SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
USMLE GI
Start Test
Study First
Subjects
:
health-sciences
,
usmle
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. telescoping of 1 bowel segment into distal segment which can compromise blood supply - abdominal emergency in early childhood
Budd chiari syndrome
Intussusception
Esophageal cancer
Failure of the processus vagainlis to close
2. Where is folate absorbed
The jejunum
Failure of the processus vagainlis to close
Dysphagia (due to esophageal web) - glossitis - iron def anemia
Liver metabolizes 5HT
3. What kind of salivary gland tumor is painless - moveable mass - bening with high rate of recurrence - most common salivary gland tumor
Pleomorphic adenoma
IgA receives protective secretory component and is then transported across the epithelium to gut lumen
Source - S cells (duod) - action - inc pancreatic bicarb secretion - dec gastric acid secretin - inc bile secretion - regulation - inc by acid - fatty acids in lumen of duod
Left and right gastroepiploics - left and right gastrics
4. alcoholic liver disease that requires sustained - long term consumption - with swollen and necrotic hepatocytes with neutrophilic infiltration
HBV - HCV - wilsons dz - hemochromatosis - alpha1- antitrypsin def - alcoholic cirrhosis
Alcoholic hepatitis
Volvulus
Gardner's syndrome
5. mildly dec UDPGT or dec bilirubin uptake - asymptomatic - elevated uncong bili without over hemolysis
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
6. What kind of digestion is bile needed for
T cell lymphoma
Terminal ileum and colon
Triglycerides and micelle formation - required for absorption of of non polar nutrients in small intestine
Esophageal varices
7. Which area of the hindgut is a watershed area
Splenic flexure
Acute pancreatitis
H pylori (almost 100%)
Turcot
8. congenital megacolon characterized by lack of ganglion/enteric nervous plexuses in segment on intestinal biopsy
Hirschsprungs
Phenobarbital - inc liver enzyme synthesis
Older patients
Primarly through ECL leading to histamine release
9. in carcinoid tumors - What is seen on EM
Intussusception
Dense core bodies
Alcoholic cirrhosis
Bleeding - penetration into pancreas - perforation - obstruction
10. What layer in the mucosa is responsible for absorption
Lipase - phospholipase A - colipase
Epithelium
M3 - Gq - inc IP3/Ca
Crohns = noncaseating granulomas - UC = crypt abscesses
11. What receptors does gastrin bind on the parietal cell and What does it activate
Via the superior pancreaticduodenal
CCK8 receptor - Gq inc IP3/Ca
The proximal small bowel
Juvenille polyps - no risk if single
12. What separates the right greater and lesser sacs
Celiac sprue
Gastric glands
Gastrohepatic ligament
Gamma glutamyl transferase GGT
13. How are all 3 monosaccharides transported to the blood
Skip lesions =crohns - colon = UC
Hepatomegaly - ascitis - abdominal pain - varices - visible abdominal and back veins - absence of JVD
GLUT 2
Initial diffuse periumbilical pain localizing to mcburney's point with nausea - fever - possible perforation leading to peritonitis
14. If the hemochromatosis is primary - What is the pattern of inheritance
CEA - CA-19-9
AR
Closer to isotonic because of less time to reabsorb NaCl
Left and right gastroepiploics - left and right gastrics
15. What carcinogens are associated with HCC
Crohns = maybe - UC= always
IgA secreting plasma cells - ultimately reside in the lamina proporia
Alfatoxin in peanuts
Mallory bodies
16. What are the foregut structures and what supplies their blood and PANS innvervation
Stomach to proximal duodenum - liver - gall bladder - pancreas and spleen - celiac - vagus
Dilated esophagus with an area of distal stenosis - birds beak
Lamina propora and submucosa
Necrotizing enterocolitis
17. What histological findings are present in the stomach
Pruritis - jaundice - dark urine - light stools - hepatosplenomegaly
Curling's ulcer - dec plasma volume and sloughing of gastric mucosa
Gastric glands
Cystic dilation of the viteline duct
18. What is contained within the muscularis externa
Myenteric nerve plexus - aurbach
Sphincter of oddi
Copious diarrhea - non alpha - non beta cell pancreatic tumor
Chronic constipation early in life with dilated portion of the colon proximal to the aganglionic segment resulting in a transition zone - involves rectum - usually a failure to pass meconium
19. What is the ddx associated with appendicitis
Cholesterol
Diverticulitis in elderly - ectopic pregs use hCG to rule out
Stimulate the H/K ATPase
Gallbladder
20. What does extrahepatic biliary obstruction cause
IBD - Strep bovis bacteremia - tobacco - large villous adenomas - juvenille polyposis syndrome - peutz jehgers syndrome
Gamma glutamyl transferase GGT
Inc conj bilirubin - inc cholesterol - inc alk phos
Inc pressure in the intrahepatic ducts leading to injury/fibrosis and bile stasis
21. What do tumors that arise in the head of the pancreas cause
Elevated amylase - and lipase
Bleeding - intussusception - volvulus - obstruction near terminal ileum
Amylase
Obstruction of the common bile duct
22. What nerve innervates the external hemorrhoids
Sympathetic (T1- T3 superior cervical ganglion) and parasympathetic (facial and glossopharyngeal nerve)
SGLT1 (Na dependent) glucose - galactose - GLUT 5 fructose (facilitated diffusion)
Striated
Inferior rectal nerve
23. What structures feed into the cystic duct
Menetriers disease
Inc - weight loss
Gallbladder
Hyperpigmented mouth - lips - hands - genitalia
24. With esophageal varices - between What two vessels is the portosystemic anastomoses and Where is it
Northern european - Abs to gliadin and tissue transglutaminase - blunted villi - lymphcytes in the lamina proporia
Left gastric vein and esophogeal vein - esophagus
Viral - adenovirus in kids - rare in adults but associated with intraluminal mass or tumor
External spermatic fascia only
25. which pancreatic enzyme - secreted in its active form - is responsible for starch digestion
Trypsin - chymotrypsin - elastase - carboxypeptidases
Alpha amylase
External spermatic fascia only
Immature UDP- glucuronyl transferase to unconjugated hyperbilirubinemia - jaundice kernicuterus
26. What is charcot triad of cholangitis
Alternating strictures and dilation with beading of intra and extrahepatic bile ducts on ERCP
Boerhaave's Syndrome - Been heaving syndrome
Jaundice - fever - RUQ
Copious diarrhea - non alpha - non beta cell pancreatic tumor
27. Where is the deep inguinal ring relative to the inferior epigastric vessels
Migratory polyarthritis - erythema nodusum - anklyosing spondylitis - uveitis - immunologic disorders
Lateral
Hepatomegaly - ascitis - abdominal pain - varices - visible abdominal and back veins - absence of JVD
Esophageal varices
28. alcoholic liver disease with short term change and moderate EtOH intake - macrovesicular fatty change that may be reversible
Zollinger Ellison - phenylalanine and tryptophan
Hepatic steatosis
Hypotonic because of more time to reabsorb NaCl
Crypts but not villi
29. What are the effects of atropine on parietal cells and G cells
Inhibits parietal cells because of ACH is NT - while GRP works at the G cells
Hepatic steatosis
Chronic calcifying pancreatitis - inc risk of panreatic cancer
Causes of gall stones
30. What causes carcinoid syndrome amd What are the symptoms
5HT - wheezing - right sided heart murmurs - diarrhea - flushing -
The proximal small bowel
Above
IgA secreting plasma cells - ultimately reside in the lamina proporia
31. What are the histological findings in the duodenum
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
32. How do burns cause acute gastritis and What is it called
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
33. Where on the stomach does the gastrohepatic ligament attach to - What does it contain - and How is used in surgery
Brunners
Inc pressure in the intrahepatic ducts leading to injury/fibrosis and bile stasis
Meconium ileus
Lesser curvature - gastric arteries - cut in surgery to access lesser sac
34. In PUD with a duodenal ulcer does pain inc or dec with meals
Decrease - weight gain
Stomach cancer (usually adenocarcinoma) - early aggressive spread - node/liver mets - associated with nitrosamines (smoked foods) - achlorhydria - chronic gastritis - type A blood
VZV and influenza B treated with salicylates
Distal 1/3 of transverse colon to supper portion of rectum - IMA - and PANS
35. Who gets gastric ulcers
The proximal small bowel
Brush border of intestine - produce monosaccharides from oligo and di
Older patients
IBD - Strep bovis bacteremia - tobacco - large villous adenomas - juvenille polyposis syndrome - peutz jehgers syndrome
36. What percentage of gall stones are cholesterol stones and What are the associations
>3mm nodules - significant liver injury leading to hepatic necrosis - postinfectious - drug induced hepatitis with inc risk of HCC
Crohns - CF - advanced age - clofibrate - estrogens - multiparity - rapid weight loss - Native American origin
Averages 6 months - very aggressive - usually already metastasized at presentation
Sympathetic (T1- T3 superior cervical ganglion) and parasympathetic (facial and glossopharyngeal nerve)
37. How is bilirubin carried in the blood
Neutralizes gastric acid allowing pancreatic enzymes to fxn
Jewish and African American men
Phenobarbital - inc liver enzyme synthesis
With albumin
38. What is the presenting course for appendicity
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
39. What are motilin receptor agonists used for clinically
Stimulate intestinal persistalsis
Liver - brain - cornea - kidneys - joints - Asterixis - Basal ganglia degeneration - dec Ceruloplasmin - Cirrhosis - Corneal deposits - Copper accumulation - Carcinoma (HCC) - Choreiform movements - Dementia
Elevated amylase - and lipase
Small intestine
40. inadequate hepatic liver copper excretion and failure of copper to enter circulation as ceruloplasmin
Worldwide - SC - US - adeno
Zenkers - halitosis - dysphagia and obstruction
Parietal cells in the stomach - decrease pH - inc by histamine - ACH - gastrin - dec by somatostatin - GIP - prostaglandin - secretin
...
41. signet ring cells - acanthosis nigracans - dz - character/association - spread
Right and left hepatic duct
Stimulate the H/K ATPase
Stomach cancer (usually adenocarcinoma) - early aggressive spread - node/liver mets - associated with nitrosamines (smoked foods) - achlorhydria - chronic gastritis - type A blood
Decreased intercellular adhesion and increased proliferation
42. What does a low flow rate mean for saliva
<3mm nodules - metabolic - etoh - hemochromatosis - wilsons
Gardner's syndrome
Hypotonic because of more time to reabsorb NaCl
2 inches long - 2 feet from ileocecal valve - 2% of pop - first 2 years of life - 2 types of epithelia
43. What is the arterial supply and venous drainage below pectinate line
Inferior rectal artery - inferior rectal vein to pudendal vein to internal iliac vein to IVC
Barrett's esophagus
The submucosal nerve plexus - meissner's
Pancreatic insuff - steatorrhea - fat soluble vitamin def - DM
44. Where is B12 absorbed
In the ileum with bile acids - requires IF
The gastroduodenal
Lipase
The proximal small bowel
45. What do mucins do?
Esophageal varices
Inguninal ligament - sartorius muscle - adductor longus
Lubricate food (glycoprotiens)
Zollinger Ellison - phenylalanine and tryptophan
46. AD syndrome featuring multiple nonmalignant hamartomas throughout GI tract
AR
Brunners
The proximal small bowel
Peutz jeghers
47. Where does copper accumulate in Wilsons and What are ABCD
Liver - brain - cornea - kidneys - joints - Asterixis - Basal ganglia degeneration - dec Ceruloplasmin - Cirrhosis - Corneal deposits - Copper accumulation - Carcinoma (HCC) - Choreiform movements - Dementia
Worldwide - SC - US - adeno
Hyperplastic
3 waves/min
48. In what scenarios do pts with gilberts have inc bili
Fasting and stress
CF - obstructing cancer - chronic pancreatitis - causes malabsorption of fat and fat soluble vitamins (ADEK)
Immature UDP- glucuronyl transferase to unconjugated hyperbilirubinemia - jaundice kernicuterus
Old men - arthralgias - cardiac and neuro sx
49. What kind of pancreatitis is associated with EtOH and smoking
Inguninal ligament - sartorius muscle - adductor longus
Chronic calcifying pancreatitis - inc risk of panreatic cancer
True and most common congenital anomoly of GI tract
The gastroduodenal
50. What color is the liver in dubin johnson - and what similar syndrome doesn't have gross color changes in the liver
12 waves/min
Black - rotors syndrome
Alcohol/Achalasia - Barretts - Cigarettes - Diverticuli (Zenkers) Esophageal web/Esophagitis - Familial
The entire
Sorry!:) No result found.
Can you answer 50 questions in 15 minutes?
Let me suggest you:
Browse all subjects
Browse all tests
Most popular tests
Major Subjects
Tests & Exams
AP
CLEP
DSST
GRE
SAT
GMAT
Certifications
CISSP go to https://www.isc2.org/
PMP
ITIL
RHCE
MCTS
More...
IT Skills
Android Programming
Data Modeling
Objective C Programming
Basic Python Programming
Adobe Illustrator
More...
Business Skills
Advertising Techniques
Business Accounting Basics
Business Strategy
Human Resource Management
Marketing Basics
More...
Soft Skills
Body Language
People Skills
Public Speaking
Persuasion
Job Hunting And Resumes
More...
Vocabulary
GRE Vocab
SAT Vocab
TOEFL Essential Vocab
Basic English Words For All
Global Words You Should Know
Business English
More...
Languages
AP German Vocab
AP Latin Vocab
SAT Subject Test: French
Italian Survival
Norwegian Survival
More...
Engineering
Audio Engineering
Computer Science Engineering
Aerospace Engineering
Chemical Engineering
Structural Engineering
More...
Health Sciences
Basic Nursing Skills
Health Science Language Fundamentals
Veterinary Technology Medical Language
Cardiology
Clinical Surgery
More...
English
Grammar Fundamentals
Literary And Rhetorical Vocab
Elements Of Style Vocab
Introduction To English Major
Complete Advanced Sentences
Literature
Homonyms
More...
Math
Algebra Formulas
Basic Arithmetic: Measurements
Metric Conversions
Geometric Properties
Important Math Facts
Number Sense Vocab
Business Math
More...
Other Major Subjects
Science
Economics
History
Law
Performing-arts
Cooking
Logic & Reasoning
Trivia
Browse all subjects
Browse all tests
Most popular tests