Block 2: GI
Gastroenterology Quiz
Test your knowledge on gastroenterology with our engaging quiz designed for healthcare professionals! This quiz covers various aspects of gastrointestinal medicine, including the diagnosis and management of common conditions such as pancreatitis, hepatitis, and more.
Whether you're a nurse, physician, or medical student, this quiz will provide valuable insights and reinforce your understanding of key GI concepts.
- 10 challenging questions
- Multiple choice and checkbox formats
- Immediate feedback on answers
You are covering the inpatient service and following up on a 67-year-old female admitted 3 days ago for severe pancreatitis. CT on admission showed edema and mild inflammation. Currently the patient is receiving intravenous fluids, daily laboratory evaluations, and pain medications. She is NPO and afebrile, with a blood pressure of 130/78 mm Hg and a pulse rate of 88 beats/min. Which one of the following therapies should be initiated to lower complication rates and shorten the patient’s hospital stay?
Enteral nutrition
. Parenteral nutrition
Surgical debridement
Prophylactic antibiotics
Which one of the following medications blocks dopamine stimulation in the chemoreceptor trigger zone, making it an effective antiemetic for patients with gastroenteritis?
Diphenhydramine (Benadryl)
Meclizine (Antivert)
Metoclopramide (Reglan)
Ondansetron (Zofran)
Scopolamine (Transderm Scop)
A 76-year-old nursing home resident complains of constipation. He has had minimal improvement with trials of scheduled toileting and increased fiber and fluids. A physical examination is normal. Which one of the following is the best intervention at this point?
Bisacodyl (Dulcolax)
Lactulose solution
Magnesium citrate solution
Polyethylene glycol (MiraLAX)
Screening for chronic hepatitis B infection is NOT recommended for which one of the following?
Patients on chronic immunosuppressive therapy
Patients with end-stage renal disease who are on hemodialysis
Household contacts of individuals with chronic hepatitis B
Pregnant women with no risk factors for hepatitis B
All newborns
A 76-year-old female presents with a 3-month history of watery diarrhea with up to 12 episodes per day. She has no hematochezia and no travel history. You suspect microscopic colitis. Which one of the following is the test of choice to confirm the diagnosis?
A barium enema
A stool test for calprotectin
A celiac panel
A biopsy of the colon
A jejunal biopsy
A 30-year-old ICU nurse has been caring for several patients infected with Clostridium difficile. She is asymptomatic but is worried that she may also be infected. Which one of the following is the most appropriate recommendation for this nurse?
No testing and no treatment
Testing for C. difficile toxin
Testing for C. difficile antigen
Empiric treatment with metronidazole
Probiotics
Which one of the following patients should be tested for Helicobacter pylori infection and, if positive, treated with eradication therapy without endoscopy?
A 45-year-old male with a 2-month history of epigastric burning after eating
A 45-year-old male who has progressive epigastric pain with associated anorexia and weight loss
A 53-year-old female with a 6-week history of burning in the chest after eating
A 60-year-old female with a 2-month history of constant epigastric burning
A 60-year-old male who takes daily aspirin and has developed epigastric burning and associated vomiting over the past month
A 68-year-old female with diabetes mellitus, coronary artery disease, fibromyalgia, and dyspepsia presents for follow-up. She has been taking omeprazole (Prilosec) for 10 years. It was started during a hospitalization, and her symptoms have returned with previous trials of discontinuation. Which one of the following adverse events is this patient at risk for as a result of her omeprazole use?
Hypermagnesemia
Urinary tract infections
Nephrolithiasis
Hip fractures
A patient is admitted to the hospital with severe acute pancreatitis, based on diagnostic criteria for severity. After appropriate intravenous hydration, which one of the following is associated with shorter hospital stays and lower mortality?
Parenteral nutrition
Nothing by mouth until the pain has resolved
Clear liquids by mouth after 48 hours
Bolus nasogastric enteral nutrition
Continuous nasogastric enteral nutrition
A 65-year-old male has severe liver cirrhosis from a combination of hepatitis C infection and alcohol abuse. He previously underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure. While the TIPS procedure reduces the likelihood of most complications of cirrhosis, it may increase the risk for which one of the following?
Anasarca
Ascites
Hepatic encephalopathy
Upper gastrointestinal bleeding from esophageal varices
Upper gastrointestinal bleeding from portal hypertensive gastropathy
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