FITZGERALD GI EXAM QUESTIONS
AND ANSWERS 2026 VERIFIED.
1.
Other than the pancreas, other sources of amylase include all of the following except:
A. salivary glands.B. lung cancer.C. ovarian cyst.D. adipose tissue. - ANS D. adipose tissue.
2.
Clinical findings in patients with acute hepatitis B likely include all of the following except:
A. abdominal rebound tenderness.B. scleral icterus.C. a smooth, tender, palpable hepatic
border.D. report of myalgia. - ANS A. abdominal rebound tenderness
3.
Esophageal adenocarcinoma is usually located:
A. in the upper esophagus.B. near the upper esophageal sphincter.C. at the junction of the
esophagus and stomach.D. in the lower esophagus. - ANS C. the junction of the esophagus
and the stomach.
@2026/2027 ALLRIGHTS RESERVED.
,4.
Diagnostic testing in IBS often reveals:
A. evidence of underlying inflammation.B. anemia of chronic disease.C. normal results on most
testing.D. mucosal thickening on abdominal radiological imaging. - ANS C. normal results on
most testing.
5.
In a patient who presents with a history consistent with anal fissure but with notation of an
atypical anal lesion, alternative diagnoses to consider include all of the following except:
A. condyloma acuminata.B. Crohn's disease.C. anal squamous cell carcinoma.D. C. difficile
colitis. - ANS C. C. diff colitis
6.
Is the following statement most consistent with IBD, with IBS, or with both conditions? Potential
complications include increased risk for colonic malignancy.
A. IBDB. IBSC. Both IBD and IBS - ANS A. IBD
7.
Is the following statement most consistent with IBD, with IBS, or with both conditions? Patients
should be advised to avoid trigger foods.
A. IBDB. IBSC. Both IBD and IBS - ANS C. Both IBD and IBS
8.
@2026/2027 ALLRIGHTS RESERVED.
,A 24-year-old man presents with a 3-month history of upper abdominal pain. He describes it as
an intermittent, centrally located "burning" feeling in his upper abdomen, most often occurring
2 to 3 hours after meals. His presentation is most consistent with the clinical presentation of:
A. acute gastritis.B. gastric ulcer.C. duodenal ulcer.D. cholecystitis. - ANS B. gastric ulcer
9.
What is the equivalent amount of background radiation as an abdominal CT scan?
A. no radiationB. 62 to 88 daysC. 3 years - ANS B. 62 to 88 days
10.
Cyclooxygenase-1 (COX-1) contributes to:
A. the inflammatory response.B. pain transmission.C. maintenance of gastric protective mucosal
layer.D. renal arteriole constriction. - ANS C. maintenance of gastric protective mucosal layer.
11.
Is the following statement most consistent with IBD, with IBS, or with both conditions? The
patient population is predominately female.
A. IBDB. IBSC. Both IBD and IBS - ANS B. IBS
12.
All of the following laboratory findings are expected in a patient with pancreatic cancer except:
@2026/2027 ALLRIGHTS RESERVED.
, A. elevated total bilirubin.B. diminished platelet count.C. elevated alkaline phosphatase.D.
elevated direct bilirubin. - ANS b. diminished platelet count
13.
Peptic ulcer disease can occur in any of the following locations except:
A. duodenum.B. stomach.C. esophagus.D. large intestine. - ANS D. large intestine
14.
Cyclooxygenase-2 (COX-2) contributes to:
A. the inflammatory response.B. pain transmission inhibition.C. maintenance of gastric
protective mucosal layer.D. renal arteriole dilation. - ANS A. the inflammatory response.
15.
A 62-year-old woman who reports frequent constipation is diagnosed with an anal fissure. First-
line therapy includes all of the following except:
A. stool-bulking supplements.B. high-fiber diet.C. intra-anal corticosteroids.D. the periodic use
of oral mineral oil. - ANS C. intra-anal corticosteroids.
16.
Immune modulators are often used for intervention in:
A. ulcerative colitis.B. irritable bowel syndrome.C. Crohn's disease.D. ulcerative colitis and
Crohn's disease. - ANS D. UC and Crohn's.
@2026/2027 ALLRIGHTS RESERVED.
AND ANSWERS 2026 VERIFIED.
1.
Other than the pancreas, other sources of amylase include all of the following except:
A. salivary glands.B. lung cancer.C. ovarian cyst.D. adipose tissue. - ANS D. adipose tissue.
2.
Clinical findings in patients with acute hepatitis B likely include all of the following except:
A. abdominal rebound tenderness.B. scleral icterus.C. a smooth, tender, palpable hepatic
border.D. report of myalgia. - ANS A. abdominal rebound tenderness
3.
Esophageal adenocarcinoma is usually located:
A. in the upper esophagus.B. near the upper esophageal sphincter.C. at the junction of the
esophagus and stomach.D. in the lower esophagus. - ANS C. the junction of the esophagus
and the stomach.
@2026/2027 ALLRIGHTS RESERVED.
,4.
Diagnostic testing in IBS often reveals:
A. evidence of underlying inflammation.B. anemia of chronic disease.C. normal results on most
testing.D. mucosal thickening on abdominal radiological imaging. - ANS C. normal results on
most testing.
5.
In a patient who presents with a history consistent with anal fissure but with notation of an
atypical anal lesion, alternative diagnoses to consider include all of the following except:
A. condyloma acuminata.B. Crohn's disease.C. anal squamous cell carcinoma.D. C. difficile
colitis. - ANS C. C. diff colitis
6.
Is the following statement most consistent with IBD, with IBS, or with both conditions? Potential
complications include increased risk for colonic malignancy.
A. IBDB. IBSC. Both IBD and IBS - ANS A. IBD
7.
Is the following statement most consistent with IBD, with IBS, or with both conditions? Patients
should be advised to avoid trigger foods.
A. IBDB. IBSC. Both IBD and IBS - ANS C. Both IBD and IBS
8.
@2026/2027 ALLRIGHTS RESERVED.
,A 24-year-old man presents with a 3-month history of upper abdominal pain. He describes it as
an intermittent, centrally located "burning" feeling in his upper abdomen, most often occurring
2 to 3 hours after meals. His presentation is most consistent with the clinical presentation of:
A. acute gastritis.B. gastric ulcer.C. duodenal ulcer.D. cholecystitis. - ANS B. gastric ulcer
9.
What is the equivalent amount of background radiation as an abdominal CT scan?
A. no radiationB. 62 to 88 daysC. 3 years - ANS B. 62 to 88 days
10.
Cyclooxygenase-1 (COX-1) contributes to:
A. the inflammatory response.B. pain transmission.C. maintenance of gastric protective mucosal
layer.D. renal arteriole constriction. - ANS C. maintenance of gastric protective mucosal layer.
11.
Is the following statement most consistent with IBD, with IBS, or with both conditions? The
patient population is predominately female.
A. IBDB. IBSC. Both IBD and IBS - ANS B. IBS
12.
All of the following laboratory findings are expected in a patient with pancreatic cancer except:
@2026/2027 ALLRIGHTS RESERVED.
, A. elevated total bilirubin.B. diminished platelet count.C. elevated alkaline phosphatase.D.
elevated direct bilirubin. - ANS b. diminished platelet count
13.
Peptic ulcer disease can occur in any of the following locations except:
A. duodenum.B. stomach.C. esophagus.D. large intestine. - ANS D. large intestine
14.
Cyclooxygenase-2 (COX-2) contributes to:
A. the inflammatory response.B. pain transmission inhibition.C. maintenance of gastric
protective mucosal layer.D. renal arteriole dilation. - ANS A. the inflammatory response.
15.
A 62-year-old woman who reports frequent constipation is diagnosed with an anal fissure. First-
line therapy includes all of the following except:
A. stool-bulking supplements.B. high-fiber diet.C. intra-anal corticosteroids.D. the periodic use
of oral mineral oil. - ANS C. intra-anal corticosteroids.
16.
Immune modulators are often used for intervention in:
A. ulcerative colitis.B. irritable bowel syndrome.C. Crohn's disease.D. ulcerative colitis and
Crohn's disease. - ANS D. UC and Crohn's.
@2026/2027 ALLRIGHTS RESERVED.
