Pathology for the Health Professions

4th Edition Damjanov Test Bank

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Chapter 10: The Gastrointestinal System
Test Bank

MULTIPLE CHOICE

1. Dental caries begin with the formation of:

a. Pockets of periodontal inflammation
b. Bacterial plaques on the surface of the tooth
c. Periapical granuloma
d. Periapical abscess
e. Radicular cyst
ANS: B DIF: 2 REF: P.232 OBJ: 3

2. Atrophic gastritis is characterized by:

a. Xerostomia
b. Achlorhydria
c. Gastric hyperacidity
d. Achalasia
e. Reflux esophagitis
ANS: B DIF: 3 REF: P.238 OBJ: 9

3. Carcinoma of the oral cavity presenting as a white, slightly elevated plaque is clinically described as:
a. Leukoplakia
b. Erythroplakia
c. Ulcer
d. Crater
e. Nodule
ANS: A DIF: 3 REF: P.234 OBJ: 5

4. The most common viral cause of sialadenitis is:

a. Herpesvirus
b. Measles virus
c. Mumps virus
d. Cytomegalovirus
e. Epstein-Barr virus
ANS: C DIF: 3 REF: P.234 OBJ: 6

5. The most common tumor of the salivary glands is:

a. Pleomorphic adenoma
b. Adenoid cystic carcinoma
c. Mucoepidermoid carcinoma
d. Adenocarcinoma of the major ducts
e. Squamous cell carcinoma
ANS: A DIF: 2 REF: P.235 OBJ: 6

6. Hiatal hernias may be caused by all of the following except:

a. Exogenous acids in food
b. Smoking
c. Caffeine
 d. Heartburn in pregnancy
e. Reflux of gastric juice
ANS: A DIF: 2 REF: P.235 OBJ: 7

7. Most malignant tumors of the esophagus are histologically classified as:

a. Adenocarcinoma
b. Transitional cell carcinoma
c. Small-cell carcinoma
d. Squamous cell carcinoma
e. Sarcoma
ANS: D DIF: 2 REF: P.237 OBJ: 8

8. All of the following are common symptoms or complications of duodenal ulcer except:
a. Hematemesis
b. Melena
c. Vomiting
d. Epigastric pain
e. Carcinoma
ANS: E DIF: 1 REF: P.240 OBJ: 11

9. Diverticula of the intestine are most often located in the:

a. Jejunum
b. Ileum
c. Cecum
d. Transverse colon
e. Sigmoid colon
ANS: E DIF: 1 REF: P.241 OBJ: 12

10. The changes typical of Crohn’s disease are found most often in the:
a. Anus
b. Rectum
c. Sigmoid colon
d. Transverse colon
e. Terminal ileum
ANS: E DIF: 2 REF: P.244 OBJ: 13

11. Crypt abscesses, serpiginous ulcerations, and inflammatory polyps of the large intestine are typical
features of:
a. Diverticulosis coli
b. Crohn’s disease
c. Ulcerative colitis
d. Pseudomembranous colitis
e. Cholera
ANS: C DIF: 3 REF: P.245 OBJ: 13

12. Bacteriologically sterile peritonitis is a complication of:

a. Ruptured gastric ulcer
b. Gangrene of the large intestine
c. Gonococcal salpingitis
d. Acute pancreatitis
 e. Acute appendicitis
ANS: D DIF: 2 REF: P.248 OBJ: 16

13. Obstructive ileus may be caused by all of the following except:

a. Gallstones
b. Fecaliths
c. Volvulus
d. Incarceration of intestinal loops in a hernia sac
e. Spinal cord injury
ANS: E DIF: 1 REF: P.249 OBJ: 15

14. Which of these diseases causing malabsorption is associated with diagnostic pathologic changes in the
intestine?
a. Diabetes
b. Radiation enteritis
c. Pancreatic insufficiency
d. Celiac sprue
e. Intestinal bacterial overgrowth
ANS: D DIF: 3 REF: P.252 OBJ: 16

15. Genetic predisposition to colon cancer is inherited as an autosomal dominant trait in:
a. Hirschsprung’s disease
b. Familial adenomatous polyposis coli
c. Peutz-Jeghers syndrome
d. Colonic diverticulosis
e. Ulcerative colitis
ANS: B DIF: 3 REF: P.253 OBJ: 17

16. Most pedunculated colonic neoplastic polyps are classified as:

a. Hyperplastic polyp
b. Juvenile polyp
c. Inflammatory polyp
d. Tubular adenoma
e. Villous adenoma
ANS: D DIF: 2 REF: PP.254-255 OBJ: 17

17. Approximately 50% of all carcinomas of the intestine develop in the:

a. Rectosigmoid area
b. Descending colon
c. Transverse colon
d. Ascending colon
e. Small intestine
ANS: A DIF: 2 REF: P.254 OBJ: 17

18. The best serologic marker of carcinoma of the colon is:

a. Alpha-fetoprotein
b. Carcinoembryonic antigen
c. Chorionic gonadotropin
d. Alkaline phosphatase
e. Acid phosphatase
 ANS: B DIF: 2 REF: P.231 OBJ: 17

19. Which of the following is a life-threatening condition that occurs in the lower intestinal tract?
a. Ulcerative colitis
b. Gangrenous appendicitis
c. Rotavirus
d. Giardia lamblia
e. Esophageal varices
ANS: B DIF: 1 REF: P.248 OBJ: 2

20. The most common cause of pseudomembranous colitis is:

a. Shigella
b. Clostridium difficile
c. Salmonella
d. Giardia lamblia
e. Acid phosphatase
ANS: B DIF: 2 REF: P.247 OBJ: 16