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WorksheetsPatho 1 of GI block 2
Total questions: 29
Worksheet time: 16mins
Which of the following is not a disaccharide?
galactose
maltose
sucrose
dextrose
Pancreatic amylases break oligosaccharides into all of the following except:
lactose
maltose
sucrose
fructose
In the presence of HCL, ______ breaks proteins down to peptones in the stomach.
amylase
pepsin
trypsin
chymotrypsin
Malabsorption due to impaired intraluminal digestion is caused by what?
lymphoma
pancreatic insufficiency
celiac sprue
lactose intolerance
Which of the following pancreatic cells secrete bicarbonate?
alpha cells
duct cells
acinar cells
beta cells
A pt presenting with bulky, oily stools suggest what malabsorption?
fat malabsorption
carbohydrate malabsorption
protein malabsorption
Celiac sprue/disease is inflammation of the lining of the small intestine due to ______ intolerance
shellfish
lactose
gluten
peanut
Which of the following is an incorrectly matched pancreatic enzyme?
trypsin (protease) - to digest proteins
lipase - to digest fat/lipids
amylase - to digest carbs
trypsin (protease) - to digest potato tryps
True or False: Steatorrhea and weight gain are the most common signs of fat maldigestion.
True
False
Diagnosis of lactase deficiency is confirmed by detecting a high level of ______ gas after giving lactose.
helium
hydrogen
carbon dioxide
ammonia
_______ are formed in the intestine via deconjugation of bile salts by intestinal bacteria
deconjugated bile acids
primary bile acids
secondary bile acids
conjugated bile acids
Early dumping syndrome is the rapid emptying of _____ chyme from the stomach into the small intestine.
hypertonic
hypotonic
A hallmark of Crohn's disease is the accumulation of macrophages making ______, which is a major factor for cell-mediated immunity.
IL Y ;)
IL 12
IL 4
IL 6
True or False: Bloody stools is more common in Crohn's disease than ulcerative colitis.
False
True
A herniation of mucosa through the muscle layers of the colon wall is called a _______
adenoma
diverticula
hernia
polyp
Mesenteric venous thrombosis is the _____ common cause of mesenteric vascular
least
most
Which of the following are typically involved in intestinal vascular insufficiency?
Superior mesenteric artery
inferior mesenteric artery
celiac artery
splenic artery
Which of the following is not true regarding Crohn's disease?
often causes "skipped lesions"
can involve any part of the GI tract
it is a transmural process that can result in perforation
often causes continuous lesions
Which of the following is an extraintestinal symptom of ulcerative colitis?
uveitis
pyoderma gangrenosum
erythema nodosum
migratory polyarthritis
Which of the following is an incorrect pathological process of ulcerative colitis
genetic predisposition
hyperresponsiveness to commensal bacteria
increased permeability and antigen uptake
exaggerated Tcell response to pathognomic bacteria
Which of the following is a possible complication of Ulcerative colitis?
hemorrhage with/without anemia
toxic megacolon
intestinal stenosis
colonic dilation
Distorted/abscessed crypts of Lieberkuhn and absence of goblet cells best describe what disease process?
celiac disease
ulcerative colitis
Crohn's disease
lactose intolerance
Which finding is typical of Crohn's disease?
intermittent epigastric pain when the stomach is empty
granuloma with cobble stone projections
continuous primary lesion with no skipped lesions
prone to development of Cushing ulcer
Which of the following may contribute to the cause of diverticular disease?
muscular atrophy
low fiber diet
increased intraluminal pressure
chronic constipation
True or False: Opioids cause constipation
True
False
Which of the following are the three classic symptoms of irritable bowel syndrome
crampy abdominal pain
bloating
alternating constiption and diarrhea
vomiting
Which of the following is a possible case of irritable bowel syndrome
microbial dysbiosis
visceral hypersensitivity
decreased intestinal motility
intestinal hypertrophy
True or False: Nausea, vomiting and diarrhea are common late symptoms of acute mesenteric ischemia
True
False
Chronic mesenteric ischemia is most commonly secondary to what?
chronic constipation
atherosclerosis
acute mesenteric ischemia
aortic aneurysm
