GI Questions With All Correct Answers
a pt has been dx with hepatitis A. the most common reported risk factor is:
a. drinking contaminated water
b. homosexual activity
c. international travel
d. eating contaminated food correct answer -c. international travel
most pts who have acute hepatitis A infection:
a. develop fulminant disease
b. become acutely ill
c. have a self-limited illness
d. develop subsequent cirrhosis correct answer -c. have a self-limited
illness
a pt has the following lab value. what is the clinical interpretation? Hepatitis A
(+) IgG
a. he has hepatitis A
b. he has immunity to hepatitis A
c. he has no immunity to hepatitis A
d. more data is needed to interpret this correct answer -b. he has
immunity to hepatitis A
a pt has been dx with hepatitis B. the most common reported risk factor is:
a. drinking contaminated water
b. eating contaminated food
c. exposure to blood
d. sexual exposure correct answer -d. sexual exposure
a pt has the following lab value. what does this mean?
Hepatitis B surface antigen (+)
a. he has acute hepatitis B
b. he has immunity to hepatitis b
c. he has no immunity to hepatitis B
d. more data is needed correct answer -a. he has acute hepatitis B
a pt has a positive hepatitis B surface antibody. this means:
a. he has acute hepatitis B
, b. he has chronic hepatitis B
c. he is immune to hepatitis B
d. he needs immunization to hepatitis B correct answer -c. he is immune to
hepatitis B
a pt has a positive anti-HCV test. this means:
a. he has hepatitis C
b. he has immunity to hepatitis C
c. he does not have hepatitis C
d. more data is needed correct answer -d. more data is needed
an 83 y/o pt is dx with diverticulitis. where is her pain typically located?
a. epigastric area
b. rt or left lower quadrant
c. left lower quadrant
d. rt lower quadrant correct answer -c. left lower quadrant
a pt with gall bladder disease has classic sxs. which sx below is NOT classic of
gallbladder disease?
a. intense, dull pressure in the mid abdomen
b. pain that radiates into the chest, back or rt shoulder blade
c. pain that worsens after a fatty meal
d. pain that occurs when the stomach empties correct answer -d. pain that
occurs when the stomach empties
which of the following would be usual in a pt with biliary colic?
a. presence of gallstones on imaging studies
b. presence of gallstones and unpredictable abdominal pain
c. positive Murphy's sign only
d. pain in upper abdomen in response to eating fatty foods correct answer
-d. pain in upper abdomen in response to eating fatty foods
a 42 y/o pt was dx with ulcerative colitis many yrs ago. what part of his
routine health screenings should be stressed by the NP?
a. he should be screened at age 50 with a colonoscopy
b. tetanus immunization should be given every 5 yrs
c. pneumococcal vaccine should be administed by age 50
d. he should have a colonscopy every 1-3 yrs correct answer -d. he should
have a colonscopy every 1-3 yrs
a pt has been dx with hepatitis A. the most common reported risk factor is:
a. drinking contaminated water
b. homosexual activity
c. international travel
d. eating contaminated food correct answer -c. international travel
most pts who have acute hepatitis A infection:
a. develop fulminant disease
b. become acutely ill
c. have a self-limited illness
d. develop subsequent cirrhosis correct answer -c. have a self-limited
illness
a pt has the following lab value. what is the clinical interpretation? Hepatitis A
(+) IgG
a. he has hepatitis A
b. he has immunity to hepatitis A
c. he has no immunity to hepatitis A
d. more data is needed to interpret this correct answer -b. he has
immunity to hepatitis A
a pt has been dx with hepatitis B. the most common reported risk factor is:
a. drinking contaminated water
b. eating contaminated food
c. exposure to blood
d. sexual exposure correct answer -d. sexual exposure
a pt has the following lab value. what does this mean?
Hepatitis B surface antigen (+)
a. he has acute hepatitis B
b. he has immunity to hepatitis b
c. he has no immunity to hepatitis B
d. more data is needed correct answer -a. he has acute hepatitis B
a pt has a positive hepatitis B surface antibody. this means:
a. he has acute hepatitis B
, b. he has chronic hepatitis B
c. he is immune to hepatitis B
d. he needs immunization to hepatitis B correct answer -c. he is immune to
hepatitis B
a pt has a positive anti-HCV test. this means:
a. he has hepatitis C
b. he has immunity to hepatitis C
c. he does not have hepatitis C
d. more data is needed correct answer -d. more data is needed
an 83 y/o pt is dx with diverticulitis. where is her pain typically located?
a. epigastric area
b. rt or left lower quadrant
c. left lower quadrant
d. rt lower quadrant correct answer -c. left lower quadrant
a pt with gall bladder disease has classic sxs. which sx below is NOT classic of
gallbladder disease?
a. intense, dull pressure in the mid abdomen
b. pain that radiates into the chest, back or rt shoulder blade
c. pain that worsens after a fatty meal
d. pain that occurs when the stomach empties correct answer -d. pain that
occurs when the stomach empties
which of the following would be usual in a pt with biliary colic?
a. presence of gallstones on imaging studies
b. presence of gallstones and unpredictable abdominal pain
c. positive Murphy's sign only
d. pain in upper abdomen in response to eating fatty foods correct answer
-d. pain in upper abdomen in response to eating fatty foods
a 42 y/o pt was dx with ulcerative colitis many yrs ago. what part of his
routine health screenings should be stressed by the NP?
a. he should be screened at age 50 with a colonoscopy
b. tetanus immunization should be given every 5 yrs
c. pneumococcal vaccine should be administed by age 50
d. he should have a colonscopy every 1-3 yrs correct answer -d. he should
have a colonscopy every 1-3 yrs
