WILAND-BROWN AND DUNPHY
ABDOM- REVIEWED EXAM WITH 100%
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Lipid are broken down in which area of the gi tract?
a. esophagus
b. stomach
c. small intestine
d. large intestine
ANSWER: c
Marvin, a known alcoholic with cirrhosis, is frequently admitted for coagulopathies and
occasionally receives blood transfusions. His wife asks you why he has bleeding
problems. How do you respond?
a. "Occasionally he accumulates blood in the gut."
b. "There is an interruption of the normal clotting mechanisms.
c. Long-term alcohol abuse has made his vessels very friable.
d. his bone marrow has been affected
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ANSWER: b
Jonas age 34 has a billroth II (hemigastrectomy and gastrojejunostomy with vagotomy)
performed 1 week ago and just started eating a blend diet. What do you suspect when
he complains of epigastric fullness, distention, discomfort, abdominal cramping, nausea,
and flatus after eating?
a. Obstruction
b. Dumping Syndrome
c. Metabolic acidosis
d. Infectious colitis
ANSWER: b
What is the most common cause of melena
a. colon cancer
b. Upper gastrointestinal bleeding
c. Drug abuse
d. smoking
ANSWER: b
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Which physical examination manuver for diagnosing appendicitis is done by deep
palpation over the left lower quadrant (LLQ) with resultant pain in the right lower
quadrant (RLQ)
a. Rovsing's sign
b. Psoas sign
c. Obturator sign
d. MCBurney"S sign
ANSWER: a
Sam has ulcerative colitis and is on a low residue diet. which food do you recommend
that Sam avoid
a. Potato skins, potato chips, and brown rice
b. Vegetable juices and cooked canned vegetable
c. Ground beef, veal, pork, and lamb
d. white rice and pasta
ANSWER: a
which of the following treatments for ulcerative colitis is contraindicated
a. a high-calorie, nonspicy, caffeine-free diet that is low in high- residue foods and milk
products
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b. corticosteroids in the acute phase
c. antidiarrheal agents
d. colectomy with permanent ileostomy in severe cases
ANSWER: c
Olive has an acute exacerbation of Corhn's disease. Which laboratory test value would
you expect to be decreased
a. Sedimentation rate
b liver enzyme levels
c. Vitamins A, B complex, and c levels
d. bilirubin level
ANSWER: c
You suspects that Harvey has a peptic ulcer and tell him that it has been found to be
strongly associated with
a. anxiety and panic attacks
b. long term
c. infection by Helicobacter pylori
d. a family history of peptic ulcers
ANSWER: c