Small intestine post test

The following are extraintestinal manifestations of Crohn’s disease except:

• Nephrolithiasis

• Episcleritis

• Erythema Nodosum

• Splenomegaly

70/F was diagnosed with enterocutaneous fistula. Which characteristic of her fistula would likely inhibit spontaneous closure?

• Fistula tract 4cm long

• BMI 22

• Duodenal fistula

• Known diabetic on maintenance medications

What is the most common benign neoplasm of the small intestine?

(a)  

Carcinoid tumor of the small intestine originated from which type of cell?

• Epithelial cell

• Enterochromaffin cell

• Lymphocyte

• Interstitial cell of Cajal

Most common presentation of Meckel's Diverticulum in adults

• Bleeding

• Perforation

• Intractability

• Obstruction

A 25-year-old man comes in with high-output enterocutaneous fistula. Which of the following acid-base derangements is most likely present?

• Metabolic acidosis

• Metabolic alkalosis

•    Mixed respiratory and metabolic alkalosis

• Mixed respiratory and metabolic acidosis

What is the most common cause of acute mesenteric ischemia?

(a)  

Which vein is most commonly involved in mesenteric venous thrombosis?

• IVC

• SMV

• IMV

• PV

Which Stapfer classification describes ERCP perforation of the pancreatic or bile duct?

• Type 1

• Type 2

• Type 3

• Type 4

64/M post ERCP sphincterotomy presents with fever and abdominal pain 3 hours post procedure. BP 110/70 HR 103 Febrile at 38.2C nontachypneic. Abdomen was nondistended, soft, with minimal direct tenderness, RUQ. No rebound. CT scan was done revealing Stapfer type 2 classification with minimal air in the retroperitoneum. After fluid resuscitation and antipyretics, BP 110/70 HR 92 afebrile. No change in abdominal PE. What is your next plan of action?

• NPO, IV antibiotics, hydration

• NPO, IV antibiotics, hydration

• Diagnostic laparoscopy, drainage

• Exploratory laparotomy, primary repair