WITH QUESTIONS AND CORRECT
RATIONALES LATEST 2026
A 55-year-old man undergoes truncal vagotomy for peptic ulcer disease. Which
physiologic effect is expected?
A. Increased gastric acid secretion
B. Decreased gastric emptying
C. Increased gastrin secretion
D. Increased sympathetic tone
Correct Answer: B
Rationale:
1. Vagus nerve stimulates gastric motility and acid secretion
2. Truncal vagotomy removes parasympathetic input
3. Gastric emptying is delayed
Which vitamin deficiency most impairs wound healing?
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
Correct Answer: B
Rationale:
1. Vitamin C is required for collagen synthesis
2. Deficiency leads to weak scar formation
Which cell predominates in chronic inflammation?
A. Neutrophils
B. Eosinophils
,ABSITE STUDY GUIDE TEST BANK EXAM
WITH QUESTIONS AND CORRECT
RATIONALES LATEST 2026
C. Macrophages
D. Mast cells
Correct Answer: C
Rationale:
1. Chronic inflammation lasts weeks to months
2. Macrophages mediate tissue destruction and repair
A patient in septic shock is most likely to have which hemodynamic pattern?
A. High SVR, low CO
B. Low SVR, high CO
C. Low SVR, low CO
D. Normal SVR
Correct Answer: B
Rationale:
1. Septic shock is distributive
2. Peripheral vasodilation lowers SVR
3. Cardiac output increases early
Which phase of wound healing is characterized by angiogenesis?
A. Hemostasis
B. Inflammatory
C. Proliferative
D. Remodeling
Correct Answer: C
Rationale:
,ABSITE STUDY GUIDE TEST BANK EXAM
WITH QUESTIONS AND CORRECT
RATIONALES LATEST 2026
1. Fibroblast proliferation and angiogenesis occur here
2. Collagen deposition begins
Progressive dysphagia to solids and liquids with bird-beak appearance indicates:
A. Esophageal cancer
B. Achalasia
C. GERD
D. Esophageal stricture
Correct Answer: B
Rationale:
1. LES fails to relax
2. Dysphagia to both solids and liquids is classic
Barrett esophagus predisposes to which cancer?
A. Squamous cell carcinoma
B. Adenocarcinoma
C. Lymphoma
D. Leiomyoma
Correct Answer: B
Rationale:
1. Intestinal metaplasia increases adenocarcinoma risk
Posterior duodenal ulcers most commonly erode which artery?
A. Left gastric
B. Gastroduodenal
, ABSITE STUDY GUIDE TEST BANK EXAM
WITH QUESTIONS AND CORRECT
RATIONALES LATEST 2026
C. Splenic
D. Right gastroepiploic
Correct Answer: B
Rationale:
1. Gastroduodenal artery lies posterior to duodenum
2. Causes massive GI bleeding
Boerhaave syndrome results from:
A. Chronic reflux
B. Variceal rupture
C. Forceful vomiting
D. Foreign body ingestion
Correct Answer: C
Rationale:
1. Transmural esophageal rupture
2. Medical and surgical emergency
Most common site of gastric carcinoma:
A. Fundus
B. Body
C. Antrum
D. Cardia
Correct Answer: C
Rationale:
1. Majority arise in distal stomach