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WorksheetsGastrointestinal and Inflammation Worksheet Questions (Grade 13)
Total questions: 50
Worksheet time: 25mins
Which finding is a classic sign of acute inflammation?
Pallor
Cool skin
Redness
Decreased blood flow
Which chemical mediators are responsible for pain during inflammation?
Prostaglandins
Insulin
Thyroxine
Aldosterone
A “shift to the left” on CBC indicates:
Increased lymphocytes
Increased immature neutrophils
Decreased WBC production
Increased monocytes
Which patient is most at risk for impaired wound healing?
Teenager with a sprained ankle
Newborn infant
Middle-aged adult with no medical history
Adult who exercises regularly
Which condition is caused by H. pylori infection?
Crohn’s disease
Peptic ulcer disease
Ulcerative colitis
Irritable bowel syndrome
Pain 1–2 hours after eating suggests which ulcer type?
Duodenal
Gastric
Stress ulcer
Esophageal ulcer
Which finding is most concerning in a patient with suspected perforated ulcer?
Mild nausea
Burping
Rigid abdomen
Early satiety
Which test confirms H. pylori?
Hemoccult
Breath test
Blood glucose
BNP
Which medication is part of triple therapy for H. pylori?
Prednisone
Pantoprazole
Naproxen
Sucralfate
Which foods should be avoided in PUD?
Milk
Hot and spicy foods
Bananas
Oatmeal
A patient with UC is most likely to report:
Projectile vomiting
Bloody diarrhea
Right lower quadrant pain
Constipation only
“Skip lesions” are associated with:
IBS
Peptic ulcer disease
Crohn’s disease
Ulcerative colitis
Which deficiency is most common in Crohn’s disease due to malabsorption?
Vitamin B12
Vitamin C
Sodium
Phosphorus
Which diet is best during an IBD flare?
High fiber
Low protein
High calorie and low fiber
Low fat and low calorie
A serious complication of ulcerative colitis is:
Appendicitis
Toxic megacolon
Kidney stones
Thyroid storm
Which medication is a biologic used for IBD?
Lisinopril
Infliximab
Digoxin
Lorazepam
Which instruction is important for a patient taking prednisone long-term?
“Stop the medication when you feel better.”
“Monitor blood sugar levels.”
“Expect weight loss.”
“Increase intake of NSAIDs.”
Which condition is NOT part of IBD?
Crohn’s disease
Ulcerative colitis
Irritable bowel syndrome
Both Crohn’s and UC
Best diagnostic test for ulcerative colitis?
CT head
Colonoscopy
EKG
X-ray of chest
A patient with Crohn’s disease has a fistula. What complication does this risk?
Hypertension
Internal leakage of bowel contents
Decreased gastric acid
Bradycardia
Which hepatitis type is transmitted fecal-oral?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Which hepatitis has a vaccine? Select all that apply.
A
B
C
D
E
Which lab change is expected in hepatitis?
Decreased AST and ALT
Increased AST and ALT
Increased hematocrit
Decreased bilirubin
Clay-colored stools indicate:
Upper GI bleed
Lack of bile flow
Appendicitis
Constipation
Which is a possible complication of chronic hepatitis C?
Asthma
Cirrhosis
Celiac disease
Kidney stones
Which medication is used to cure hepatitis C?
Prednisone
Glecaprevir
Metformin
Morphine
RUQ pain radiating to the shoulder suggests:
Pancreatitis
Appendicitis
Cholecystitis
Diverticulitis
Which diagnostic test is first-line for gallbladder inflammation?
Ultrasound
MRI brain
Colonoscopy
CT of head
Which food should be avoided in cholecystitis?
Broccoli
Baked chicken
French fries
Rice
A patient with cholecystitis may have increased:
Amylase and lipase
BNP
Hgb
D-dimer
Main cause of acute pancreatitis?
High sodium
Alcohol use
Low potassium
Viral infection
Severe abdominal pain radiating to the back indicates:
Pancreatitis
IBS
GERD
Peptic ulcer healing
Which labs confirm pancreatitis?
Low WBC
High amylase and lipase
Low AST
High troponin
Priority management for acute pancreatitis is:
Encourage a large meal
NPO and IV fluids
Laxatives
High-fat diet
Which complication is associated with pancreatitis?
Pseudocyst
Pleural effusion
Pneumonia
All of the above
Which patient statement requires teaching about pancreatitis diet?
“I will eat small meals.”
“I will avoid fatty foods.”
“Carbs are easier on my pancreas.”
“I can drink alcohol in moderation.”
Which factor increases inflammation risk?
Non-smoker
Balanced nutrition
Poor sanitation
Clean environment
Which is part of primary prevention for inflammation?
NSAIDs
Hand hygiene
Antibiotics
Surgery
Classic signs of systemic inflammation include:
Fever
Weight gain
Low WBC
Bradypnea
What does CRP measure?
Liver enzymes
Kidney filtration
Inflammation
Blood clotting
Which condition may cause chronic inflammation?
Fracture
Crohn’s disease
Acute infection
Sprained ankle
RICE is appropriate for which condition?
Crohn’s flare
Acute ankle sprain
Pancreatitis
Cholecystitis
Which medication reduces HCl acid secretion?
Omeprazole
Acetaminophen
Loperamide
Prednisone
A possible sign of GI bleeding in PUD is:
Bright orange urine
Coffee-ground emesis
Watery stools
Steatorrhea
Which patient is MOST at risk for PUD?
20-year-old athlete
40-year-old taking NSAIDs for back pain daily
18-year-old with acne
Teen who drinks soda occasionally
Which statement indicates understanding about sucralfate?
“It lowers stomach acid.”
“It coats my ulcer to help it heal.”
“It treats H. pylori.”
“It works like an antacid.”
Which finding requires IMMEDIATE action in pancreatitis?
Mild nausea
Increased amylase
Decreased bowel sounds
Severe hypotension
Which medication suppresses the immune system in IBD?
Methotrexate
Acetaminophen
Famotidine
Ibuprofen
Which IBD complication requires urgent reporting?
Tenesmus
18 loose stools per day
Rigid abdomen and fever
Poor appetite
A patient with hepatitis should avoid:
Acetaminophen
Oral rehydration solution
Low-fat meals
Rest periods
