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8 year old with abdominal pain
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Questions tagged gastroenterology
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0 acclamations 0 comments 0 responses n/a correct responses
Created on June 19 by Babak Maghdoori
Note the barrium swallow, the diagnosis is:
  1. Foreign object
  2. None of these choices
  3. Esophageal diverticula
  4. Diffuse esophageal spasm
  5. Esophageal carcinoma
  6. Two of these choices
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0 acclamations 1 comment 2 responses 50% correct responses
Created on June 30 by Babak Maghdoori
All of the following should be on the differential diagnosis for this x-ray image of the abdominal area of a 2.5 year old, except:
  1. Bilateral renal agenesis 50%
  2. Neuroblastoma 0%
  3. Rhabdomyosarcoma 50%
  4. Poly cystic Kidney disease 0%
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0 acclamations 2 comments 6 responses 66% correct responses
Created on August 29 by Michelle Bischoff
You are working in the emergency department when you see a 5-year-old otherwise healthy child presenting with a 2 day history of nausea, vomiting and diarrhea. He is diagnosed with gastroenteritis and started on intravenous fluid replacement therapy. Mom asks you when her son will be allowed to eat again and what dietary restrictions are necessary. You respond by stating that the child should now
  1. remain NPO until signs and symptoms subside 16%
  2. resume a normal diet as tolerated 66%
  3. follow the BRAT diet 16%
  4. avoid lactose-containing foods 0%
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0 acclamations 0 comments 7 responses 57% correct responses
Created on April 26 by administrator
Triglyceride is found in:
  1. neither 0%
  2. chylomicrons 14%
  3. very low density lipoproteins (VLDLs) 28%
  4. both 57%
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0 acclamations 0 comments 3 responses 100% correct responses
Created on April 26 by administrator
Few days after coronary artery bypass surgery, a 74 year old man develops melena, the most likely diagnosis is:
  1. ischemic colitis 100%
  2. colon cancer 0%
  3. ulcerative colitis 0%
  4. villous adenoma 0%
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0 acclamations 0 comments 8 responses 25% correct responses
Created on April 26 by administrator
Which of the following is the most common cause of rectal bleeding with NO pain during defecation in young men?
  1. internal hemorrhoid 25%
  2. colon cancer 0%
  3. external hemorrhoid 37%
  4. diverticulosis 37%
  5. anal fissure 0%
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0 acclamations 0 comments 3 responses 33% correct responses
Created on April 26 by administrator
Which of the following indicates the severity of acute pancreatitis at admission?
  1. LDH of 250 I.U./L 33%
  2. SGOT of 150 Frankel units % 0%
  3. WBC of 12,000/mm3 33%
  4. glucose of 300 mg/dL 33%
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0 acclamations 0 comments 5 responses 0% correct responses
Created on April 26 by administrator
Following are associated with carcinoid syndrome, EXCEPT:
  1. increased urinary 5 HIAA 20%
  2. edema of head/neck 60%
  3. tricuspid regurgitation/pulmonic stenosis 20%
  4. mitral stenosis or regurgitation 0%
  5. abdominal cramps/diarrhea 0%
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0 acclamations 0 comments 8 responses 62% correct responses
Created on April 26 by administrator
Pneumaturia in a 78 year old man is most likely due to:
  1. chronic cystitis 25%
  2. colovesical fistula 62%
  3. acute pyelonephritis 12%
  4. acute glomerulonephritis 0%
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0 acclamations 0 comments 2 responses 0% correct responses
Created on April 26 by administrator
Plummer-Vinson triad consists of esophageal webs, atrophic glossitis and:
  1. peptic ulcer 50%
  2. chronic keratitis 50%
  3. hypochromic microcytic anemia 0%
  4. rheumatoid arthritis 0%
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0 acclamations 0 comments 3 responses 33% correct responses
Created on April 26 by administrator
Which of the following is a gastrointestinal hormone?
  1. all of the above 33%
  2. gastric inhibitory peptide 0%
  3. cholecystokinin 0%
  4. gastrin 66%
  5. secretin 0%
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0 acclamations 0 comments 8 responses 87% correct responses
Created on April 26 by administrator
The most common cause of dysphagia in a 72 year old man is:
  1. esophageal cancer 87%
  2. scleroderma 0%
  3. achalasia 0%
  4. hiatal hernia 12%
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0 acclamations 0 comments 7 responses 71% correct responses
Created on April 26 by administrator
Intellectual deterioration with tremors, ataxia, rigidity and dysarthria in a 16 year old male is most likely due to a defect in hepatic excretion of:
  1. copper 71%
  2. iron 28%
  3. silver 0%
  4. gold 0%
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0 acclamations 0 comments 2 responses 100% correct responses
Created on April 26 by administrator
The most common location for the nodules of erythema nodosum is:
  1. lower trunk 0%
  2. neck 0%
  3. face 0%
  4. shin 100%
  5. calf 0%
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0 acclamations 0 comments 7 responses 28% correct responses
Created on April 26 by administrator
Chest X ray in hypertrophic pyloric stenosis shows the typical:
  1. absence of the gastric air bubble 0%
  2. string sign 28%
  3. double bubble sign 71%
  4. bilateral pulmonary fibrosis 0%
  5. esophageal dilatation 0%
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0 acclamations 0 comments 10 responses 80% correct responses
Created on April 26 by administrator
The average daily caloric requirement for young people (in kcal/day) is:
  1. 5200 for females and 5600 for males 10%
  2. 2000 for females and 2700 for males 80%
  3. 4100 for females and 4500 for males 0%
  4. 1100 for females and 1500 for males 0%
  5. 3200 for females and 3800 for males 10%
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0 acclamations 0 comments 5 responses 60% correct responses
Created on April 26 by administrator
Anal fissure is associated with:
  1. Crohn's disease 60%
  2. ulcerative colitis 20%
  3. irritable bowel syndrome 20%
  4. ischemic colitis 0%
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0 acclamations 0 comments 5 responses 100% correct responses
Created on April 26 by administrator
Hirschsprung's disease is characterized by:
  1. reverse E sign on air barium 0%
  2. red currant jelly stools 0%
  3. aganglionic rectosigmoid 100%
  4. pancreatic insufficiency 0%
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0 acclamations 0 comments 9 responses 44% correct responses
Created on April 26 by administrator
Which of the following is an autosomal dominant disorder?
  1. Gardner's syndrome 11%
  2. both 44%
  3. Peutz-Jeghers syndrome 11%
  4. neither 33%
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0 acclamations 0 comments 3 responses 100% correct responses
Created on April 26 by administrator
The most common cause of chronic pancreatitis in North American adults is:
  1. cystic fibrosis 0%
  2. gallstone 0%
  3. trauma 0%
  4. alcoholism 100%
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