Gastrointestinal Surgery Test: Quiz!

40 Questions | By Azarour | Updated: Mar 22, 2022 | Attempts: 1666

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Gastrointestinal Surgery Test: Quiz! - Quiz

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 the treatment of Achalasia?
- 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 suspicion they have a 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 suspect 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 than 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 the 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