Answer 50

50.  Choice A is the correct answer.  Metastatic lesions are the most common cancerous lesions in the liver.  Hepatocellular carcinoma is the most common primary cancerous lesion.  Hemangiomas and focal nodular hyperplasia are benign lesions in the liver.

Question 50

50.  Which of the following is the most common cancerous lesion seen in the the liver?

A.  Metastatic lesions
B.  Hemangiomas
C.  Hepatocellular Carcinoma
D.  Focal Nodular Hyperplasia

Answer 49

49.  Choice B is the incorrect answer.  Surgery does not cure Crohn's disease.  There can be reoccurrences of Crohns in other areas of the alimentary canal.  Crohns can have bloody stools and occurs anywhere in the alimentary canal.  Crohns is transmural.  

Question 49

49.  Which of the following statements is not consistent with Crohns Disease:

A.  Transmural
B.  Surgery cures it
C.  Blood stools
D.  Occurs anywhere from the mouth to the anus

Answer 48

48.  Choice D is the correct answer.  Meckel's Diverticulum will not have currant jelly stool.  Hirschsprungs will not have diarrhea or currant jelly stools.

Question 48

48.  Your patient is a 21 month old female that presents with abdominal pain accompanied with legs drawing up to chest.  After these episodes the patient vomits.  The parents also note there is some red mucus stool (currant jelly).  Which of the following is the most likely diagnosis?

A.  Meckel's Diverticulum
B.  Hirschsprungs
C.  Toxic Megacolon
D.  Intussusception

Answer 47

47.  Choice A is the correct answer.  Anemia is not a recognized risk factor for the development of ischemic bowel.  Atrial fib, PVD, and CHF are all recognized risk factors for the development of ischemic bowel.

Question 47

47.  All of the following are risk factors for ischemic bowel except:

A.  Anemia
B.  Atrial Fibrillation
C.  Peripheral Vascular Disease
D.  CHF

Answer 46

46.  Choice B is the correct answer.  Lactose intolerance presents with abdominal pain, diarrhea, and flatulence after eating milk containing products.  Gluten sensitivity typically has similar symptoms after eating gluten foods but a lot of time will have some weight loss.  Crohns disease will usually have some weight loss and will not necessarily be exacerbated by weight changes.  IBS is a diagnosis of exclusion.

Question 46

46.  Your patient is a 14 year old female that presents with diarrhea, abdominal pain, and flatulence that has been going on for "a while."  Stool studies are negative and weight has been stable.  She has no fever.  She has noted symptoms after eating cheese.  Which of the following is the most likely diagnosis?

A.  Gluten insensitivity
B.  Lactose intolerance
C.  Crohns Disease
D.  Irritable Bowel Syndrome