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Vraag gesteld door: irenawall2024 - 1 maand geleden

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Take a practice exam on the topic: gastrointestinal disorders
. The practice exam must be written at the level of the University. The practice exam must be written in the English language. Below are the answers. The number of questions that the practice exam must contain is unlimited.

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Practice Exam: Gastrointestinal Disorders

Instructions: Please read each question carefully and select the best answer from the options provided. Choose only one answer for each question. Good luck!

1. Which of the following is the most common cause of peptic ulcers?
a) Helicobacter pylori infection
b) Nonsteroidal anti-inflammatory drugs (NSAIDs)
c) Stress and anxiety
d) Excessive alcohol consumption

2. Which of the following is NOT a symptom commonly associated with gastroesophageal reflux disease (GERD)?
a) Heartburn
b) Regurgitation
c) Dysphagia
d) Abdominal pain

3. A patient presents with abdominal pain, diarrhea, and rectal bleeding. Which of the following conditions should be considered?
a) Crohn's disease
b) Irritable bowel syndrome (IBS)
c) Diverticulitis
d) Ulcerative colitis

4. What is the most appropriate initial diagnostic test for suspected celiac disease?
a) Upper endoscopy with biopsy
b) Stool examination for occult blood
c) Serologic testing for tissue transglutaminase antibodies (tTG-IgA)
d) Barium swallow study

5. A 45-year-old male complains of chronic constipation. Physical examination reveals dilated veins in the lower rectum and anus. What is the most likely diagnosis?
a) Hemorrhoids
b) Anal fissure
c) Diverticulosis
d) Colorectal cancer

6. Which of the following is a characteristic feature of acute pancreatitis?
a) Epigastric pain radiating to the back
b) Steatorrhea
c) Hematemesis
d) Weight gain

7. Which of the following is a common complication of chronic hepatitis C infection?
a) Cirrhosis
b) Gallstones
c) Acute pancreatitis
d) Peptic ulcer disease

8. A 60-year-old female presents with jaundice, abdominal pain, and weight loss. Imaging studies reveal a mass in the head of the pancreas. Which of the following is the most likely diagnosis?
a) Pancreatic cancer
b) Chronic pancreatitis
c) Gallstones
d) Acute cholecystitis

9. Which of the following medications is commonly used for the treatment of inflammatory bowel disease (IBD)?
a) Methotrexate
b) Metformin
c) Warfarin
d) Aspirin

10. A 55-year-old male presents with chronic diarrhea, weight loss, and abdominal cramps. Colonoscopy reveals skip lesions and cobblestone appearance. What is the most likely diagnosis?
a) Ulcerative colitis
b) Crohn's disease
c) Diverticulitis
d) Irritable bowel syndrome (IBS)

11. Which of the following is a risk factor for developing colorectal cancer?
a) Obesity
b) Regular exercise
c) High-fiber diet
d) Smoking cessation

12. Which of the following is the gold standard diagnostic test for diagnosing Helicobacter pylori infection?
a) Stool antigen test
b) Urea breath test
c) Serologic testing for antibodies
d) Upper endoscopy with biopsy

13. A 30-year-old female presents with recurrent episodes of abdominal pain, bloating, and diarrhea. Symptoms improve after defecation. What is the most likely diagnosis?
a) Irritable bowel syndrome (IBS)
b) Crohn's disease
c) Diverticulosis
d) Ulcerative colitis

14. Which of the following is NOT a common symptom of gallstones?
a) Jaundice
b) Right upper quadrant pain
c) Nausea and vomiting
d) Hematuria

15. A 50-year-old male presents with painless rectal bleeding and a change in bowel habits. Digital rectal examination reveals a palpable mass. What is the most likely diagnosis?
a) Colorectal cancer
b) Hemorrhoids
c) Anal fissure
d) Diverticulosis

16. Which of the following is a complication of untreated peptic ulcers?
a) Gastric outlet obstruction
b) Acute pancreatitis
c) Diverticulitis
d) Ulcerative colitis

17. A 35-year-old female presents with epigastric pain, nausea, and vomiting. Laboratory tests reveal elevated serum amylase and lipase levels. What is the most likely diagnosis?
a) Acute cholecystitis
b) Acute pancreatitis
c) Gastritis
d) Gastroesophageal reflux disease (GERD)

18. Which of the following is the treatment of choice for Helicobacter pylori infection?
a) Proton pump inhibitors (PPIs) and antibiotics
b) Nonsteroidal anti-inflammatory drugs (NSAIDs)
c) Antacids
d) H2 receptor antagonists

19. A 60-year-old male presents with chronic alcohol abuse and complains of abdominal pain, hepatomegaly, and ascites. Laboratory tests reveal an elevated serum bilirubin level. What is the most likely diagnosis?
a) Alcoholic hepatitis
b) Cirrhosis
c) Cholecystitis
d) Pancreatitis

20. Which of the following is a common symptom of lactose intolerance?
a) Diarrhea
b) Constipation
c) Abdominal distension
d) Weight gain

Answer Key:
1. a) Helicobacter pylori infection
2. d) Abdominal pain
3. d) Ulcerative colitis
4. c) Serologic testing for tissue transglutaminase antibodies (tTG-IgA)
5. a) Hemorrhoids
6. a) Epigastric pain radiating to the back
7. a) Cirrhosis
8. a) Pancreatic cancer
9. a) Methotrexate
10. b) Crohn's disease
11. a) Obesity
12. b) Urea breath test
13. a) Irritable bowel syndrome (IBS)
14. d) Hematuria
15. a) Colorectal cancer
16. a) Gastric outlet obstruction
17. b) Acute pancreatitis
18. a) Proton pump inhibitors (PPIs) and antibiotics
19. b) Cirrhosis
20. c) Abdominal distension

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