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1.WOF should be true regarding hx of pt presenting w/ a fluid wave on an ab exam?a.
Hx-alcoholism (M/C cz of fluid wave is acites
portal HTN)
 b.Hx-smokingc.
Yellow skin
d.
Easy bruising
2.Visible abdominal periostitis is assc. w/ adynamic illeus & early bowel obstruction.a.
False
3.You suspect from hx that your pt might have an infectious esophagitits. WOF might you also suspect tofind (MM)a.
Substernal chest pain
 b.
Immunocompromise
c.
COD (COPD???) infection
d.Fluid wave on ab exam4.your 16 yr old female pt who u have been tx for 3 months for IBD complains of an enlarging painfulmass in the LLQ of abdomen. She started noticing it month ago but was afraid to tell u. she has lowgrade fever. WOF concerns u?a.chron’s dz or abscess formation (may possibly be the right ans) b.
colon CA
c.appendicitis w/ abscess formationd.
diverticulitis w/ abscess formation
5.pt complains of ab bloating, diarrhea, IBD. Plain lumbar film xray demonstrates loss of bone densitywhich is most consistent w/ WOF?a.Peritonitis b.
Gluten intolerance (vit D malabsorption)
c.Diverticulitis w/ perforationd.UC6.WOF involves the use of a manametry(sp???)?a.Barium swallow w/ small bowel follow thru b.
EGD
c.Retrograde pyelogramd.Esophagram (barium swallow)7.WOF most typically cz radiating pain into R shoulder region?a.
Gallbladder diz
 b.Prostitisc.Appendicitisd.Chrons8.pt has 3 small scars on the mid abdomen in RUQ on ab exam. WOF would be on top of your list for reason of these scars? (MM)a.
cholecystectomy (Classic)
 b.
laprescopy
c.laperotomyd.manometry9.WOF is the M/C type of abdominal hernia?a.Inguinal (M/C by far) b.Umbilicalc.Femorald.
Dystrophic cranial rectal inversion
10.26 yr old female present w/ bright red blood per rectum 3x/wk. WOF could cz this indication?
 
a.
Hemorrhoids -yes
 b.Diverticlulitis - noc.Esophageal CA - nod.
UC – yes
e.
A & B
11.WOF is assc w/ rectal pain & itchinga.
Fistula or fissure
 b.Colon CAc.Diverticulosisd.Gallstones12.WOF are
untrue
regarding normal esophageal Peristalsis?a.
UT = waves from swallowing are called secondary peristalsis
 b.
UT = curly (??) is a normal finding (typical but not normal)
c.Primary peristalsis is initiated by swallowingd.
UT = peristalsis is slightly quicker in elderly
13.EDS (DDS???) is pero relaxation to lower esophageal sphincter w/ dysphagia and odynania phagiatypically in younger pts.a.
False
14.Achalasia effects the esophagus by cz’ing relaxation which leads to dilation typically in pts w/ DSSa.
False (dilation is d/t obstruction stricture)
15.58 yr old male colorectal Ca. pt reports an enlarging mass in his L groin over last few months. WOF ismost likely to assc. w/ :a.Stage 1 b.Stage 2c.Stage 3 (could be lymphadenopathy) (may be right ans)d.
Stage 4
16.65 yr old female pt has acute IBD which is unchanged by changing her body position. She feels verytired and wants to sleep. WOF is most primary concern?a.Psot lat disc protrusion b.
AAA
c.Colorectal carcinomad.Malingering17.testing confirms your pt has fecal occult blood where could the blood be coming from? MMa.
sigmoid colon (can come from anywhere from sigmoid and up)
 b.
esophagus
c.
mouth
d.
stomach
18.regarding PUD, giant ulcers area.typically B9 & seen with zollinger Ellison syndrome. b.It is unnecessary to biopsy ulcers whtne perfoming EGDc.
Eating may relieve pain or aggravate pain depending upon location
d.
Manipulation may be a beneficial pt of tx
19.u suspect your pt has a hiatus hernia. WOF would NOT be commonly found w/ this condition?a.GERD b.Remission & exacerbation of sxc.
Younger pt
d.Gurgling feeling in chest20.dyspepsia that begins 30-60 min after eating is M/C assc. w/ WOF? MMa.esophageal achalsia (may be right ans) b.
GERD
c.
Esophageal colesia
d.
PUD
 
21.itching is assc. w/ WOF condition:a.
 jaundice
 b.
EtOH cirrhosis
c.Spleenomegalyd.Ascites22.WOF is M/C location for stomach CAa.Pylorus b.Fundusc.Lesser curvatured.
Greater curvature
23.WOF are risk factors for gastric CA? MMa.Hep A b.
Eating lots smoked foods
c.
Over 40 yoa
d.
Cig smoking
24.Presence of multiple peptic ulcers should be an indication to consider WOF?a.Duodenal malignancy b.Zollinger Ellison syndc.Incredible poor dietd.Gastronomye.
Both c & d ????
25.most esophageal masses are B9 where as most stomach masses are maligna.
False
26.Presence of supraclavicular lymphdenopathy in a 68 yr old male typically indicates WOF?a.Cirrhosis b.Portal HTNc.
GI malignancy w/ mets ???
d.Achalasia27.The M/C clinical presentation for stage 1 CA in abdominal organs in the normal PEa.
True
28.Any male over 40 yoa that has anemia has WOF until proven otherwise: b.
GI CA
29.Gastric CA can be assc. w/ WOF?a.
Early satiety
 b.
Melena
c.
Hematomesis
d.
LUQ abd pain
30.poststenotic dilation w/ odynanophagia is commonly assc. w/ achalasia?a.
False – its prestenotic dilation
31.Reflex esophagitis is GERD that results in permanent damage to the lower esophagus, trachea, vocalcordsa.
False
32.M/C location for esophageal CA’sa.Supragliotic region b.Upper ½ of esophagusc.
Lower ½ of esophagus
d.Esophageal sphincter 33.Regarding lactose intolerance?a.Only milk products are implicated b.
Dz is secondary to lactase def 
c.
Bloating is common sx
d.Only involves terminal ileum
of 00

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