How Much You Know About Gastroenterology? Trivia Quiz

10 Questions | Total Attempts: 565

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How Much You Know About Gastroenterology? Trivia Quiz

How much do you know about gastroenterology? Do you feel you could pass this quiz? Gastroenterology is the branch of medicine that is focused on the digestive system and the disorders that may occur in the body. Diseases which affect the gastro tract includes the mouth to anus, along with the large intestine, small intestine, stomach, and esophagus. Taking this quiz will let you see how much you understand about gastroenterology.


Questions and Answers
  • 1. 
    On his first screening colonoscopy, a 67-year-old male is found to have a 0.5-cm adenomatous polyp with low-grade dysplasia. According to current guidelines, when should this patient have his next colonoscopy?
    • A. 

      6 months

    • B. 

      1 year

    • C. 

      3 years

    • D. 

      5 years

    • E. 

      Screening is no longer necessary

  • 2. 
    A 55-year-old male is found to have three hyperplastic polyps on a routine screening colonoscopy. He has no personal or family history of colon cancer. This patient’s next colonoscopy should be in
    • A. 

      1 year

    • B. 

      3 years

    • C. 

      5 years

    • D. 

      10 years

  • 3. 
    A 57-year-old male has laboratory screening performed prior to his annual examination. One of his six fecal occult blood tests is positive. A CBC, chemistry panel, lipid panel, and prostate-specific antigen level are all normal. Which one of the following would be the most appropriate course of action?
    • A. 

      Repeat the fecal occult blood testing in 3 months

    • B. 

      Perform a rectal examination in the office, and if a stool guaiac is negative repeat the fecal occult blood testing in 3 months

    • C. 

      Refer for colonoscopy

    • D. 

      Refer for flexible sigmoidoscopy

    • E. 

      Refer for pre- and post-contrast CT of the abdomen and pelvis

  • 4. 
    A 56-year-old female with well-controlled diabetes mellitus and hypertension presents with an 18-hour history of progressive left lower quadrant abdominal pain, low-grade fever, and nausea. She has not been able to tolerate oral intake over the last 6 hours. An abdominal examination reveals significant tenderness in the left lower quadrant with slight guarding but no rebound tenderness. Bowel sounds are hypoactive. Rectal and pelvic examinations are unremarkable. Which one of the following is recommended as the initial diagnostic procedure in this situation?
    • A. 

      CT of the abdomen and pelvis

    • B. 

      Abdominal and pelvic ultrasonography

    • C. 

      A barium enema

    • D. 

      Colonoscopy

    • E. 

      Laparoscopy

  • 5. 
    A 64-year-old white male presents to the emergency department with a 48-hour history of left lower quadrant pain. After a thorough history and a physical examination, you conclude that the patient has diverticulitis. The patient is allergic to metronidazole (Flagyl). You recommend a clear-liquid diet, a follow-up visit with his primary care physician in 48 hours, and treatment with
    • A. 

      Amoxicillin

    • B. 

      Amoxicillin/clavulanate (Augmentin)

    • C. 

      Ciprofloxacin (Cipro)

    • D. 

      Doxycycline

    • E. 

      Azithromycin (Zithromax)

  • 6. 
    A 65-year-old asymptomatic female is found to have extensive sigmoid diverticulosis on screening colonoscopy. She asks whether there are any dietary changes she should make. In addition to increasing fiber intake, which one of the following would you recommend?
    • A. 

      Limiting intake of dairy products

    • B. 

      Limiting intake of spicy foods

    • C. 

      Limiting intake of wheat flour

    • D. 

      Limiting intake of nuts

    • E. 

      No limitations on other intake

  • 7. 
    A 69-year-old male presents with a 2-week history of fever, fatigue, weight loss, and mild diarrhea. He is found to have a mildly tender mass in the left lower quadrant of the abdomen.The most likely diagnosis is
    • A. 

      Crohn’s disease

    • B. 

      Ulcerative colitis

    • C. 

      Celiac disease

    • D. 

      Diverticulitis

    • E. 

      Lymphoma

  • 8. 
    Which one of the following is associated with ulcerative colitis rather than Crohn’s disease?
    • A. 

      The absence of rectal involvement

    • B. 

      Transmural involvement of the colon

    • C. 

      Segmental noncontinuous distribution of inflammation

    • D. 

      Fistula formation

    • E. 

      An increased risk of carcinoma of the colon

  • 9. 
    An 82-year-old male nursing-home resident is sent to the emergency department with lower abdominal pain and bloody diarrhea. He has a history of multi-infarct dementia, hypertension, and hyperlipidemia. On examination he is afebrile, and a nasogastric aspirate is negative for evidence of bleeding. Which one of the following is the most likely cause of this patient’s bleeding?
    • A. 

      Peptic ulcer disease

    • B. 

      Ischemic colitis

    • C. 

      Diverticular bleeding

    • D. 

      Angiodysplasia

    • E. 

      Infectious colitis

  • 10. 
    A 39-year-old female presents with lower abdominal/pelvic pain. On examination, with the patient in a supine position, you palpate the tender area of her abdomen. When you have her raise both legs off the table while you palpate the abdomen, her pain intensifies. Which one of the following is the most likely diagnosis?
    • A. 

      Appendicitis

    • B. 

      A hematoma within the abdominal wall musculature

    • C. 

      Diverticulitis

    • D. 

      Pelvic inflammatory disease

    • E. 

      An ovarian cyst