Liver
Bowel
Bowel
Liver
Misc
100

What nonspecific complaints are associated with cirrhosis?

anorexia, fatigue, weight loss

100

What are the ROME IV criteria?

Must include recurrent abdominal pain of at least 1 day per week
for the previous 3 months and be associated with at least two of
the following features:
 Related to defecation
 Associated with a chance in stool frequency
 And/or associated with a change in stool appearance of form

100

True or false: A colonoscopy should be performed during a diverticular flare to rule out neoplasm

False: should be performed 8 weeks after

100

Which of the following hepatitis strains have a chronic form

A
B
C

Hep b and c

100

What is the typical subtype of IBS

3 subtypes (but typically diarrhea alternating with constipation)
‒ Predominant constipation (IBS-C)
‒ Predominant diarrhea (IBS-D)
‒ IBS with mixed bowel habits (IBS-M)

200

A child pugh score is based on

Based on serum
bilirubin, albumin,
INR, presence of
ascites, and
encephalopathy


200

True or False: IBS is characterized by weight loss, fever, bloody stools and leukocytosis

False

200

What criteria are necessary for a mild case of UC

4 loose bm/day

200

What symptoms can a patient expect during the icteric phase of hepatitis

1 to 2 weeks after prodromal phase, lasts up to 6 weeks
(jaundice, pruritis, tea-colored urine, clay-colored stools, RUQ pain

200

Name foods to avoid in a low fodmap diet

Fructans (asparagus, wheat, apple, garlic), lactose, galactans (legumes), polyols (apple, blackberry, pepper, corn), artifical sweeteners

300

A patient is experiencing abdominal pain, nausea, vomiting, malaise and fever after exposure to hepatitis. What phase are they in and when do we think they were exposed?

Pre-icteric: 2 weeks post exposure

300

What inflammatory bowel disease do you expect if there are skip lesions noted on colonoscopy?

Crohn's

300

What is 1st line screening for colorectal ca in average risk patients aged 50-74 - how often do we do screening?

Fit testing, if negative repeat in 2 years

300

What does a reactive Anti-HBs indicate?

Immune from either vaccination or recovery from disease

300

Where does UC often occur

in the rectosigmoid colon

400

Which liver enzyme is most specific to liver?

ALT

400

An NP is assessing a 55 year old patient presenting with IDA, stool positive for occult blood, a change in bowel habits and hematochezia. What does the NP need to rule out a MNM differential?

MNM: Colorectal ca

Diagnostics: CBC, LFTs, CT abd, MRI, colonoscopy

400

What are you suspicious of if a patient reports ribboning stools?

Colorectal ca

400

What is the 1 year survival for a Class C child pugh score

45%

400

In which IBD might we see sulfasalazine? Mesalamine?

CD - sulfasalazine, glucocorticoids, immunomodulating agents, biologics

UC- mesalamine, corticosteroids, antidiarrheals, atropine, biologics, immunomodulating drugs

500

How long can a liver remain enlarged after hepatitis?

3 months

500

Subjective and objective findings of bowel obstruction?

Sudden onset colicky abdominal pain, accompanied by
nausea & vomiting 

Dehydration, tachycardia, bowel sounds initially
hyperactive and then decreased/absent



500

True or False: anorexia can be seen as a manifestation of appendicitis

True
500

What does the acronym VARICES indicate

- V: varices
‒ A: ascites/anemia
‒ R: renal failure (hepatorenal syndrome)
‒ I: infection
‒ C: coagulopathy
‒ E: encephalopathy
‒ S: sepsis

500

In which IBD can you see an abdominal mass and a negative pANCA?

Crohn's