GI Surgery

40 Questions | Total Attempts: 401

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Surgery Quizzes & Trivia

Esophagus, diaphragm, stomach, duodenum, small intestine


Questions and Answers
  • 1. 
    Strictures are considered functional abnormalities of the esophagus
    • A. 

      True

    • B. 

      False

  • 2. 
    Which of the following is the Gold standard for diagnosis of GERD
    • A. 

      Positron Emission Tomography (PET) scan

    • B. 

      24hr pH Monitoring

    • C. 

      Esophageal Manometry

    • D. 

      Esophageal Ultrasound

  • 3. 
    Which of the following is true about Achalasia?
    • A. 

      Affects women more often than men

    • B. 

      Causes heart burn due to reflux

    • C. 

      Regurgitation is the 2nd most common Sx

    • D. 

      B & C

  • 4. 
    Which of the following best describes treatment of Achlasia?
    • A. 

      Myotomy of esophagus

    • B. 

      Pneumatic dilatation

    • C. 

      Fundoplication of LES

    • D. 

      All of the above

    • E. 

      A & C

  • 5. 
    A patient presents with intermittent chest pain and dysphagia. You have a suspision they have diffuse esophageal spasm. Which of the following test would best confirm this?
    • A. 

      Barrium swallow

    • B. 

      Flouroscopic studies

    • C. 

      Manometry

    • D. 

      Endoscopic ultrasound

  • 6. 
    Which of the following  is true about Nutcracker Esophagus?
    • A. 

      Most common Sx is dysphagia

    • B. 

      Barium swallow shows esophageal torsion

    • C. 

      Treated with calcium channel blockers

    • D. 

      Surgery is the most effective treatment

    • E. 

      All of the above

  • 7. 
    45 y/o male presents with dysphagia and complains of frequent regurgitation of undigested food. Which of the following would you supsect about the patient?They have..
    • A. 

      Halitosis

    • B. 

      Epiphrenic diverticulum

    • C. 

      Zenker's diverticulum

    • D. 

      A & C

    • E. 

      A & B

  • 8. 
    A patient presents with a suspected Zenker's diverticulum, which of the following would be the best steps to take when treating this patient?
    • A. 

      Endoscopy to confirm diagnosis

    • B. 

      Excision of the diverticulum

    • C. 

      Fundoplication of cricopharyngeus

    • D. 

      All of the above

  • 9. 
    Patients with Epiphrenic diverticulum always present with dysphagia of solids then foods.
    • A. 

      True

    • B. 

      False

  • 10. 
    Which of the following are true concerning GERD?
    • A. 

      May lead to esophagitis

    • B. 

      Sx include wheezing

    • C. 

      Typical Sx include chest pain

    • D. 

      All of the above

  • 11. 
    A patient presents with Barret's esophagus. Before reading their chart, which of the following assumptions might you make?
    • A. 

      They had a long history of GERD

    • B. 

      They are at risk for adenocarcinoma

    • C. 

      They may require esophagectomy

    • D. 

      All of the above

  • 12. 
    A patient presents with epigastric discomfort that recently started. During the ROS you discover they have postprandial bloating  and dysphagia. What else may you expect from this case?
    • A. 

      Labs may reveal anemia

    • B. 

      Include Hiatal hernia in Ddx

    • C. 

      Fundoplication may be needed

    • D. 

      All of the above

    • E. 

      A & B

  • 13. 
    Which of the following is true about esophageal tumors?
    • A. 

      Adenocarcinoma often affects proximal esophagus

    • B. 

      Leiomyomas are the most common carcinoma

    • C. 

      Benign tumors become symptomatic at 5 cm

    • D. 

      Papillomas ruled out based on radiographic appearance

  • 14. 
    Laser therapy is used to treat which of the following?
    • A. 

      Barret's Esophagus

    • B. 

      Esophageal carcinoma

    • C. 

      Esophagitis

    • D. 

      Perforation of Esophagus

  • 15. 
    Most esophageal perforations are spontaneous and due to an increase in intraluminal pressure
    • A. 

      True

    • B. 

      False

  • 16. 
    Which of the following symptoms are not associated with esophageal perforation
    • A. 

      Hamman's sign

    • B. 

      Hypertension

    • C. 

      Tachycardia

    • D. 

      Pneumothorax

  • 17. 
    If a patient presents with esophageal perforation they should be given broad spectrum antibiotics IV  for 48 hours followed by surgical closure
    • A. 

      True

    • B. 

      False

  • 18. 
    Which of the following is true about ingested foreign bodies?
    • A. 

      Large coins usually lodge below cricopharyngeus

    • B. 

      Cocaine packets should be located endoscopically

    • C. 

      Button batteries should be removed urgently

    • D. 

      All of the above

  • 19. 
    Bochdalek hernias are congenital hernias located on the right side of the diaphragm
    • A. 

      True

    • B. 

      False

  • 20. 
    Which of the following best describes peptic ulcers?
    • A. 

      Occurs in esophagus, jejunum and duodenum

    • B. 

      Affects females 3x as often as males

    • C. 

      Maybe be mistaken for pancreatitis and GERD

    • D. 

      All of the above

    • E. 

      A & C

  • 21. 
    Dumping syndrome and alkaline gastritis associated with treatment of which of the following conditions?
    • A. 

      Gastric Ulcer

    • B. 

      Gastric Volvulus

    • C. 

      Duodenal Ulcer

    • D. 

      Zollinger Ellison syndrome

  • 22. 
    Which of the following should be considered when treating a patient with possible Zollinger Ellison syndrome?
    • A. 

      Tx with H2 Blockers is usually sufficient

    • B. 

      Surgical resection is the preferred treatment

    • C. 

      Presence of steatorrhea will r/o Zollinger Ellison

    • D. 

      All of the above

  • 23. 
    Which of the following is true concerning gastric ulcer
    • A. 

      Labs reveal hypergastrinemia with acid hypersecretion

    • B. 

      Type III is usually located close to the pylorus

    • C. 

      Are benign when duodenal ulcers are present

    • D. 

      Preferred treatment includes Surgery and NSAIDS

  • 24. 
    Which of the following is not a step in the initial management of Upper Gastrointestinal Hemorrhage?
    • A. 

      Find responsible lesion

    • B. 

      Ice water lavage to stop bleeding

    • C. 

      Beta Blockers for Portal Hypertension

    • D. 

      Assess ciculatory status

  • 25. 
    When treating a perforated ulcer it is important to
    • A. 

      Delay surgery so that antibiotics can take effect

    • B. 

      Be alert for Borchdardt's triad

    • C. 

      Rule out pancreatitis and cholecystitis

    • D. 

      All of the above

    • E. 

      B & C