Answer 10

10.  Choice B is the correct answer.  The most common causes of cirrhosis is the US are alcoholism and Hepatitis C.  Other causes of cirrhosis include hepatitis B, hemochromatosis, autoimmune hepatitis, non alcoholic fatty liver disease, primary sclerosing cholangitis, medications, Wilson's Disease, alpha 1 anti-trypsin deficiency, portal fibrosis, infections, right heart failure, and venous occlusive disease.

Question 10

10.  The most common cause of cirrhosis in the United States is?

A.  Hemochromatosis
B.  Hepatitis C
C.  Autoimmune hepatitis
D.  Fatty Liver Disease

Answer 9

9.  Choice D is the correct answer.  Hepatitis D requires the serotype Hepatitis B to be present in order to replicate.

Question 9

9.  Which serotype of Hepatitis requires Hepatitis B to replicate?

A.  Hepatitis A
B.  Hepatitis B
C.  Hepatitis C
D.  Hepatitis D

Answer 8

8.  Choice B is the correct answer.  This patient has pyloric stenosis.  An "olive like" mass is consistent with pyloric stenosis.  Pyloric stenosis typically presents at 3-6 weeks.  Usually is the first born caucasian male.  A 24 hour pH probe would be helpful for determining if reflux was present. 

Question 8

8.  Your patient is a 5 week old caucasian male that presents with vomiting, and weight loss.  This has been going on for approximately 2 days.  Physical exam reveals a "olive like" mass at the rectus abdominus muscle.  Which of the following tests  would be most helpful in confirming the diagnosis?

A.  KUB

B.  Ultrasound

C.  CT scan of Abdomen and Pelvis

D.  24 hour pH probe

Answer 7

7.  Choice C is the correct answer.  Acceptable antibiotic regimens for H. Pylori eradication include:  clarithromycin and metronidazole, metronidazole and tetracycline, or amoxicillin plus clarithromycin.  Azithromycin, clindamycin, and ciprofloxacin are not helpful in H. Pylori eradication.  

Question 7

7.  Your patient is a 45 year old female that presents with epigastric discomfort improved with eating.  You have sent her for outpatient labs and she has a positive H. Pylori antibody.  She has never had H. Pylori in the past.  Which of the following is an acceptable antibiotic regimen for H. Pylori eradication?

A.  azithromycin and amoxicillin
B.  metronidazole and clindamycin
C.  clarithromycin and metronidazole
D.  ciprofloxacin and tetracycline

Answer 6

6.  Choice C is the correct answer.  Herpes simplex virus is not a risk factor for esophageal cancer.  Human papilloma virus is a risk factor for esophageal cancer.  Poor oral hygiene, obesity, Barrett's Esophagus, caustic strictures, atrophic gastritis, achalasia, family history, and certain medications put you at risk for esophageal cancer.

Question 6

6.  All of the following are risk factors for esophageal cancer except?

A.  Poor oral hygiene
B.  Obesity
C.  Herpes Simplex Virus
D.  Barrett's Esophagus