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WorksheetsCUMC BHD Gastroenterology Questions
Total questions: 23
Worksheet time: 12mins
A 60-year-old male with a known history of liver disease presents to your office for care. When you ask about the cause of his liver problems, he states that he recently underwent a core biopsy of his liver which showed, “ground glass hepatocytes” on microscopic examination. What is the most likely cause for liver disease in this patient?
HBV infection
HCV infection
Alcoholism
Autoimmune hepatitis
Wilson Disease
Most common cause of Chronic Hepatitis in the United States is:
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Autoimmune Hepatitis
Which of the following is not a component of the portal tract?
Portal vein
Bile duct
Central vein
Hepatic artery
All of the above are part of the portal tract
A liver biopsy demonstrating periportal lymphoid aggregates is diagnostic for?
Autoimmune hepatitis
Wilson Disease
Non-alcoholic fatty liver disease
HBV infection
HCV infection
A 20-year-old female presents for evaluation of a painful, non-healing ulceration of the buccal aspect of the mandibular vestibule. Biopsy of the lesion demonstrates non-caseating granulomatous inflammation. What is the most likely diagnosis for this patient?
Ulcerative colitis
Crohn’s Disease
Celiac Disease
Hepatitis B infection
Hepatitis C infection
Which of the following statements regarding Crohn’s Disease is correct?
The terminal ileum is rarely affected
Surgical removal of the affected bowl segments is effective long-term management
Lesions of Crohn’s Disease are continuous throughout the entire gastrointestinal tract
Lesions of Crohn’s Disease are typically shallow, mucosal ulcerations
A cobblestone appearance of the oral mucosa may be seen in patients with Crohn’s Disease
The presence of a non-caseating granulomatous inflammation on biopsy is a specific finding for Crohn’s Disease. This statement is:
True
False
Approximately 1-3% of patients with Hepatitis A infection will develop:
Acute hepatitis
Fulminant hepatitis
Chronic hepatitis
Cirrhosis
Hepatocellular carcinoma
Which of the following statements regarding fatty liver disease is/are true?
Alcoholic fatty liver disease is the most common disease in industrialized, western countries
On microscopic examination, Mallory-Denk bodies may be observed
Most cases of fatty liver disease are of the microvesicular variant
All of the above are true
B&C only
A 30-year-old male presents to the emergency department with recent onset fatigue, decreased appetite, nausea, and jaundice. His liver enzyme tests are elevated. His past social history is significant for a recent clam-bake he attended with his work colleagues. Which of the following is true?
The most likely cause of the patient’s illness is a Hepatitis C infection
The patient is at high risk for the development of chronic hepatitis
The patient’s illness is usually transmitted via a fecal-oral route
The patient should show marked improvement following antibiotic therapy
All of the above are true
A 7-year-old male presents for evaluation of recurrent aphthous ulcerations. His parents report that the ulcerations are noted when he eats bread and pasta. What is the most likely diagnosis for this patient?
Crohn’s Disease
Celiac Disease
Ulcerative colitis
Hepatitis A
Hepatitis B
An aphthous ulceration is LEAST likely to develop at which of the following locations?
Buccal mucosa
Labial mucosa
Soft palate
Attached gingiva
Floor of mouth
When evaluating a patient for Celiac Disease, which of the following immunoglobulin classes would you expect to be elevated?
IgA
IgM
IgG
IgD
All of the following may be seen in patients with gastric reflux except:
Visible ulcerations in the GI mucosa
Abdominal pain at mealtimes
Worsening discomfort in supine position
All of the above may be seen
You are performing a new patient examination on a 55-year-old male. His current medications include metformin, omeprazole, verapamil, atenolol, and furosemide. Of the medications listed above, which of the following is being used for management of the patient’s GERD?
Metformin
Omeprazole
Verapamil
Atenolol
Furosemide
Enamel erosion secondary to gastric acid in patients with gastro-esophageal reflux disease (GERD) is termed:
Perimolysis
Hypodontia
Megalodontia
Water brash
Gastrolysis
Which of the following actions may exacerbate the symptoms in a patient with GERD?
Supine placement of patient during dental treatment
Appointments scheduled shortly after mealtimes
Use of NSAIDs for dental pain
All of the above
Heliobacter pylori is directly responsible for which of the following conditions?
Celiac disease
Gastritis
Crohn’s Disease
Ulcerative colitis
Irritable bowel disease
Alcoholic and non-alcoholic fatty liver disease can be distinguished microscopically. This statement is:
True
False
A patient presents to your office 4 weeks after you prescribed amoxicillin for the treatment of a periodontal abscess. Laboratory testing reveals C. difficile infection. Your best treatment option (most effective with the least risk of relapses) is:
Metronidazole 500 mgs p.o. three times a day
Vancomycin 5 mg/kg i.v. daily
Vancomycin 125 mg p.o. four times a day
Amocillin 500Mg p.o. three times a day
Which of the following findings would be the MOST specific for Celiac Disease?
Dental Enamel Defects
HLA DQ2 expression
Increased intraepithelial leukocytes
antibodies to gliadin
A patient who was exposed to Hepatitis B but cleared the infection is likely to have the following serology:
HBsAg and HBcAb IgG positive
HBcAb IgM and HBcAb IgG positive
HBsAb and HBcAb IgG
None of the above
High levels of the following is LEAST LIKELY to be found in a patient who has an acute hepatitis B infection?
Anti-HBc IgM
Anti-HBe
Anti-HBc IgG
Anti-HBs
