0 of 30 Questions completed
Questions:
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 30 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
The proton pump inhibitor omeprazole may cause which of the following clinical responses?
A 30-year-old patient presents with weight loss, diarrhea, and steatorrhea. A workup reveals that the antiendomysial antibody is positive. What is the most likely diagnosis?
A 28-year-old male patient presents with melena for the past two days. Blood pressure in the supine position is 110/70 mmHg with a pulse of 98 bpm. In the sitting position, his blood pressure is 96/72 mm Hg with a pulse of 110 bpm. Nasogastric (NG) tube aspirate is negative for blood. The most likely location of this bleed is the:
You are asked to examine a 42-year-old patient who is found to have a week history of persistent abdominal pain that localizes to the left lower quadrant, low-grade fever, general malaise, and diarrhea recently started. He denies hematochezia. Vital signs are stable. On physical examination, the patient has tenderness to palpation that is localized to the left lower quadrant. Rectal exam reveals generalized tenderness and hemoccult positive stool but no frank bleeding. Based on your findings, which of the following is the most likely diagnosis?
The presence of which of the following differentiates megaloblastic anemia in pernicious anemia from vitamin B12 deficiency megaloblastic anemia in Crohn’s disease?
A 68-year-old man has a 3-month history of a “rash” on his neck, 12 pound weight loss, and anorexia. Examination shows acanthosis nigricans on his neck. Which of the following is the most likely diagnosis?
A 56-year-old man who suffers from chronic alcohol abuse has an acute attack of severe pancreatitis. Blood pressure 72/44 mm Hg, pulse 138/min, respirations 26/min. Examination shows an acutely ill, but non-icteric patient. The abdomen is flat with epigastric tenderness. Which of the following is the most likely cause of the hypotension?
Which of the following is the best approach in management of a patient who is infected with an uncomplicated case of acute hepatitis A?
Which of the following is the most likely source of gallstone formation?
A 32-year-old man has chronic abdominal bloating and gas. A positive assay for which of the following is most specific in diagnosis of celiac disease?
What is appropriate first line medication for a patient with GERD symptoms despite lifestyle and diet modifications?
After 6 days of clindamycin therapy, a 57-year-old man has diffuse abdominal cramps and recurrent, watery diarrhea. Blood pressure 110/76 mm Hg, pulse 96/min. Examination shows diffuse abdominal tenderness with increased bowel sounds. Stool is hematest negative. White blood count is 13,500/microL. Which of the following is the most likely diagnosis?
A 32-year-old woman has Crohn’s disease. Which of the following is the most likely complication?
A 34-year-old woman who has a long history of abdominal bloating and gas is diagnosed with celiac disease. Which of the following is the most likely complication?
A 77-year-old man has gram negative bacteremia manifest by fever, hypotension, azotemia, and disseminated intravascular coagulation. Which of the following is the most likely underlying cause?
Which of the following is the most cost-effective screening tool for colorectal carcinoma?
The hallmark symptom of gastroesophageal reflux disease is:
The optimal study to document pathologic reflux is:
The hallmark symptom or sign of peptic ulcer disease is:
Which of the following clinical findings is a result of esophageal varices?
Hemorrhagic gastritis will most likely result in which of the following clinical features?
Which of the following serologic markers indicate chronic hepatitis B infection?
Which of the following tests is preferred for diagnosis of peptic ulcer disease?
Which of the following clinical features is/are associated with ulcerative colitis?
Which of the following is associated with hepatitis B leading more rapidly to cirrhosis in chronically infected patients?
Symptoms or signs of irritable bowel syndrome include:
Symptoms or signs of ulcerative colitis include:
Which of the following is the test of choice in the evaluation of acute ulcerative colitis?
A 67-year-old man presents complaining of fever, nausea, vomiting, and crampy aching pain in the left lower quadrant. Significant physical examination findings include an oral temperature of 101.8°F and a tender palpable mass in the lower left quadrant. Diffuse tenderness and occult blood are noted on rectal examination. The most likely diagnosis is:
Which of the following laboratory results is/are consistent with the diagnosis of viral hepatitis?