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Small intestine post test

Total questions: 13

Worksheet time: 13mins

Name
Class
Date
1.

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

a)

Nephrolithiasis

b)

Episcleritis

c)

Erythema Nodosum

d)

Splenomegaly

2.

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

a)

Fistula tract 4cm long

b)

BMI 22

c)

Duodenal fistula

d)

Known diabetic on maintenance medications

3.

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

(a)  

4.

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

a)

Epithelial cell

b)

Enterochromaffin cell

c)

Lymphocyte

d)

Interstitial cell of Cajal

5.

Most common presentation of Meckel's Diverticulum in adults

a)

Bleeding

b)

Perforation

c)

Intractability

d)

Obstruction

6.

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

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

   Mixed respiratory and metabolic alkalosis

d)

Mixed respiratory and metabolic acidosis

7.

What is the most common cause of acute mesenteric ischemia?

(a)  

8.

Which vein is most commonly involved in mesenteric venous thrombosis?

a)

IVC

b)

SMV

c)

IMV

d)

PV

9.

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

a)

Type 1

b)

Type 2

c)

Type 3

d)

Type 4

10.

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?

a)

NPO, IV antibiotics, hydration

b)

NPO, IV antibiotics, hydration

c)

Diagnostic laparoscopy, drainage

d)

Exploratory laparotomy, primary repair

11.

48/M post Total gastrectomy Roux-en-Y reconstruction is presenting with abdominal pain and vomiting. HR 105, afebrile. Abdominal PE revealed distended abdomen, soft, with direct and rebound tenderness on the upper abdominal region. CT scan was done revealing retrograde intussusception. What is your plan?

a)

a.      NPO, IV antibiotics, NGT insertion

b)

Endoscopy, reduction of intussusception

c)

Exploratory laparotomy, manual reduction of intussusception

d)

Exploratory laparotomy, segmental resection of affected small bowel with anastomosis

12.

Risk factors for Short bowel syndrome includes the following except

a)

Small bowel length 180cm

b)

Absence of ileocecal valve

c)

Jejunal resection

d)

Diseased remaining bowel

13.

46/M post segmental ileal resection and anastomosis for meckel's came in 6 days post op due to foul smelling discharge on the midline wound. He was worked up and diagnosed to have enterocutaneous fistula involving the ileum. What is your management?

a)

NPO, TPN, Nepative pressure wound therapy

b)

Wound debridement and primary closure

c)

Exploratory laparotomy, small bowel resection and anastomosis

d)

Exploratory laparotomy, small bowel resection and end ileostomy