Answer 20

20.  Choice C is correct answer.  Vitamin A deficiency can cause night blindness, dryness to the cornea and conjunctiva, growth retardation, and cause susceptibility to infection.

Question 20

20.  Your patient is a 56 year old homeless male that presents with complaints of night blindness and dryness to his corneas.  He has lost 45 pounds over the last 6 months since he has been homeless.  Which of the following nutritional deficiencies is most likely the cause of his symptoms?

A.  Vitamin D
B.  Vitamin E
C.  Vitamin A
D.  Vitamin K

Answer 19

19.  Choice D is the correct answer.  Adenocarcinoma of the small intestine is the most common cancer of the small intestine and accounts for 25-45% of all cancers of the small intestine.   

Question 19

19.  Which of the following is the most common malignant tumor of the small intestine?

A.  Lymphoma
B.  Carcinoid
C.  Sarcoma
D.  Adenocarcinoma

Answer 18

18.  Choice C is the correct answer.  Ascending cholangitis is characterized by Charcot's triad which is fever, abdominal pain and jaundice.  Reynold's Pentad is Charcot's triad plus hypotension and confusion that is seen with suppurative cholangitis.

Question 18

18.  Which of the following is not part of Charcot's Triad with ascending cholangitis?

A.  Fever

B.  Abdominal pain

C.  Elevated Bilirubin

D.  Jaundice

Answer 17

17.  Choice D is the correct answer.  The hallmark of Celiac disease on biopsy is crypt hyperplasia, villous atrophy, and mucosal inflammation.  Ulcerative colitis affects from the rectum proximally and does not have those findings on biopsy.  Pseudomembranous colitis affects the large intestine.  Crohn's disease has transmural inflammation and can affect anywhere from the mouth to the anus.  Typical presenting symptoms are with a gluten diet are:  abdominal pain, diarrhea, malabsorption, bloating, anemia, Vitamin B12 deficiency, Folate Deficiency, short stature, delayed puberty, infertility, aphthous stomatitis and recurrent headaches.