

A. cramping, diarrhea, and leukocytosis

Question 5

46. Major risk factors for diverticulosis include all of the following except:
    A. low-fiber diet.
    B. family history of the condition.
    C. older age.
    D. select connective tissue disorders (e.g., Marfan syndrome).

Answer 5

A. low-fiber diet.

Question 6

47. To avoid the development of acute diverticulitis, treatment of diverticulosis can include:
    A. avoiding foods with seeds.

C. ceasing cigarette smoking.
D. limiting alcohol intake.

Answer 6

B. the use of fiber supplements.

Question 7

48. The location of discomfort with acute diverticulitis is usually in which of the following areas of the
abdomen?
A. epigastrium
B. left lower quadrant
C. right lower quadrant
D. suprapubic

Answer 7

B. left lower quadrant

Question 8

49. Which of the following best describes colonic diverticulosis?
    A. bulging pockets in the intestinal wall
    B. poorly contracting intestinal walls
    C. strictures of the intestinal lumen
    D. flaccidity of the small intestine

Answer 8

A. bulging pockets in the intestinal wall

Question 9

50. You are seeing Mr. Lopez, a 68-year-old man with suspected acute colonic diverticulitis. In choosing an
    appropriate imaging study to support this diagnosis, which of the following abdominal imaging studies is
    most appropriate?
    A. flat plate
    B. ultrasound
    C. CT scan with contrast
    D. barium enema

Answer 9

C. CT scan with contrast

Question 10

51. In the evaluation of acute diverticulitis, the most appropriate diagnostic approach to rule out free air in the
abdomen includes:
A. barium enema.
B. plain abdominal film.
C. abdominal ultrasound.
D. lower endoscopy

Answer 10

B. plain abdominal film.

Question 11

52. A 56-year-old woman is diagnosed with mild diverticulitis.
    In addition to counseling her about increased fluid intake and adequate rest, you recommend antimicrobial treatment with:
    A. amoxicillin with clarithromycin.
    B. linezolid with daptomycin.
    C. ciprofloxacin with metronidazole.
    D. nitrofurantoin with doxycycline.

Answer 11

C. ciprofloxacin with metronidazole.

Question 12

53. Lower GI hemorrhage associated with diverticular disease usually manifests as:

A. a painless event.
B. a condition noted to be found with a marked febrile response.
C. a condition accompanied by severe cramp-like abdominal pain.
D. a common chronic condition.

Answer 12

A. a painless event.

Question 13

54. Measures to prevent colonic diverticulosis and diverticulitis
    include all of the following except:
    A. increased whole grain intake.
    B. regular aerobic exercise.
    C. adequate hydration.
    D. refraining from excessive alcohol intake.

Answer 13

D. refraining from excessive alcohol intake