Gi Packrat Questions 78 Correctly Answered Questions Latest Update

Which of the following is consistent with acute cholangitis? A. Jaundice B. Caput medusa C. Bilateral flank bruising D. An enlarged, palpable nontender gallbladder {Ans: A. *Jaundice* is part of Charcot's triad associated with cholangitis along with fever and biliary colic.}A 48 year-old male presents with complaints of heartburn that occurs approximately 45 minutes after eating about three times a week that is relieved by antacids. He claims to have followed advice about elevating the head of the bed, avoiding spicy foods, and losing weight, but continues to have heartburn. Which of the following is the most appropriate next step? A. Ranitidine (Zantac) B. Sucralfate (Carafate) C. Metoclopramide (Reglan) D. Misoprostol (Cytotec) {Ans: A. *Ranitidine*, an H2 receptor blocker, is indicated for the treatment of mild, intermittent symptoms of gastroesophageal reflux disease. (}A patient is hospitalized with a change in mental status. Examination reveals that he is unable to maintain dorsiflexion of the wrists after pronating his arms in front of his body. Which of the following is the most likely diagnosis? A. Cocaine overdose B. Hyperthyroidism C. Hepatic encephalopathy D. Parkinson's Disease {Ans: C. This is the description for asterixis that is seen with *hepatic encephalopathy*,