1. WOF should be true regarding hx of pt presenting w/ a fluid wave on an ab exam?

a. Hx-alcoholism (M/C cz of fluid wave is acites  portal HTN)

b. Hx-smoking
c. Yellow skin
d. Easy bruising

2. Visible abdominal periostitis is assc. w/ adynamic illeus & early bowel obstruction.
a. False

3. You suspect from hx that your pt might have an infectious esophagitits. WOF might you also suspect to
find (MM)
a. Substernal chest pain
b. Immunocompromise
c. COD (COPD???) infection
d. Fluid wave on ab exam

4. your 16 yr old female pt who u have been tx for 3 months for IBD complains of an enlarging painful
mass in the LLQ of abdomen. She started noticing it month ago but was afraid to tell u. she has low
grade fever. WOF concerns u?
a. chron’s dz or abscess formation (may possibly be the right ans)
b. colon CA
c. appendicitis w/ abscess formation
d. diverticulitis w/ abscess formation

5. pt complains of ab bloating, diarrhea, IBD. Plain lumbar film xray demonstrates loss of bone density
which is most consistent w/ WOF?
a. Peritonitis
b. Gluten intolerance (vit D malabsorption)
c. Diverticulitis w/ perforation
d. UC
6. WOF involves the use of a manametry(sp???)?
a. Barium swallow w/ small bowel follow thru
b. EGD
c. Retrograde pyelogram
d. Esophagram (barium swallow)
7. WOF most typically cz radiating pain into R shoulder region?
a. Gallbladder diz
b. Prostitis
c. Appendicitis
d. Chrons
8. pt has 3 small scars on the mid abdomen in RUQ on ab exam. WOF would be on top of your list for
reason of these scars? (MM)
a. cholecystectomy (Classic)
b. laprescopy
c. laperotomy
d. manometry
9. WOF is the M/C type of abdominal hernia?
a. Inguinal (M/C by far)
b. Umbilical
c. Femoral
d. Dystrophic cranial rectal inversion
10. 26 yr old female present w/ bright red blood per rectum 3x/wk. WOF could cz this indication?
 a. Hemorrhoids -yes
b. Diverticlulitis - no
c. Esophageal CA - no
d. UC – yes
e. A & B
11. WOF is assc w/ rectal pain & itching
a. Fistula or fissure
b. Colon CA
c. Diverticulosis
d. Gallstones
12. WOF are untrue regarding normal esophageal Peristalsis?
a. UT = waves from swallowing are called secondary peristalsis
b. UT = curly (??) is a normal finding (typical but not normal)
c. Primary peristalsis is initiated by swallowing
d. UT = peristalsis is slightly quicker in elderly
13. EDS (DDS???) is pero relaxation to lower esophageal sphincter w/ dysphagia and odynania phagia
typically in younger pts.
a. False
14. Achalasia effects the esophagus by cz’ing relaxation which leads to dilation typically in pts w/ DSS
a. False (dilation is d/t obstruction stricture)
15. 58 yr old male colorectal Ca. pt reports an enlarging mass in his L groin over last few months. WOF is
most likely to assc. w/ :
a. Stage 1
b. Stage 2
c. Stage 3 (could be lymphadenopathy) (may be right ans)
d. Stage 4
16. 65 yr old female pt has acute IBD which is unchanged by changing her body position. She feels very
tired and wants to sleep. WOF is most primary concern?
a. Psot lat disc protrusion
b. AAA
c. Colorectal carcinoma
d. Malingering
17. testing confirms your pt has fecal occult blood where could the blood be coming from? MM
a. sigmoid colon (can come from anywhere from sigmoid and up)
b. esophagus
c. mouth
d. stomach
18. regarding PUD, giant ulcers are
a. typically B9 & seen with zollinger Ellison syndrome.
b. It is unnecessary to biopsy ulcers whtne perfoming EGD
c. Eating may relieve pain or aggravate pain depending upon location
d. Manipulation may be a beneficial pt of tx
19. u suspect your pt has a hiatus hernia. WOF would NOT be commonly found w/ this condition?
a. GERD
b. Remission & exacerbation of sx
c. Younger pt
d. Gurgling feeling in chest
20. dyspepsia that begins 30-60 min after eating is M/C assc. w/ WOF? MM
a. esophageal achalsia (may be right ans)
b. GERD
c. Esophageal colesia
d. PUD
21. itching is assc. w/ WOF condition:
a. jaundice
b. EtOH cirrhosis
c. Spleenomegaly
d. Ascites
22. WOF is M/C location for stomach CA
a. Pylorus
b. Fundus
c. Lesser curvature
d. Greater curvature
23. WOF are risk factors for gastric CA? MM
a. Hep A
b. Eating lots smoked foods
c. Over 40 yoa
d. Cig smoking
24. Presence of multiple peptic ulcers should be an indication to consider WOF?
a. Duodenal malignancy
b. Zollinger Ellison synd
c. Incredible poor diet
d. Gastronomy
e. Both c & d ????
25. most esophageal masses are B9 where as most stomach masses are malign
a. False
26. Presence of supraclavicular lymphdenopathy in a 68 yr old male typically indicates WOF?
a. Cirrhosis
b. Portal HTN
c. GI malignancy w/ mets ???
d. Achalasia
27. The M/C clinical presentation for stage 1 CA in abdominal organs in the normal PE
a. True
28. Any male over 40 yoa that has anemia has WOF until proven otherwise:
b. GI CA
29. Gastric CA can be assc. w/ WOF?
a. Early satiety
b. Melena
c. Hematomesis
d. LUQ abd pain
30. poststenotic dilation w/ odynanophagia is commonly assc. w/ achalasia?
a. False – its prestenotic dilation
31. Reflex esophagitis is GERD that results in permanent damage to the lower esophagus, trachea, vocal
cords
a. False
32. M/C location for esophageal CA’s
a. Supragliotic region
b. Upper ½ of esophagus
c. Lower ½ of esophagus
d. Esophageal sphincter
33. Regarding lactose intolerance?
a. Only milk products are implicated
b. Dz is secondary to lactase def
c. Bloating is common sx
d. Only involves terminal ileum
 e. Both b & c
34. most GI malignancy’s have a very favorable b/c they are identified early in the course of the dz
a. False
35. Regarting tumors of the colon…MM
a. Polyps are relatively common
b. Most adenocarcinomas occur in prox colon
c. Malign is 3x more common in women
d. D is the right ans
36. the major sx of esophageal carcinoma are wgt loss and progressive dysphagia for solid foods.
a. True
37. regarding traction esophageal diverticulum: MM
a. traction esophageal diverticulum results from lesion outside esophagus
b. occurs ___ vasorectum
c. occurs in middle pt esophagus
d. much more common than pulsion diverticulum
38. 5 yr survival rate for colon CA is only 10%
a. False
39. a colon diverticulum is a pusion type diverticulum and m/c occurs in the L colon
a. true
40. true true true true