Ulcerative colitis is commonly associated with
bloody diarrhea.
An increased urine bilirubin is associated with
hepatitis
Hepatitis A and hepatitis C are transmitted through contaminated food and water.
False
Hemochromatosis is a common genetic disorder that may lead to chronic liver failure. Which of the following laboratory data would support a diagnosis of hemochromatosis?
Elevated ferritin
Cholelithiasis is present in 90% of patients who have acute cholecystitis.
True
Which of the following findings should prompt further diagnostic testing in a child presenting with diarrhea?
Blood and mucus in the stools
Long-term use of nonsteroidal antiinflammatory medications and infection with Helicobacter pylori are causative factors in peptic ulcer disease.
True
Alcohol abuse is the primary risk factor for chronic pancreatitis.
True
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
indicates peritonitis with substantial risk for sepsis and shock.
Patients with acute pancreatitis are generally not allowed to eat and may require continuous gastric suctioning to
remove the usual stimuli for pancreatic secretion.
Esophagitis pain is similar in location and pattern to myocardial chest pain.
True
Which of the following clinical findings would suggest an esophageal rather than an oropharyngeal cause of dysphagia?
Chest pain during meals
A deficiency of lipid digestion or absorption commonly results in
steatorrhea
Diverticulitis usually is asymptomatic.
False
Liver transaminases are increased in the serum when hepatocytes are injured.
True
The usual treatment for chronic pancreatitis includes
abstinence from alcohol.
Most gallstones are composed of
cholesterol
A reduction in lower esophageal sphincter tone helps reduce gastroesophageal reflux.
False
Elevated serum lipase and amylase levels are indicative of
pancreatitis
Which of the following symptoms suggests the presence of a hiatal hernia?
Heartburn
Match the disorder with its description (use each answer once).
Painful swallowing - odynophagia; Difficulty swallowing - dysphagia; Herniations in the bowel wall - diverticulosis; Absence of peristalsis in a portion of the esophagus - achalasia; Stasis and involuntary leakage of stool - encopresis
Hepatitis A is a self-limiting infection that does not have a chronic carrier state.
True
An early indicator of colon cancer is
a change in bowel habits
Fecal leukocyte screening would be indicated in the patient with suspected
inflammatory bowel disease.
Jaundice is a common manifestation of
liver disease.
Histamine antagonists may be used in the management of peptic ulcer disease to
decrease hydrochloric acid (HCl) secretion.
A viral hepatitis screen with positive hepatitis B surface antigen, positive anti-HB core IgM, and negative anti-HB surface IgG should be interpreted as
acute hepatitis B.
The pain of cholecystitis commonly radiates to the left upper quadrant and left shoulder.
False
Epigastric pain that is relieved by food is suggestive of
gastric ulcer
Liver transaminase elevations in which aspartate aminotransferase (AST) is greater than alanine aminotransferase (ALT) by a 2:1 ratio is characteristic of
alcohol-induced injury.
A patient who should be routinely evaluated for peptic ulcer disease is one who is:
being treated with high-dose oral glucocorticoids.
Chronic pancreatitis may lead to
diabetes mellitus.