Basics Of Clinical Gastroenterology (GI) Quiz

2.

In the term "gastroenterology", the portion of the word referring to the intestines is "-entero-" while "gastro-" refers to the _________.

Explanation
The term "gastroenterology" is a medical specialty that focuses on the study and treatment of the digestive system. The word "gastro-" refers to the stomach, and "-entero-" refers to the intestines. Therefore, in the term "gastroenterology", "gastro-" specifically refers to the stomach.

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3.

Epigastric and umbilical refer to two regions of particular significance within the pathology of the abdomen/GI

True
False

Correct Answer

A. True

Explanation

The statement is true because the epigastric and umbilical regions are indeed of particular significance within the pathology of the abdomen/GI. The epigastric region is located in the upper middle part of the abdomen and is associated with various organs such as the stomach, liver, and pancreas. It is a common location for abdominal pain and can be indicative of various gastrointestinal conditions. The umbilical region, on the other hand, is located around the belly button and is also important in the assessment of abdominal pathology.

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4.

Which of the following is NOT a standard portion of the abdominal physical exam

Rotation
Auscultation
Percussion
Inspection
Palpation

Correct Answer

A. Rotation

5.

Which of the following diagnoses typically requires a variety of blood and genetic assays before reaching it as the suspected diagnosis?

Acid reflux
Celiac disease
Acute appendicitis

Correct Answer

A. Celiac disease

Explanation

Celiac disease typically requires a variety of blood and genetic assays before reaching it as the suspected diagnosis. This is because celiac disease is an autoimmune disorder triggered by the consumption of gluten, and the diagnosis involves testing for specific antibodies in the blood, as well as genetic markers associated with the disease. These tests are necessary to confirm the presence of celiac disease and differentiate it from other conditions with similar symptoms. Acid reflux and acute appendicitis, on the other hand, can often be diagnosed based on symptoms and physical examination alone, without the need for extensive blood and genetic testing.

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6.

Endoscopies are performed exclusively rectally and threaded upward as far as is needed to assess specific pathology.

True
False

Correct Answer

A. False

Explanation

The statement is false because endoscopies are not performed exclusively rectally. Endoscopies can be performed through various routes, including the mouth (upper gastrointestinal endoscopy) and the anus (lower gastrointestinal endoscopy). The choice of route depends on the specific area of the body that needs to be assessed for pathology.

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7.

The correct order (from "top" of small intestine to "bottom") is as follows:

Ileum -> Jejunum -> Duodenum
Duodenum -> Ileum -> Jejunum
Duodenum -> Jejunum -> Ileum
Ileum -> Duodenum -> Jejunum
Jejunum -> Duodenum -> Ileum

Correct Answer

A. Duodenum -> Jejunum -> Ileum

Explanation

The correct order of the small intestine from top to bottom is Duodenum, Jejunum, and Ileum. The duodenum is the first part of the small intestine that receives partially digested food from the stomach. It is followed by the jejunum, which is responsible for further digestion and absorption of nutrients. Lastly, the ileum connects the jejunum to the large intestine and absorbs any remaining nutrients.

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8.

________ refers to tenderness with the release of pressure/palpitation

Correct Answer
Rebound, rebound, Rebound tenderness, rebound tenderness

Explanation
Rebound tenderness refers to tenderness that is felt when pressure is released after palpation. It is a clinical sign that suggests inflammation or irritation of the peritoneum, which is the lining of the abdominal cavity. When pressure is applied to the abdomen and then suddenly released, the pain experienced by the patient is known as rebound tenderness. This can be a sign of conditions such as appendicitis or peritonitis.

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9.

Which of the following refers to the surgical reattachment of two portions of the bowel?

Intestinal resection
Intestinal anastomosis
Dilatation
Biopsy

Correct Answer

A. Intestinal anastomosis

Explanation

Intestinal anastomosis refers to the surgical procedure of reattaching two portions of the bowel. This procedure is commonly performed to restore the continuity of the intestinal tract after a resection or removal of a diseased or damaged segment. It involves joining the healthy ends of the bowel together using sutures or staples, allowing for the normal flow of digestive contents through the intestines. Intestinal anastomosis is a crucial technique in gastrointestinal surgery and is used to treat conditions such as bowel obstruction, Crohn's disease, and colon cancer.

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10.

Inflammatory Bowel Disease (IBD) is a broad heading which typically encompasses ulcerative colitis and this other condition/diagnosis:

GERD
Cholecystitis
Diverticulitis
Crohn's Disease

Correct Answer

A. Crohn's Disease

Explanation

Crohn's Disease is a type of Inflammatory Bowel Disease (IBD) that causes chronic inflammation of the digestive tract. It can affect any part of the gastrointestinal tract, from the mouth to the anus. Unlike ulcerative colitis, which primarily affects the colon and rectum, Crohn's Disease can involve any part of the digestive system. Symptoms may include abdominal pain, diarrhea, weight loss, and fatigue. Treatment usually involves medication to reduce inflammation and manage symptoms, but in severe cases, surgery may be necessary to remove affected portions of the intestine.

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11.

_______ endoscopies utilize small, camera-containing structures, which the patient typically swallows, to visualize parts of the GI tract

Correct Answer
Capsule, capsule

Explanation
The correct answer is "capsule, capsule" because the sentence states that "endoscopies utilize small, camera-containing structures, which the patient typically swallows." This indicates that the structures being used are capsules, which the patient ingests. Therefore, the correct answer is "capsule, capsule."

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12.

McBurney's Point is a specific point of tenderness which is correlated heavily with acute diverticulitis.

True
False

Correct Answer

A. False

Explanation

McBurney's Point is not correlated with acute diverticulitis. It is actually a point of tenderness that is associated with acute appendicitis. Therefore, the correct answer is false.

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13.

The suffix ______ refers to placement of a tube within the GI tract to redirect fecal waste, typically to an external bag

Correct Answer
-ostomy, -Ostomy, ostomy, Ostomy, "-ostomy", "-Ostomy", "ostomy", "Ostomy"

Explanation
The correct answer is "ostomy". This term refers to the placement of a tube within the gastrointestinal (GI) tract to redirect fecal waste, typically to an external bag. The different variations of the term with or without capitalization and with or without quotation marks all refer to the same concept of an ostomy procedure.

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14.

Check all of the following which are abdominal quadrants explored during exam

Right Lower
Mid Upper
Mid epigastric
Left Lower
Mid Lower
Left Upper
Right Upper
Lower epigastric

Correct Answer(s)

A. Right Lower
A. Left Lower
A. Left Upper
A. Right Upper

Explanation

During an abdominal examination, healthcare professionals explore four abdominal quadrants: right lower, right upper, left lower, and left upper. These quadrants are used to locate and evaluate specific organs and structures within the abdomen. The mid epigastric and lower epigastric regions are not typically considered as separate quadrants but are instead part of the upper and lower quadrants respectively. The terms "mid lower" and "mid upper" are not commonly used to describe abdominal quadrants.

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15.

Select all of the following bacteria which typically cause GI-related symptoms

Salmonella
Streptococcus
H. pylori
C. difficile

Correct Answer(s)

A. Salmonella
A. H. pylori
A. C. difficile

Explanation

Salmonella, H. pylori, and C. difficile are all bacteria that typically cause gastrointestinal (GI) symptoms. Salmonella is a common cause of food poisoning and can lead to symptoms such as diarrhea, abdominal pain, and fever. H. pylori is a bacterium that infects the stomach lining and can cause gastritis and peptic ulcers, leading to symptoms like abdominal pain, nausea, and vomiting. C. difficile is a bacteria that can cause severe diarrhea and colitis, especially in individuals who have recently taken antibiotics. Streptococcus, on the other hand, is not typically associated with GI-related symptoms.

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16.

Of the following "non-abdomen" symptoms/complaints, select all which are commonly associated with GI infection, disease or any other abdomen-related condition.

Leg swelling (edema)
Fever
Jaundice
Nail clubbing

Correct Answer(s)

A. Fever
A. Jaundice
A. Nail clubbing

Explanation

Fever, jaundice, and nail clubbing are commonly associated with GI infection, disease, or any other abdomen-related condition. Fever is a common symptom of infection, including gastrointestinal infections. Jaundice can occur as a result of liver disease, which can be caused by various conditions affecting the abdomen. Nail clubbing, the thickening and rounding of the fingertips, can be a sign of chronic liver disease or inflammatory bowel disease, both of which are related to the abdomen. Leg swelling (edema) is not commonly associated with GI infection or abdominal conditions, hence it is not included in the list of symptoms.

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Basics Of Clinical Gastroenterology (GI) Quiz

Contrast radiology involves the patient swallowing radiolucent material (Ex: Barium) which can then be further examined on imaging diagnostics for further study of specific inflammation patterns.

Quiz Preview

In the term "gastroenterology", the portion of the word referring to the intestines is "-entero-" while "gastro-" refers to the _________.

Epigastric and umbilical refer to two regions of particular significance within the pathology of the abdomen/GI

Which of the following is NOT a standard portion of the abdominal physical exam

Which of the following diagnoses typically requires a variety of blood and genetic assays before reaching it as the suspected diagnosis?

Endoscopies are performed exclusively rectally and threaded upward as far as is needed to assess specific pathology.

The correct order (from "top" of small intestine to "bottom") is as follows:

________ refers to tenderness with the release of pressure/palpitation

Which of the following refers to the surgical reattachment of two portions of the bowel?

Inflammatory Bowel Disease (IBD) is a broad heading which typically encompasses ulcerative colitis and this other condition/diagnosis:

_______ endoscopies utilize small, camera-containing structures, which the patient typically swallows, to visualize parts of the GI tract

McBurney's Point is a specific point of tenderness which is correlated heavily with acute diverticulitis.

The suffix ______ refers to placement of a tube within the GI tract to redirect fecal waste, typically to an external bag

Check all of the following which are abdominal quadrants explored during exam

Select all of the following bacteria which typically cause GI-related symptoms

Of the following "non-abdomen" symptoms/complaints, select all which are commonly associated with GI infection, disease or any other abdomen-related condition.