Answer 35

35.  Choice C is the correct answer.  Anorectal fistulas are prone to abscess formation.  Definitive treatment for them is surgical removal.  Both Crohns and Ulcerative Colitis are risk factors for development of them.  Most of them arise from previously resolved perirectal abscesses.

Question 35

35.  Which of the following is not true regarding anorectal fistulas?

A.  Tract is connecting the skin to the anus
B.  IBD is a predisposing factor
C.  Not prone to abscess formation
D.  Large percentage of them arise from resolved perirectal abscesses

Answer 34

34.  Choice D is the correct answer.  Erythema nodosum can be caused by Yersinia enterolitica that causes gastroenteritis.

Question 34

34.  Erythema nodosum is associated with what organism causing gastroenteritis?

A.  Shigella

B.  Clostridium Difficile 

C.  Giardia

D.  Yersinia 

Answer 33

33.  Choice B is the correct answer.  Odynophagia is known as painful swallowing.  Achalasia is a motility disorder dealing with the esophagus.  Globus hystericus is the sensation that something is caught in the patients throat when there is nothing there.  

Question 33

33.  Which of the following is true regarding dysphagia?

A.  It is painful swallowing.  

B.  Can be caused by obstructive and non obstructive etiologies

C.  Is synonymous with globus hystericus 

D.  Is the same thing as achlasia

Answer 32

32.  Choice C is the correct answer.  This patient has a perforated viscous and needs an exploratory laparotomy.  Morphine, Zofran, and NG decompression would all help provide symptomatic relief to this patient.  Fleets enemas would not be helpful.  

Question 32

32.  A 35 year old male presents to the ER with diffuse abdominal pain and nausea and vomiting.  His up right abdomen reveals air fluid levels and pneumoperitoneum.  Which of the following is not part of the initial management of this patient?

A.  Morphine and Zofran

B.  NG decompression of the stomach

C.  Fleets enema

D.  Immediate laparotomy

Answer 31

31.  Choice C is the correct answer.  Intussusception is the most common cause of bowel obstructions in 2 month-6 years of age.  Meckel's diverticulum and Hirschsprung's trail behind this.  Colon adenocarcinoma is this age group is extremely rare.  

Question 31

31.  What is the most common cause of bowel obstructions between the ages of 2 months and 6 years of age?

A.  Meckel's Diverticulum
B.  Hirschsprungs
C.  Intussusception
D.  Colon adenocarcinoma