GIT 2

A 35-year-old woman complains of right upper quadrant pain, which occurs after she eats a large meal. Occasionally the episodes are accompanied by nausea and vomiting. A plain x-ray of the abdomen discloses gallstones. Ultrasonography reveals gallstones and a normalsized common bile duct. The patient’s blood chemistry and CBC are normal. The most therapeutic maneuver at this time would be

A 22-year-old woman with a history of ulcerative colitis presents with jaundice, pruritus, and intermittent right upper quadrant abdominal pain. The most likely finding on ERCP is

Which of the following conditions are known to predispose to the formation of cholesterol gallstones?

A 52-year-old man with a history of chronic alcoholism presents with abdominal pain, nausea, and vomiting. Laboratory evaluation reveals a white blood cell count of 20,000/
L, hematocrit of 25%, and platelet count of 130,000/
L. Chemistry reveals an elevated lactate dehydrogenase (LDH) (three times normal) and serum calcium of 1.9 mmol/L (7.6 mg/dL). CT scanning of the abdomen reveals fluid around the pancreas. The patient is given intravenous fluids, analgesics, and nasogastric suction. Which of the following is the most appropriate additional therapy?

Chronic reflux esophagitis is LEAST likely to result in the development of

A patient with scleral icterus and a positive reaction for bilirubin by urine dipstick testing could have which of the following disorders?

Which one of these extraintestinal complications of inflammatory bowel disease is LEAST likely to be associated with ulcerative colitis?

Which of the following statements regarding delta hepatitis virus (HDV) is correct?

A 55-year-old man with long-standing reflux esophagitis has developed improvement in his heartburn. However, he also complains of progressive dysphagia after swallowing both liquids and solids. He often has chest pain with swallowing. Sometimes he can get food to pass by “bearing down.” Physical examination is unremarkable, but a chest x-ray shows absence of the gastric air bubble and an air-fluid level in the mediastinum. An infusion of cholecystokinin during esophageal manometry would show

A 40-year-old man has a history of ulcerative colitis. Features of his illness that would contribute to an increased risk of developing colon cancer include which of the following?