Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Welcome to episode 31of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. This week we will be covering 10 topic specific Gastroenterologyboard review questions. Gastroenterology and Nutrition accounts for 10% of your PANCE/PANRE board exam. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutritionreview includes over 149 GI/Nutrition specific questions andis available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here,oniTunesor StitcherRadio. You can listen to the latest episode, take an interactive quizand download your results below. Listen Carefully Then Take The Quiz If you can't see the audio player click here to listen to the full episode. GastroenterologyPANCE and PANREPodcast Quiz The Audio PANCE and PANRE Gastroenterology Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed The Audio PANCE and PANRE Gastroenterology. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1Which of the following is a common physical examination finding in early intestinal obstruction?Ahigh feverHint: Fever and rebound tenderness occur only if a perforation has occurred.Bprofuse flatulenceHint: Profuse flatulence is not noted in early intestinal obstructionCrebound tendernessHint: See A for explanation.Dhyperactive, high-pitched bowel soundsQuestion 1 Explanation: Abdominal distention and high-pitched, hyperactive bowel sounds are common in early intestinal obstruction.Question 2Which of the following studies is most appropriate to diagnose celiac disease?AUrinary D-xylose testHint: Urinary D-xylose test assesses the proximal small intestinal mucosa's absorption of carbohydrates but is not specific to celiac disease.BSmall bowel biopsyCBarium contrast x-rayHint: Barium contrast examination would reveal anatomic abnormalities or blind loop syndrome that may lead to malabsorption but it would not help in the diagnosis of celiac disease.DSchilling testHint: The S chilling test is used to determine the cause of cobalamin malabsorption from pernicious anemia, chronic pancreatitis, achlorhydria and bacterial overgrowth syndrome but has no role in the diagnosis of celiac disease.Question 2 Explanation: Definitive diagnosis of celiac disease is made by small bowel biopsy.Question 3Which of the following tumor markers is useful in monitoring a patient for recurrence of colorectal cancer after surgical resection?ACA-125Hint: CA-125 tumor marker is useful as a tumor marker in ovarian cancerBCarcinoembryonic antigenC5-hydroxyindoleacetic acidHint: 5-hydroxindoleacetic acid is used as a tumor marker in carcinoid syndrome.DAlpha-1-fetoproteinHint: Hepatocellular and testicular cancer can be followed by the use of alpha-1-fetoprotein as a tumor marker.Question 3 Explanation: Carcinoembryonic antigen can be used to monitor a patient for the return of colorectal cancer after treatment.Question 4A patient develops abdominal cramps and watery diarrhea 10 to 12 hours after eating a plate of unrefrigerated meat and vegetables. The patient denies vomiting. The causative agent is most likelyAStaphylococcus aureusHint: Staphylococcus aureus has an incubation period of 1 to 6 hours and also characteristically has vomiting associated with it.BClostridium perfringensCEscherichia coliHint: E. Coli is a frequent cause of traveler's diarrhea. The incubation period for Escherichia coli is greater than 16 hours.DSalmonellaHint: Salmonella is the cause of typhoid fever. Diarrhea will often be from poultry or pork or following raw egg ingestion. The incubation period is usually 8 to 14 daysQuestion 4 Explanation: Food poisoning caused by Clostridium perfringens has an incubation period of 8 to 14 hours and results from poorly refrigerated cooked meat.Question 5The most common initial presenting symptom of primary biliary cirrhosis isAjaundiceHint: Jaundice, palmar erythema and xanthomas appear late in the disease.Bpalmar erythemaHint: See A for explanation.CpruritusDxanthomasHint: See A for explanation.Question 5 Explanation: Pruritus is the most common initial symptom in primary biliary cirrhosis due to the accumulation of bile salts.Question 6Initial pharmacologic treatment of acute hepatic encephalopathy consists ofAlactuloseBomega-3-fatty acidsHint: Omega-3-fatty acids have no role in the treatment of hepatic encephalopathy.CneomycinHint: Neomycin, like lactulose, will decrease ammonia production by intestinal bacteria and may have a role in chronic but not acute management of hepatic encephalopathy.DmannitolHint: Mannitol is used as an osmotic diureticQuestion 6 Explanation: Lactulose acts as an osmotic laxative decreasing ammonia abso rption and decreases ammonia production by directly affecting bacterial metabolism.Question 7Congenital absence of ganglionic nerve cells innervating the bowel wall is seen in which of the following conditions?AHirschsprung's diseaseBMeckel's diverticulumHint: Meckel's diverticulum results from the failure of the vitelline duct to separate from the intestine during early gestation leading to an outpouching in the intestinal tract.CChagas diseaseHint: Chagas disease results from infection with the Trypanosoma parasite. Chronic Chagas disease may lead to the loss of dorsal motor nuclear cells of the vagus nerve, resulting in megaesophagus and megacolon.DHashimoto's hypothyroidismHint: Ineffective peristalsis of the colon from hypothyroidism may result in constipation but not Hirschsprung diseaseQuestion 7 Explanation: Hirschsprung disease, also termed congenital aganglionic megacolon, results from a lack of ganglion cells in the bowel wall.Question 8A middle-aged patient is being trea ted for recurrent diarrhea and peptic ulcer disease that is refractory to adequate standard therapy. Which of the following is the most likely diagnosis?AAchlorhydriaHint: The clinical picture of diarrhea with peptic ulcer disease refractory to adequate standard therapy is consistent with gastric acid hypersecretion, not achlorhydria.BDrug resistant H. pylori infectionHint: Drug resistant infection from H. pylori has not been reported and would not explain the associated diarrhea.CZollinger-Ellison syndromeDGiardiasisHint: Giardiasis causes acute diarrhea but is not associated with peptic ulcer disease.Question 8 Explanation: Zollinger-Ellison syndrome is the result of unregulated release of gastrin resulting in gastric acid hypersecretion. Up to 50% of patients complain of diarrhea along with peptic ulcer disease.Question 9Which of the following is suggestive of thiamine deficiency?AAtaxiaBBleedingHint: A deficiency of Vitamin K would result in bleeding and an elevated prothrombin time.CCheilosisHint: Cheilosis, mucocutaneous lesions at the corners of the mouth, is the result of riboflavin deficiency.DDiarrheaHint: A deficiency of niacin will result in diarrhea, dementia, and dermatitis.Question 9 Explanation: Ataxia, mental deficits, horizontal nystagmus, muscle weakness and atrophy, and cardiomegaly are all clinical findings in thiamine deficiency.Question 10Which of the following would be consistent for a person who has a successful response to the hepatitis B immunization series?AHBsAg positive; anti-HBc positive; anti-HBs negativeHint: A positive HBsAg and positive anti-HBc with a negative anti-HBs would indicate either acute infection or chronic hepatitis B infection.BHBsAg negative; anti-HBc positive; anti-HBs positiveHint: A negative HBsAg with a positive anti-HBc and a positive anti-HBs would indicate a previous infection of hepatitis B.CHBsAg negative; anti-HBc negative; anti-HBs positiveDHBsAg negative; anti-HBc negative; anti-HBs negativeHint: A p erson with a negative HBsAg, anti-HBc and anti-HBs is nonimmune and has never received the hepatitis B immunization series.Question 10 Explanation: A person immunized against hepatitis B would have a positive anti-HBs with negative HBsAg and negative anti-HBc. Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 10 questions to complete. List Return Shaded items are complete. 12345678910End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy. I will bereleasing new episodes every few weeks. The Academy isdiscounted, so sign up now. Resources and Show Notes: My list of recommended PANCE and PANRE review books Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher document.createElement('audio'); http://traffic.libsyn.com/pasquini/Gastroenterology_1_The_Audio_PANCE_and_PANRE_Podcast_Topic_Specific_Review_Episode_31.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE B oard Review Podcast Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizE pisode 51: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Welcome to episode 27of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Over the next few episodes I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA []Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Welcome to episode 39of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content []Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Welcome to episode 29of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Over the next few episodes, I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA []