GI (Colon/Rectum) Quiz 2

50 Questions | Total Attempts: 131

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Medical Quizzes & Trivia

GI quiz 2. 50 questions on your favorite subject :)


Questions and Answers
  • 1. 
    A rectal prolapse may be due to......
    • A. 

      Infection of the internal hemorrhoid

    • B. 

      Constipation and chronic straining with defecation

    • C. 

      Diverticulitis of the Sigmoid Colon

    • D. 

      Earthworms

    • E. 

      Pinworms

  • 2. 
    Defecography refers to....
    • A. 

      When a patient ingests a capsule that has radiopaque markers and has abdominal xrays that are taken over a series of 7 days.

    • B. 

      Evaluation of the nerve to the anal sphincter muscles

    • C. 

      The measurement of anal sphincter pressure

    • D. 

      Evaluation of anorectal function with a barium paste that is introduced into the rectum. The patient is then examined by fluoroscopy while defecating.

    • E. 

      An xray that smells like poop

  • 3. 
    Surgical procedures for rectal prolapse will only be considered for ......
    • A. 

      Fecal incontinence and incarceration

    • B. 

      Intense anal itching

    • C. 

      If the prolapse descends >7cm

    • D. 

      Restless sleep

    • E. 

      Pruritis Ani

  • 4. 
    Pruritus ani is an annoying itching sensation of anus and perianal region that is commonly caused by......
    • A. 

      Pilonidal cysts

    • B. 

      Rectal prolapse

    • C. 

      Trichuris trichiura

    • D. 

      Whipworms

    • E. 

      Pinworms

  • 5. 
    The "scotch tape" test is most useful in the diagnosis of what disease?
    • A. 

      Pilonidal cyst

    • B. 

      Rectal prolapse

    • C. 

      Whipworm

    • D. 

      Pruritus ani

    • E. 

      External hemorrhoid

  • 6. 
    When might a pilonidal cyst develop?
    • A. 

      When you sit in the bathtub for too long and your fingers get pruney

    • B. 

      When an external hemorrhoid goes untreated for >7 days

    • C. 

      When a dead hair is pushed into tiny abrasions in the skin

    • D. 

      Where there is fecal contamination

    • E. 

      Post pregnancy

  • 7. 
    Although adenomas are benign we must consider them premalignant. 
    • A. 

      True

    • B. 

      False

  • 8. 
    A child has a ________% chance of developing Familial Adenomatous Polyposis (FAP) if the parent is affected. 
    • A. 

      50%

    • B. 

      90%

    • C. 

      40%

    • D. 

      10%

    • E. 

      2%

  • 9. 
    The risk of malignancy has no relation to the size of the polyp. 
    • A. 

      True

    • B. 

      False

  • 10. 
    When might an "apple core lesion" be seen? 
    • A. 

      Adenoma

    • B. 

      Adenocarcinoma

    • C. 

      Adenopathy

    • D. 

      Adenovirus

    • E. 

      Appendicitis

  • 11. 
    The term "C1" of the Modified Duke staging system refers to: 
    • A. 

      Tumor penetrates into and through the muscularis propria of the bowel wall; there is pathologic evidence of colon cancer in the lymph nodes.

    • B. 

      The tumor which has spread beyond the confines of the lymph nodes (to organs such as liver, lung and bone).

    • C. 

      The tumor penetrates into the mucosa of the bowel wall but no further.

    • D. 

      Tumor penetrates into, but not through the muscularis propria of the bowel wall; there is pathologic evidence of colon cancer in the lymph nodes.

    • E. 

      The tumor penetrates the colon cancer

  • 12. 
    CEA that does not fall to normal 1 month after surgery suggests that the cancer is not completely resected. 
    • A. 

      True

    • B. 

      False

  • 13. 
    When should a person with moderately increased risk for colon cancer get their first colonoscopy? (aka a person with 1 first degree relative with colorectal cancer dx at age 60 or older)
    • A. 

      Colonoscopy every 10 years starting at age 40.

    • B. 

      Colonoscopy every 10 years starting at 50.

    • C. 

      Colonoscopy every 2 years starting at 50.

    • D. 

      Colonoscopy starting at age 40 or 10 years less than the youngest first degree relative.

    • E. 

      Colonoscopy every 20 years.

  • 14. 
    70% of colorectal cancer is found in the rectum. 
    • A. 

      True

    • B. 

      False

  • 15. 
    A patient presents with rectal bleeding, anemia, and abdominal pain. He claims that his stool diameter is decreasing and that he has rectal urgency on a daily basis. What could his diagnosis be? 
    • A. 

      Squamous cell carcinoma of the anus

    • B. 

      Adenocarcinoma of the rectum

    • C. 

      Familial Adenomatous Polyposis

    • D. 

      Ulcerative Colitis

    • E. 

      Rectal Prolapse

  • 16. 
    Which carcinoma is strongly related with HPV and is also characterized by dark blood stained stool? 
    • A. 

      Adenocarcinoma of the rectum

    • B. 

      Squamous Cell Carcinoma of the Anus

    • C. 

      Krukenberg Tumor

    • D. 

      Kaposi's Sarcoma

    • E. 

      Melanoma

  • 17. 
    Mesenteric Ischemia is usually due to: 
    • A. 

      Nonocclusive mesenteric ischemia

    • B. 

      Rectal abscess

    • C. 

      DVT

    • D. 

      SMA embolus

    • E. 

      SMA thrombosis

  • 18. 
    Patients most at risk for an SMA emboli include: 
    • A. 

      Acute pancreatitis, Choleolithiasis

    • B. 

      Post Diverticulosis, SBO

    • C. 

      CHF, Atrial Fibrillation, Recent MI

    • D. 

      UC and CD

    • E. 

      Recent appendectomy

  • 19. 
     Which vessel is NOT involved in Splanchnic Circulation?
    • A. 

      Portal Vein

    • B. 

      Celiac

    • C. 

      SMA

    • D. 

      IMA

    • E. 

      Abdominal Aorta

  • 20. 
    Splanchnic vasoconstriction is the cause of non-occlusive  mesenteric ischemia. 
    • A. 

      True

    • B. 

      False

  • 21. 
    What definition best describes a  SMA thrombosis? 
    • A. 

      When a thrombus, or clot, forms at the blockage point within a blood vessel and is not carried from elsewhere

    • B. 

      When there is diffuse splanchnic vasoconstriction secondary to an Acute MI

    • C. 

      When an embolism originates from a left atrial mural thrombus and causes a blockage elsewhere.

    • D. 

      When an embolism originates from a right atrial mural thrombus and causes a blockage elsewhere.

    • E. 

      Occurs in people with frequent miscarriages

  • 22. 
    Which symptom do patients usually express prior to acute mesenteric ischemia? 
    • A. 

      RUQ pain

    • B. 

      Pencil poop

    • C. 

      Intestinal angina

    • D. 

      Apple core lesion

    • E. 

      Rectal urgency

  • 23. 
    In which disease will you likely see a dilated small bowel and "thumb printing" on the abdominal xray? 
    • A. 

      Crohns Disease

    • B. 

      Acute Mesenteric Ischemia

    • C. 

      Adenocarcinoma of the rectum

    • D. 

      Appendicitis

    • E. 

      Diveritulitis

  • 24. 
    What diagnostic test confirms Acute Mesenteric Ischemia? 
    • A. 

      Doppler

    • B. 

      Abdominal X-ray

    • C. 

      US

    • D. 

      Mesenteric Angiography

    • E. 

      Mesenteric Duplex US

  • 25. 
    A Papaverine infusion into the SMA will be most beneficial in which diagnosis? 
    • A. 

      Cholangitis

    • B. 

      Ovarian Cyst

    • C. 

      Chronic Mesenteric Arterial Occlusion

    • D. 

      Rectal Adenocarcinoma

    • E. 

      Acute Mesenteric Ischemia

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