GI Emergency Procedures & Response 3

Question 1

A patient arrives with suspected foreign body ingestion and drooling but no respiratory distress. What is the most appropriate next step?

Accepted Answer

Chest and neck X-ray to locate the object

Answer

Plain radiographs of the neck and chest help locate radiopaque foreign bodies and guide management before any intervention.

Question 2

Which sign on plain abdominal X-ray is most characteristic of small bowel obstruction?

Accepted Answer

Dilated loops of small bowel with air-fluid levels in a stepladder pattern

Answer

Dilated small bowel loops with air-fluid levels arranged in a stepladder pattern on upright X-ray are the hallmark of small bowel obstruction.

Question 3

A patient develops sudden severe epigastric pain radiating to the back with elevated lipase. Initial management should include:

Accepted Answer

NPO status, IV fluids, and pain control

Answer

Acute pancreatitis initial management focuses on bowel rest (NPO), aggressive IV fluid resuscitation, and adequate analgesia.

Question 4

Which scoring system is used to predict severity and mortality risk in acute pancreatitis within the first 48 hours?

Accepted Answer

Ranson's criteria

Answer

Ranson's criteria assess 5 admission variables and 6 additional variables at 48 hours to stratify acute pancreatitis severity.

Question 5

A patient with sigmoid volvulus undergoes initial sigmoidoscopic detorsion successfully. What is the recommended next step to prevent recurrence?

Accepted Answer

Elective sigmoid resection

Answer

Elective sigmoid colectomy is recommended after successful detorsion because sigmoid volvulus has a very high recurrence rate (up to 90%) without surgical resection.

(GI) Gastrointestinal Practice Test

(GI) Gastrointestinal Practice Test

GI Emergency Procedures & Response 3