GI-stomach
Here ya go! Hope this helps ya study the stomach.
- 1.
Which part of the stomach projects upward, above the GE junction, dome-shaped area is in contact is in contact above with the left hemidiaphragm and to the left with the spleen?
- A.
Pylorus
- B.
Fundus
- C.
Antrum
- D.
Body
Correct Answer
B. Fundus -
- 2.
Which part of the stomach extends from its indistinct border with the body to the junction of the pylorus with the duodenum?
- A.
Pylorus
- B.
Fundus
- C.
Antrum
- D.
Body
Correct Answer
C. Antrum -
- 3.
Which part of the stomach is a muscular sphincter located in the gastroduodenal junction?
- A.
Body
- B.
Fundus
- C.
Antrum
- D.
Pylorus
Correct Answer
D. Pylorus -
- 4.
Which part of the stomach is the decontamination chamber where pathogens are destroyed in the caustic mixture of acid and pepsin?
- A.
Distal stomach
- B.
Proximal stomach
- C.
Dependent stomach
- D.
Premature stomach
Correct Answer
B. Proximal stomach -
- 5.
The distal stomach that is composed of the antrum and pylorus primarily:
- A.
Controls the rate of emptying into the duodenum
- B.
Grinds solids into small particles suitable for digestion
- C.
Exhibits phasic contractions
- D.
All of the above
Correct Answer
D. All of the above -
- 6.
What type of cells make up the cardia an antrum?
- A.
Chief, endocrine, parietal cells
- B.
Mucous, endocrine cells
- C.
Endocrine, chief, enterochromaffin cells
- D.
Mucous, chief, endocrine cells
Correct Answer
B. Mucous, endocrine cells -
- 7.
What type of cells make up the fundus and body?
- A.
Mucous & endocrine cells
- B.
Mucous, parietal, chief cells
- C.
Enterochromaffin, chief, mucous cells
- D.
Chief, parietal, mucous cells
- E.
Mucous, parietal, chief, endocrine, enterochromaffin cells
Correct Answer
E. Mucous, parietal, chief, endocrine, enterochromaffin cells -
- 8.
Which of the following describes mucous cells?
- A.
Secretes gastrin to control acid secretion and gastric motility
- B.
Secretes a bicarbonate-rich mucous that coats and lubricates the gastric surface
- C.
Synthesizes and secretes pepsinogen (activated by pepsin).
- D.
Secretes HCL, IF, activates pepsinogen and expresses receptors for histamine, gastrin, and acetylcholine.
Correct Answer
B. Secretes a bicarbonate-rich mucous that coats and lubricates the gastric surface -
- 9.
Which of the following describes endocrine cells?
- A.
Secretes gastrin to control acid secretion and gastric motility
- B.
Secretes a bicarbonate-rich mucous that coats and lubricates the gastric surface
- C.
Synthesizes and secretes pepsinogen (activated by pepsin).
- D.
Secretes HCL, IF, activates pepsinogen and expresses receptors for histamine, gastrin, and acetylcholine.
Correct Answer
A. Secretes gastrin to control acid secretion and gastric motility -
- 10.
Which of the following describes chief cells?
- A.
Secretes HCL, IF, activates pepsinogen and expresses receptors for histamine, gastrin, and acetylcholine.
- B.
Synthesizes and secretes pepsinogen (activated by pepsin).
- C.
Secretes a bicarbonate-rich mucous that coats and lubricates the gastric surface
- D.
Secretes gastrin to control acid secretion and gastric motility
Correct Answer
B. Synthesizes and secretes pepsinogen (activated by pepsin). -
- 11.
Which of the following describes parietal cells?
- A.
Secretes gastrin to control acid secretion and gastric motility
- B.
Secretes a bicarbonate-rich mucous that coats and lubricates the gastric surface
- C.
Synthesizes and secretes pepsinogen (activated by pepsin).
- D.
Secretes HCL, IF, activates pepsinogen and expresses receptors for histamine, gastrin, and acetylcholine.
Correct Answer
D. Secretes HCL, IF, activates pepsinogen and expresses receptors for histamine, gastrin, and acetylcholine. -
- 12.
Which phase of acid secretion has to do with sight, smell, and taste of food causes vagus nerve stimulation and secretion of HCL, pepsinogen, and intrinsic factor?
- A.
Gastric phase
- B.
Cephalic phase
- C.
Geriatric phase
- D.
Pylorus phase
Correct Answer
B. Cephalic phase -
- 13.
Which phase of acid secretion includes distention of the antrum by food stimulates release of gastrin that then activates the parietal cell?
- A.
Cephalic phase
- B.
Gastric phase
- C.
Pylorus phase
- D.
Geriatric phase
Correct Answer
B. Gastric phase -
- 14.
What is the gastric disorder that causes hypertrophy of the circular muscle of the pylorus, progressing to gastric obstruction?
- A.
Intermediate Hypotrophic Pyloric Stenosis
- B.
Intermediate Hypertrophic Pyloric Stenosis
- C.
Infantile hypertrophic pyloric Stenosis
- D.
Infantile hypotrophic pyloric stenosis
Correct Answer
C. Infantile hypertrophic pyloric Stenosis -
- 15.
True or false. IHPS affects 3/1000 births, usually first born, and requires a pyloromyotomy to rectify the situation.
- A.
True
- B.
False
Correct Answer
A. True -
- 16.
A 4 week old infant presents to your clinic dehydrated from projectile bile-free vomiting. The mother informs you that the child demands to be fed right after vomiting and is failing to thrive. Upon physical examination you see an "olive like" mass in the right upper quadrant with peristaltic waves across the upper abdomen. What is your diagnosis?
- A.
Gastroparesis
- B.
Infantile hypertrophic pyloric stenosis
- C.
Gastric scintigraphy
- D.
Bezoars
Correct Answer
B. Infantile hypertrophic pyloric stenosis -
- 17.
True or false. An abdominal ultrasound on a child with IHPS would show an indicative circular sign.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
There would be a "string sign" which indicates the elongated narrowed pyloric canal.Rate this question:
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- 18.
Nausea and vomiting are the most common signs & symptoms for stomach problems. What are the differential diagnoses that must be ruled out before solely focusing on the stomach?
- A.
Vestibular disorders
- B.
CNS disorders
- C.
Psychogenic causes
- D.
A & B
- E.
All of the above
Correct Answer
E. All of the above -
- 19.
True or false. mild and uncomplicated vomiting needs parenteral administration of antiemetics.
- A.
True
- B.
False
Correct Answer
B. False -
- 20.
True or false. Severe, intractable episodes, of vomiting can be treated with oral antiemetics and discharged.
- A.
True
- B.
False
Correct Answer
B. False -
- 21.
What is the disorder associated with delay in gastric emptying du to lack of coordination of the sympathetic and parasympathetic nervous system, neurons within the stomach and intestines, and smooth muscle cells of the gut?
- A.
Infantile hypertrophic pyloric stenosis
- B.
Gastric scintigraphy
- C.
Gastroparesis
- D.
Bezoars
Correct Answer
C. Gastroparesis -
- 22.
Which of the following is NOT a cause of gastroparesis?
- A.
Rheumatological diseases
- B.
Endocrine and metabolic disorders
- C.
Paraneoplastic disorders
- D.
Anemic disorders
- E.
Central nervous system disorders
Correct Answer
D. Anemic disorders -
- 23.
A pt presents with nausea, vomiting, early satiety, bloating, weight loss, and abdominal pain. Upon physical exam there is abdominal distention and tender with succession splash. What is your diagnosis?
- A.
IHPS
- B.
Bezoar
- C.
Gastroparesis
- D.
Gastroenteritis
Correct Answer
C. Gastroparesis -
- 24.
If a pt presents with gastroparesis, what diagnostic tests may you order to confirm your primary diagnosis?
- A.
Upper GI x-ray with bowel follow through
- B.
Upper endoscopy
- C.
Gastric scintigraphy
- D.
All of the above
- E.
None of the above
Correct Answer
D. All of the above -
- 25.
What is the diagnostic test that has the pt ingest a radiolabeled meal and then takes images over a 2 hour period?
- A.
Upper endoscopy
- B.
Upper GI x-ray with bowel follow through
- C.
Gastric scintigraphy
- D.
EGB
Correct Answer
C. Gastric scintigraphy -
- 26.
True or false. Treatment for gastroparesis should include hydration, nutrition, large meals, and high fiber foods.
- A.
True
- B.
False
Correct Answer
B. False -
- 27.
What is the function of prokinetic drugs?
- A.
Stomach emptying
- B.
Replenish the stomach lining
- C.
Stomach distention
- D.
Stomach volvulus
Correct Answer
A. Stomach emptying -
- 28.
Which of the following is NOT an example of a prokinetic drug?
- A.
Metoclopramide
- B.
Fentanyl
- C.
Erythromycin
- D.
Cisapride
Correct Answer
B. Fentanyl -
- 29.
What is it called when concentrations of ingested material form in the lumen of the stomach?
- A.
Gastroparesis
- B.
Bezoars
- C.
Bizarros
- D.
Gastrolysis
Correct Answer
B. Bezoars -
- 30.
There are different categories of bezoars. What is the term that is used to describe plant material types, that are often found in pts with gastroparesis?
- A.
Trichobezoars
- B.
Photobezoars
- C.
Phytobezoars
- D.
Algaebezoars
- E.
Verdebezoars
Correct Answer
C. Phytobezoars -
- 31.
There are different categories of bezoars. What is the term that is used to describe hair types, that is more common with young girls?
- A.
Peciabezoars
- B.
Trichobezoars
- C.
Phytobezoars
- D.
Photobezoars
- E.
None of the above
Correct Answer
B. Trichobezoars -
- 32.
True or false. Large bezoars are associated with abdominal pain and vomiting.
- A.
True
- B.
False
Correct Answer
A. True -
- 33.
What is one of the risk factors associated with bezoars?
- A.
May cause gastric outlet or intestinal obstruction
- B.
There are no risk factors
- C.
Hair may start to grow throughout the intestinal lining
- D.
Hairballs
Correct Answer
A. May cause gastric outlet or intestinal obstruction -
- 34.
True or false. Pressure from a bezoar is usually asymptomatic.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Pressure may cause a gastric ulcer/bleeding.Rate this question:
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- 35.
True or false. The associated death rate with bezoars is 40%.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
the associated death rate is 20%.Rate this question:
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- 36.
True or false. trichobezoars are potentially more complicated than phytobezoars because the phyto type may dissolve after a few days on a liquid diet.
- A.
True
- B.
False
Correct Answer
A. True -
- 37.
What is the treatment for a complicated bezoar?
- A.
EGD
- B.
Gastric scintigraphy
- C.
Upper GI ultrasound
- D.
Endoscopy
Correct Answer
D. EndoscopyExplanation
The other options are more diagnostic. endoscopy breaks up the material for treatment.Rate this question:
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- 38.
What is the term associated with indigestion with chronic or recurrent pain in the upper abdomen accompanied by early fullness when eating?
- A.
Gastroparesis
- B.
Trichobezoar
- C.
Dyspepsia
- D.
Dysmenorrhea
- E.
Dysplica
Correct Answer
C. Dyspepsia -
- 39.
Which of the following symptoms is NOT associated with dyspepsia?
- A.
Bloating
- B.
Belching
- C.
Dizziness
- D.
Nausea
- E.
Heartburn
Correct Answer
C. Dizziness -
- 40.
Which of the following is a possible etiology of dyspepsia?
- A.
Gastr-duodenal ulcer
- B.
GERD
- C.
Gastritis
- D.
Gastric cancer
- E.
All of the above
Correct Answer
E. All of the above -
- 41.
What is the term associated with inflammation of the gastric mucosa?
- A.
Mucitis
- B.
Gastroctitis
- C.
Gastritis
- D.
Dyspepsia
- E.
None of the above
Correct Answer
C. Gastritis -
- 42.
True or false. Gastritis can be broken down into 4 categories.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Gastritis has 3 categories. erosive, nonerosive, and specific type (with distinct histologic and endoscopic features associated with a disorder).Rate this question:
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- 43.
Which of the following is NOT a common cause of erosive gastritis?
- A.
NSAIDS
- B.
Opiates
- C.
Stress
- D.
Portal hypertension
- E.
Alcohol
Correct Answer
B. Opiates -
- 44.
True or false. Erosive gastritis is usually asymptomatic.
- A.
True
- B.
False
Correct Answer
A. True -
- 45.
What gastric pathology is usually manifested by an upper gastrointestinal bleed, anorexia, epigastric pain, nausea, and vomiting?
- A.
Gastroparesis
- B.
Phytobezoars
- C.
Trichobezoars
- D.
Erosive gastritis
- E.
GERD
Correct Answer
D. Erosive gastritis -
- 46.
True or false. NSAID gastritis deveops in <25% of pts.
- A.
True
- B.
False
Correct Answer
A. True -
- 47.
A pt comes into your clinic with persistent signs and symptoms of NSAID Gastritis. Their medication was lowered over a month ago to the lowest possible dose to reduce side effects. The pt was also placed on a PPI at that time. This txt was uneffective, so you order a diagnostic endoscopy. There are no signs of ulcerations on the endoscopy report. What is your next txt action?
- A.
Put pt on NSAID medication because they are not at risk for ulcerations
- B.
Treat pt symptomatically with an H2 blocker
- C.
Treat pt with sucralfate
- D.
Both A & B
- E.
Both B & C
Correct Answer
E. Both B & C -
- 48.
True or false. upper GI bleeds account for 20% of chronic GI bleeds in alcoholics.
- A.
True
- B.
False
Correct Answer
A. True -
- 49.
Which of the following is a reasonable txt option for a pt with alcohol gastritis?
- A.
H2 blockers
- B.
PPI for 2-4 weeks
- C.
Sucrlfate
- D.
A & B
- E.
All of the above
Correct Answer
E. All of the above -
- 50.
True or false. Gastritis can be caused by stress, develping subepithelial hemorrhage within 72 hours of a traumatic event or illness.
- A.
True
- B.
False
Correct Answer
A. True -
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Jan 07, 2013Quiz Edited by
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Oct 02, 2009Quiz Created by
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