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You are here: Home / PANCE and PANRE Exam Preparation / Exam Content Blueprint / Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

December 21, 2015 By Stephen Pasquini PA-C 1 Comment

Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31Welcome to episode 31 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific Gastroenterology board review questions.

Gastroenterology and Nutrition accounts for 10% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutrition review includes over 149 GI/Nutrition specific questions and is available to all members of the PANCE and PANRE Academy.

  • You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio.
  • You can listen to the latest episode, take an interactive quiz and download your results below.

Listen Carefully Then Take The Quiz

If you can't see the audio player click here to listen to the full episode.

Gastroenterology PANCE and PANRE Podcast Quiz

 

The Audio PANCE and PANRE Gastroenterology

Start
Congratulations - you have completed The Audio PANCE and PANRE Gastroenterology. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Which of the following is a common physical examination finding in early intestinal obstruction?
A
high fever
Hint:
Fever and rebound tenderness occur only if a perforation has occurred.
B
profuse flatulence
Hint:
Profuse flatulence is not noted in early intestinal obstruction
C
rebound tenderness
Hint:
See A for explanation.
D
hyperactive, high-pitched bowel sounds
Question 1 Explanation: 
Abdominal distention and high-pitched, hyperactive bowel sounds are common in early intestinal obstruction.
Question 2
Which of the following studies is most appropriate to diagnose celiac disease?
A
Urinary D-xylose test
Hint:
Urinary D-xylose test assesses the proximal small intestinal mucosa's absorption of carbohydrates but is not specific to celiac disease.
B
Small bowel biopsy
C
Barium contrast x-ray
Hint:
Barium contrast examination would reveal anatomic abnormalities or blind loop syndrome that may lead to malabsorption but it would not help in the diagnosis of celiac disease.
D
Schilling test
Hint:
The Schilling test is used to determine the cause of cobalamin malabsorption from pernicious anemia, chronic pancreatitis, achlorhydria and bacterial overgrowth syndrome but has no role in the diagnosis of celiac disease.
Question 2 Explanation: 
Definitive diagnosis of celiac disease is made by small bowel biopsy.
Question 3
Which of the following tumor markers is useful in monitoring a patient for recurrence of colorectal cancer after surgical resection?
A
CA-125
Hint:
CA-125 tumor marker is useful as a tumor marker in ovarian cancer
B
Carcinoembryonic antigen
C
5-hydroxyindoleacetic acid
Hint:
5-hydroxindoleacetic acid is used as a tumor marker in carcinoid syndrome.
D
Alpha-1-fetoprotein
Hint:
Hepatocellular and testicular cancer can be followed by the use of alpha-1-fetoprotein as a tumor marker.
Question 3 Explanation: 
Carcinoembryonic antigen can be used to monitor a patient for the return of colorectal cancer after treatment.
Question 4
A patient develops abdominal cramps and watery diarrhea 10 to 12 hours after eating a plate of unrefrigerated meat and vegetables. The patient denies vomiting. The causative agent is most likely
A
Staphylococcus aureus
Hint:
Staphylococcus aureus has an incubation period of 1 to 6 hours and also characteristically has vomiting associated with it.
B
Clostridium perfringens
C
Escherichia coli
Hint:
E. Coli is a frequent cause of traveler's diarrhea. The incubation period for Escherichia coli is greater than 16 hours.
D
Salmonella
Hint:
Salmonella is the cause of typhoid fever. Diarrhea will often be from poultry or pork or following raw egg ingestion. The incubation period is usually 8 to 14 days
Question 4 Explanation: 
Food poisoning caused by Clostridium perfringens has an incubation period of 8 to 14 hours and results from poorly refrigerated cooked meat.
Question 5
The most common initial presenting symptom of primary biliary cirrhosis is
A
jaundice
Hint:
Jaundice, palmar erythema and xanthomas appear late in the disease.
B
palmar erythema
Hint:
See A for explanation.
C
pruritus
D
xanthomas
Hint:
See A for explanation.
Question 5 Explanation: 
Pruritus is the most common initial symptom in primary biliary cirrhosis due to the accumulation of bile salts.
Question 6
Initial pharmacologic treatment of acute hepatic encephalopathy consists of
A
lactulose
B
omega-3-fatty acids
Hint:
Omega-3-fatty acids have no role in the treatment of hepatic encephalopathy.
C
neomycin
Hint:
Neomycin, like lactulose, will decrease ammonia production by intestinal bacteria and may have a role in chronic but not acute management of hepatic encephalopathy.
D
mannitol
Hint:
Mannitol is used as an osmotic diuretic
Question 6 Explanation: 
Lactulose acts as an osmotic laxative decreasing ammonia absorption and decreases ammonia production by directly affecting bacterial metabolism.
Question 7
Congenital absence of ganglionic nerve cells innervating the bowel wall is seen in which of the following conditions?
A
Hirschsprung's disease
B
Meckel's diverticulum
Hint:
Meckel's diverticulum results from the failure of the vitelline duct to separate from the intestine during early gestation leading to an outpouching in the intestinal tract.
C
Chagas disease
Hint:
Chagas disease results from infection with the Trypanosoma parasite. Chronic Chagas disease may lead to the loss of dorsal motor nuclear cells of the vagus nerve, resulting in megaesophagus and megacolon.
D
Hashimoto's hypothyroidism
Hint:
Ineffective peristalsis of the colon from hypothyroidism may result in constipation but not Hirschsprung disease
Question 7 Explanation: 
Hirschsprung disease, also termed congenital aganglionic megacolon, results from a lack of ganglion cells in the bowel wall.
Question 8
A middle-aged patient is being treated for recurrent diarrhea and peptic ulcer disease that is refractory to adequate standard therapy. Which of the following is the most likely diagnosis?
A
Achlorhydria
Hint:
The clinical picture of diarrhea with peptic ulcer disease refractory to adequate standard therapy is consistent with gastric acid hypersecretion, not achlorhydria.
B
Drug resistant H. pylori infection
Hint:
Drug resistant infection from H. pylori has not been reported and would not explain the associated diarrhea.
C
Zollinger-Ellison syndrome
D
Giardiasis
Hint:
Giardiasis causes acute diarrhea but is not associated with peptic ulcer disease.
Question 8 Explanation: 
Zollinger-Ellison syndrome is the result of unregulated release of gastrin resulting in gastric acid hypersecretion. Up to 50% of patients complain of diarrhea along with peptic ulcer disease.
Question 9
Which of the following is suggestive of thiamine deficiency?
A
Ataxia
B
Bleeding
Hint:
A deficiency of Vitamin K would result in bleeding and an elevated prothrombin time.
C
Cheilosis
Hint:
Cheilosis, mucocutaneous lesions at the corners of the mouth, is the result of riboflavin deficiency.
D
Diarrhea
Hint:
A deficiency of niacin will result in diarrhea, dementia, and dermatitis.
Question 9 Explanation: 
Ataxia, mental deficits, horizontal nystagmus, muscle weakness and atrophy, and cardiomegaly are all clinical findings in thiamine deficiency.
Question 10
Which of the following would be consistent for a person who has a successful response to the hepatitis B immunization series?
A
HBsAg positive; anti-HBc positive; anti-HBs negative
Hint:
A positive HBsAg and positive anti-HBc with a negative anti-HBs would indicate either acute infection or chronic hepatitis B infection.
B
HBsAg negative; anti-HBc positive; anti-HBs positive
Hint:
A negative HBsAg with a positive anti-HBc and a positive anti-HBs would indicate a previous infection of hepatitis B.
C
HBsAg negative; anti-HBc negative; anti-HBs positive
D
HBsAg negative; anti-HBc negative; anti-HBs negative
Hint:
A person with a negative HBsAg, anti-HBc and anti-HBs is nonimmune and has never received the hepatitis B immunization series.
Question 10 Explanation: 
A person immunized against hepatitis B would have a positive anti-HBs with negative HBsAg and negative anti-HBc. Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver
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Resources and Show Notes:

  • My list of recommended PANCE and PANRE review books
  • Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver

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  • The Audio PANCE and PANRE Board Review Podcast Episode 1
  • The Audio PANCE and PANRE Board Review Podcast Episode 3
  • The Audio PANCE and PANRE Board Review Podcast Episode 5
  • The Audio PANCE and PANRE Board Review Podcast Episode 7
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  • The Audio PANCE and PANRE Board Review Podcast Episode 21
  • The Audio PANCE and PANRE Board Review Podcast Episode 23
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  • Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27
  • Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29
  • Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31
  • EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33
  • Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35
  • Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37
  • Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39
  • Episode 41: The Audio PANCE and PANRE Board Review Podcast
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  • Murmur Madness: The Audio PANCE and PANRE Episode 45
  • Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
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About Stephen Pasquini PA-C

Stephen has been a family practice PA since 2004 and is the creator of The PA Life and Smarty PANCE Board Review websites. A National Health Service Corps Scholar and a graduate of The University of Medicine and Dentistry of NJ (Rutgers) PA Program and the University of Washington in Seattle, WA. Stephen's goal is to provide one-of-a-kind online resources for those interested in or practicing in the PA profession, to promote better access to healthcare for all, and foster universal recognition/awareness of the PA profession. Read more about Stephen.

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Episode 41: The Audio PANCE and PANRE Board Review Podcast

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Reproductive System Board Review Podcast

Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

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Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

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The Audio PANCE and PANRE Genitourinary Review 1

Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

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PANCE and PANRE HEENT Audio Review Part One

EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

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Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

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Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

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The Audio PANCE and PANRE Board Review Podcast Episode 27

Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

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Episode 25 The Audio PANCE and PANRE Board Review Podcast They Physician Assistant Life

The Audio PANCE and PANRE Board Review Podcast Episode 25

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EPISODE 23 THE AUDIO PANCE AND PANRE PODCAST

The Audio PANCE and PANRE Board Review Podcast Episode 23

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The Audio PANCE and PANRE Board Review Podcast Episode 21

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The Audio PANCE and PANRE Board Review Podcast Episode 19

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The Audio PANCE and PANRE Board Review Podcast Episode 17

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The Audio PANCE and PANRE Board Review Podcast Episode 15

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The Audio PANCE and PANRE Board Review Podcast Episode 13

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The Audio PANCE and PANRE Board Review Podcast Episode 11

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The Audio PANCE and PANRE Board Review Podcast Episode 9

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The Audio PANCE and PANRE Episode 7

The Audio PANCE and PANRE Board Review Podcast Episode 7

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The Audio PANCE and PANRE Board Review Podcast Episode 5

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The Audio PANCE and PANRE Board Review Podcast Episode 3

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The Audio PANCE and PANRE Board Review Podcast Episode 1

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