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GI 3 review

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Which of these is most likely to cause increased fat in the stool?

a)

Issues with absorption of monoglycerides

b)

Issues with gastrin production

c)

Issues with bile

2.

You pass a stomach tube on a colicky horse and get 6 liters of fluid off (reflux). You are immediately suspicious of a

a)

Esophageal obstruction

b)

Upper GI obstruction

c)

Lower GI obstruction

3.

Which of the following conditions is most likely to stimulate the production of gastrin?

a)

Elevated peptides in the stomach

b)

Elevated free fatty acids in the duodenum

c)

Elevated glucose in the jejunum

4.

Which best explains would happen without CCK?

a)

Limited digestion of sugars

b)

Limited digestion of fats

c)

Limited digestion of proteins

d)

Limited digestion

5.

The potbellied pig vomits what looks like coffee grounds. You ask about which of the following to confirm your diagnosis?

a)

Do they feed the pig coffee?

b)

Does the pig root in the garden?

c)

Is the pig on any medications?

6.

What is reflux?

a)

Obstructed vomit

b)

Retrograde regurgitation

c)

Internal diarrhea

7.

You diagnose a gastrinoma in the ferret. This tumor is "functional" and secreting lots of gastrin. What clinical signs would likely be associated with it?

a)

Abdominal pain and melena

b)

Greasy white stool

c)

Frequent bilious vomiting

d)

No GI signs

8.

NSAIDs can also cause ulcerative colitis (ulcers in the colon) in horses. Which drug might work on ulcers in this area?

a)

Famotidine

b)

Omeprazole

c)

Sucralfate

9.

The first lactation heifer (cow that just had her first baby) is anemic and has melena. Which would be most consistent with your diagnosis?

a)

Abomasal ulcers

b)

Colon inflammation from parasites

c)

Rectal trauma from palpation for breeding

10.

Famotidine helps treat gastric ulcers by

a)

Binding acid directly

b)

Binding histamine receptors

c)

Inhibiting the proton pump

d)

Creating a gel like coating over the surface

11.

An animal has been vomiting frequently for the last day. You expect its blood (body) chloride levels to be

a)

Low

b)

Normal

c)

High

12.

Secretin stimulates production or release of which of the following?

a)

Pancreatic enzymes

b)

Pancreatic bicarbonate

c)

Gastrin

d)

CCK

13.

Squamous cell carcinoma can erode the esophageal lining and cause bleeding. Which set would be consistent with the diagnosis?

a)

Coffee ground vomitus and hematochezia (fresh blood in the stool)

b)

Fresh blood in the vomit and hematochezia

c)

Fresh blood in the vomit and melena

14.

You identify gastroesophageal reflux disease (stomach contents are moving up into the esophagus). Which enzyme is most likely to be found in the esophagus?

a)

Carboxypeptidase

b)

Chymotrypsin

c)

Pepsin

15.

The large amount of reflux or vomit caused by a jejunal obstruction is because the SI is the primary site for

a)

fluid absorption

b)

digestive secretions

c)

both fluid absorption and digestive secretions

16.

Where in the GI tract is most of the water absorbed?

a)

Stomach

b)

Small intestine

c)

Cecum

d)

Large intestine

17.

Which condition will produce more reflux or more vomit?

a)

Upper GI lesion (stomach, SI)

b)

Lower GI lesion (LI)

c)

No difference

18.

Which statement explains the importance of the villus structure in the small intestine?

a)

The limited distance to capillaries enhances absorption

b)

The large number of enzymes produced enhances digestion

c)

The fluid secreting crypt cells help lubricate food

19.

Reflux or vomiting primarily indicates

a)

SI surgical lesion

b)

Upper GI lesion

20.

If a cow has an abomasal obstruction, where does the "vomit" go?

a)

rumen

b)

SI

c)

on the ground