2026/2027 ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
Acute Pancreatitis - correct answer-the escape of pancreatic
enzymes into the surrounding area and into the pancreas.
Enzymes begin the digestive process of the tissues they touch
which may lead to hemorrhaging.
Acute pancreatitis causes - correct answer-ETOH, gallstones,
PUD, abdominal trauma, hyperlipidemia, smoking, some drugs,
genetic factors, viral infections, autoimmune, ischemia, post
ERCP, scorpion bite.
Acute pancreatitis S&S - correct answer-abrupt post prandial
pain, epifastric pain that radiates to the back and is worse when
lying down, n/v and if hemorrhaging occurs then persons will
have signs of hypovolemic shock, fever, hypocalcemia,
jaundice and a lot of fluid loss
Acute pancreatitis diagnosis and complications - correct
answer-1 of 3: symptoms consistent with acute pancreatitis,
elevated lipase or findings consistent with acute pancreatitis on
,CT. Complications: ARDS, heart failure, renal failure,
coagulopathies, sepsis, paralytic ileus and GI bleed
Esophageal cancer - correct answer-not common. Related to
chronic inflammation and metaplastic changes in the
esophagus. Do not show signs until later in the disease. 2 main
symptoms are chest pain and dysphagia
Colon cancer - correct answer-Occurs in any portion of colon or
rectum in persons over 50. . Casues age, high fat, low fiber
diets, smoking, obesity, family history, low levels of exercise,
inflammatory bowel disease and gastrectomy. Commonly arise
from polyps
Colorectal cancer signs and screening - correct answer-S&S:
pain, abdominal mass, anemia, occult bleeding, obstruction,
distention. Screening starts at age 50 and includes yearly test
for occult blood, colonoscopy every 5-10 years, sigmoidoscopy
every 5 years
Pancreatic cancer - correct answer-Incidence increases with
age and is more common in males and african americans. Risk
factors: ETOH use, family history, smoking, non O blood type,
, DM type 2, and chronic pancreatitis. K-ras mutation, a proto-
oncogene is most common genetic alteration.
Tumors arise from exocrine cells of pancreas ducts, called
adenocarcinomas; tumors of the head of pancreas grow quickly
and can obstruct the portal veins and common bile duct
pancreatic cancer - correct answer-what S&S are jaundice, dull
back pain, protein and fat malabsorption, lethargy, weight loss,
n/v, diabetes, changes in bowel patterns and pruritis
Cleft lip/palate - correct answer-abnormalities that arise during
embryonic development due to vit. B6, folic acid and B12
deficiencies, smoking, ETOH ingestion during pregnancy,
steroid or statin use, maternal hyperhomocysteinemia, diabetes
and genetic mutations.
Pyloric stenosis - correct answer-the pylorus is narrowed which
slows the flow of food from stomach to deuodenum. most
common cause of intestinal obstruction in infancy. Usually
causes vomiting after eating. Increase gastrin secretion in 3rd
trimester has been linked to cause this. Other causes include
deficiency in nitric oxide synthase containingneurons, abnormal
innervation of myenteric plexus and presence of infantile
hypergastrinemia and exposure to macrolide antibiotics