Font size
WorksheetsSmall intestine post test
Total questions: 13
Worksheet time: 13mins
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
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. NPO, IV antibiotics, NGT insertion
Endoscopy, reduction of intussusception
Exploratory laparotomy, manual reduction of intussusception
Exploratory laparotomy, segmental resection of affected small bowel with anastomosis
Risk factors for Short bowel syndrome includes the following except
Small bowel length 180cm
Absence of ileocecal valve
Jejunal resection
Diseased remaining bowel
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?
NPO, TPN, Nepative pressure wound therapy
Wound debridement and primary closure
Exploratory laparotomy, small bowel resection and anastomosis
Exploratory laparotomy, small bowel resection and end ileostomy
