Answer 40

40.  Choice A is the correct answer.  Vitamin B1 (Thiamine) deficiency causes Wernicke's encephalopathy. Vitamin B3 (Niacin) deficiency causes Pellagra.  Vitamin D deficiency can cause Rickets.

Question 40

40.  Wernicke's Encephalopathy comes from a deficiency of what Vitamin?

A.  Vitamin B1

B.  Vitamin B3

C.  Vitamin D

D.  Vitamin K

Answer 39

39.  Choice D is the correct answer.  Traveler's diarrhea can be treated with Cipro 500 mg BID after the diarrhea develops.  If the patient develops fever over 101.3, has blood or mucus in the stool, signs of hypovolemia, severe abdominal pain, or greater than 6 stools in 24 hours the patient should have stools studies and a work up.

Question 39

39.  Your patient is a 45 year old male that just got back from Africa.  He complains of diarrhea that is brown and watery.  He has no fever, hematochezia or abdominal pain.  Which of the following is the best management option?

A.  Amoxicillin 500 mg TID
B.  Doxycycline 100 mg BID
C.  Gentamicin 80 mg TID
D.  Cipro 500 mg BID

Answer 38

38.  Choice C is the correct answer.  Pancytopenia not thrombocytosis is common.  The liver is a hematopoietic site and so as cirrhosis advances the ability to produce white blood cells, red blood cells, platelets and clotting factors diminishes.  Albumin falls with malnutrition and liver disease.  

Question 38

38.  Which of the following is not true regarding labs associated with cirrhosis?

A.  GGT levels usually correlate with alkaline phosphatase levels
B.  INR levels usually increase
C.  Thrombocytosis is common
D.  Albumin levels usually fall

Answer 37

37.  Choice A is the correct answer.  Hypertriglyceridemia not hypercholesterolemia causes pancreatitis.  The majority of cases (85%) of acute pancreatitis are caused by gall bladder disease and alcohol.  Viral infections and hypercalcemia can cause pancreatitis.  

Question 37

37.  All of the following are causes of pancreatitis except:

A.  Hypercholesterolemia
B.  Hypercalcemia
C.  Viral Infections
D.  Gall Bladder Disease

Answer 36

36.  Choice A is the correct answer.  NSAIDS seem to have a protective effect when it come to esophageal adenocarcinoma.  Zollinger Ellison Syndrome, obesity, and Barrett's Esophagus are all risk factors for development of esophageal adenocarcinoma.

Question 36

36.  All of the following are risk factors for esophageal carcinoma except?

A.  NSAIDS
B.  Zollinger Ellison Syndrome
C.  Obesity
D.  Barrett's Esophagus