Midterm 1 Review Q's Flashcards

(54 cards)

1
Q

Patient experiences painful swallowing.
a. Dysphagia
b. Odynophagia
c. Aphagia
d. Polyphagia

A

Odynophagia

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2
Q

All of these are factors that can predispose a patient to developing Forestier’s Disease except:
a. Obesity
b. Hypertension
c. Type 2 diabetes mellitus
d. Vit A deficiency

A

Vit A deficiency

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3
Q

A patient experiencing difficulty swallowing solids and liquids is a symptom from which of the following.
a. Esophageal Web
b. Schatzki’s ring
c. Esophageal diverticulum
d. Esophageal carcinoma

A

Esophageal diverticulum

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4
Q

A patient experiencing intermittent odynophagia is consistent with which of the following
a. GERD
b. Esophageal Diverticulum
c. Schatzki’s ring
d. Esophageal spasm

A

Esophageal diverticulum

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5
Q

Which of the following is due to auto antibody destruction of the nicotinic receptor in muscular tissue
a. Myasthenia Gravis
b. Multiple Sclerosis
c. Guillian Barre
d. None of the above

A

Myasthenia Gravis

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6
Q

The following are all signs and symptoms of GERD except
a. Dysphagia
b. Odynophagia
c. Pyrosis
d. Nocturnal regurgitation
e. Chest pain
f. Hoarseness
g. Aphagia

A

Aphagia

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7
Q

Which of the following are sequella to developing GERD?
a. Barrett’s Esophagus
b. Esophageal adenocarcinoma
c. Ulcer
d. All of the above

A

All of the above

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8
Q

Which of the following would be an appropriate follow up study for some one experiencing painless progressive dysphagia to solids then liquids and unintentional weight loss?
a. CBC with differential
b. CT
c. Endoscopy with biopsy
d. All of the above
e. None of the above

A

All of the above

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9
Q

What is the Most common esophageal cancer world wide?
a. Squamous cell carcinoma
b. Adenocarcinoma
c. Barrett’s Esophagus

A

Squamous cell carcinoma

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10
Q

What is the most common cause of esophageal carcinoma?
a. Alcohol and tobacco use
b. GERD
c. Esophageal Ulcer
d. HPV infection

A

Alcohol and tobacco use

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11
Q

Virchow’s node is:
a. Located at the umbilicus
b. Enlarged left supraclavicular node
c. In the right lower quadrant
d. In the axilla

A

Enlarged left supraclavicular node

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12
Q

Progressive dysphagia and odynophagia to solids and liquids is consistent with which of the following?
a. Schatzki’s ring
b. Achalasia
c. Esophageal stricture
d. Esophageal ulcer

A

Achalasia

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13
Q

Which of the following is the etiologic agent for Chagas disease?
a. Trypanosoma Cruzi
b. H. Pylori
c. Trypanosoma brucei
d. Staphylococcus Aureus

A

Trypanosoma Cruzi

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14
Q

Below are signs and symptoms associated with Scleroderma except:
a. Calcinosis
b. Raynaud’s phenomenon
c. Raynaud’s disease
d. Telangiectasis
e. Sclerodactyly

A

Raynaud’s disease

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15
Q

What is the most common cause of esophageal varices?
a. Portal hypertension
b. Hepatitis
c. Alcoholism
d. None of the above

A

Portal hypertension

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16
Q

What is the difference between hematemesis and melena?

A

Hema- fresh bloody stool with hemorhoids
Melana- dark and tary stool, problem high in GI tract

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17
Q

Most common tumor of the hand?
a. Giant cell tumor
b. Osteoid Osteoma
c. Enchondroma
d. Simple bone cyst

A

Enchondroma

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18
Q

Most common benign bone tumor of the spine?
a. Osteoid Osteoma
b. Aneurysmal bone cyst
c. Osteoblastoma
d. Hemangioma

A

Hemangioma

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19
Q

Lab results show elevated levels of HLA-B27. What is the most likely diagnosis?
a. Rheumatoid Arthritis
b. Psoriatic Arthritis
c. Ankylosing Spondylitis
d. Reiter’s syndrome

A

Ankylosing Spondylitis

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20
Q

Upon radiographic examination you notice distal erosion of the clavicle. Which of the following will be on your differential diagnosis?
a. Rheumatoid Arthritis
b. PTOC
c. Hypoparathyroidism
d. Pseudomonas Septic Arthritis
e. All of the above
f. B, C and D

A

All of the above

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21
Q

What other condition is associated with Schatzki’s Ring?
a. Hiatal Hernia
b. GERD
c. RA
d. Two of the above are correct

A

Two of the above are correct

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22
Q

What condition may present on imaging with a “ rosary bead appearance”?
a. Schatzi’s Ring
b. Diffuse Esophageal Spasm
c. Dysphagia
d. Esophageal Diverticulum

A

Diffuse Esophageal Spasm

23
Q

Patient presents with Intermittent odynophagia, substernal chest, arm, and back pain, and a “ lump in their throat”, which condition should you rule out first (1) and which condition is the patient most likely presenting with?
a. Myocardial infarction/ GERD
b. Myocardial Infarction/ Schatzi’s Ring
c GERD/ Myocardial infarction
d. Myocardial Infarcation/ DES ( Diffuse esophageal spasm)

A

Myocardial Infarcation/ DES ( Diffuse esophageal spasm)

24
Q

What neurological condition presents with fluctuating weakness and fatigability?

A

MG
(Maggie Gilman? Mason Gardner? Myasthenia Gravis? We’ll never know.)

25
What is pathogenesis of Myasthenia Gravis?
Autoimmune reaction to nicotinic receptors
26
What is the name of the paraneoplastic syndrome that presents similarly to Myasthenia Gravis?
Lambert Eaton syndrome
27
Patient presents with dysphagia, “heartburn”, and acidic taste in their mouth... what is the most likely condition? a. DES b. GERD c. AS d. Esophageal carcinoma
GERD
28
What is the location of Virchows node? And what is it indicative of?
Left supraclavicular= gastric carcinoma
29
Patient complains of sub-sternal discomfort and regurgitation... upon further examination there is a neurological problem with the inhibitory neurons of the lower esophageal sphincter, what is the most likely diagnosis? a. DES b. Nutcracker esophagus c. Achalasia d. Dysphagia e. None of the above
Achalasia
30
In someone diagnosed with Scleroderma, what signs may they present with? a. raynauds phenomenon b. Sclerodactly c. Mask like facies d. uric acid deposits in the big toe e. three of the above f. all of the above
three of the above
31
What are the normal ranges for respirations in a healthy adult?
12-20 breaths per minute
32
What is the normal range for resting heart rate in a healthy adult?
60-100 beats per minute
33
What is the most common cause of Esophageal Varicies? a. Portal Hypotension b. Portal Hypertension c. Achalasia d. Gastric Hypertension e. None of the above
Portal Hypertension
34
True or False... A person with esophageal varicies may present with hematemesis?
true
35
If T3 and T4 levels are low... what will be the subsequent value of TSH? a. Low TSH b. High TSH c. No change to TSH
High TSH
36
What is the most common cause of Hypothyroidism in the USA?
Autoimmune thyroiditis
37
Patient presents with fatigue, unexplained weight gain, tingingly in the lateral three digits in hands bilaterally, and reports they have been struggling to stay in the cold for long periods of time compared to their normal. What is the most likely Dx?
Hypothyroidism
38
What is the most common cause of Gastritis? a. NSAID b. Alcohol c. H. Pylori infection d. Autoimmune
H. Pylori infection
39
Which type of polyp is the most common polyp to become malignant? a. Hyperplastic polyp b. fundic gland polyp c. Adenomatous polyp d. none of the above
Adenomatous polyp
40
A patient with a known history of cancer has a palpable nodule bulging into the umbilicus... What is the name of the sign and what does it indicate?
Sister Mary Joseph Nodule= mets of malignancy into pelvis or abdomen
41
Patient has an ulcer that is made worse by eating... is this gastric or duodenal in nature?
Gastric
42
Patient has an ulcer that is worse at night and pain relived with food... is this gastric or duodenal in nature?
duodenal
43
Patient has severe epigastric pain diarrhea, and stool that floats. What syndrome could they be presenting with? a. cushings syndrome b. Gastric Ulcer c. Zollinger-ellison syndrome d. Zenkers Diverticulum e. Two of the above are likely
Zollinger-ellison syndrome
44
What is the 4 F’s for the general demographic of gall bladder disease?
Female, Fatty, Forty, Fertile, Fair, and Birth Control
45
Patient with previous gall bladder infection presents with Fever, Jaundice, and RUQ pain... what is the name of this triad?
Charcot’s Triad
46
Patients with Cholecysitis will present with what positive assessment? a. Murphys Punch test b. Murphys Sign c. Murphys palsy d. Jar test e. rebound tenderness
Murphys Sign
47
What is the most common cause of Acute pancreatitis? a. Chronic hypertension b. high cholesterol c. Nephrolithiasis d. chronic alcoholism
chronic alcoholism
48
What test is the most specific for Pancreatitis? a. Amylase b. Protein kinase c. Lipase d. Pancreatic serum acid levels
Lipase
49
Patient presents with Cullens sign, what condition is most likely?
Acute Pancreatitis
50
True or False... Among the most aggressive of all cancers, Pancreatic Cancer arises from Endocrine Glands?
51
Patient reports having unexplained weight loss, joint pain, and fever... what conditions are on your differential list? a. Whipples Disease b. Celiac Disease c. Achalasia d. Lactose intolerance
Whipples Disease Celiac Disease
52
Patient reports that they have chest pain after eating. The pain is greatest 10 minutes after eating and then calms down about 2 hours later. They also have bloating, constipation, and abdominal tenderness. What is the most likely Dx?
Abdominal Angina
53
What is the most common cause of appendicitis in adults?... Children?
Adult= Fecalith Children= lymphoid obstruction
54
What is palpation point called in someone with Appendicitis?
McBurneys Point