PANRE Gastroenterology 2

Question 1

A 55-year-old male presents with dysphagia to solids only that has progressively worsened over 6 months along with a 15-pound weight loss. Which diagnosis is most concerning?

Accepted Answer

Esophageal carcinoma

Answer

Progressive dysphagia to solids with significant weight loss in an older male raises high concern for esophageal carcinoma.

Question 2

Which of the following is the most common cause of acute pancreatitis in the United States?

Accepted Answer

Gallstones

Answer

Gallstones are the most common cause of acute pancreatitis in the US, followed by alcohol as the second most common cause.

Question 3

A 40-year-old woman with known Crohn's disease presents with right lower quadrant pain, fever, and a palpable mass. Which complication should be suspected?

Accepted Answer

Intra-abdominal abscess

Answer

A palpable mass with fever in Crohn's disease strongly suggests an intra-abdominal abscess, a known complication of transmural inflammation.

Question 4

A 62-year-old man with cirrhosis develops confusion, asterixis, and an elevated ammonia level. Which is the most appropriate initial treatment?

Accepted Answer

Lactulose

Answer

Lactulose is first-line therapy for hepatic encephalopathy as it reduces ammonia absorption by acidifying colonic contents.

Question 5

A 70-year-old man with a history of NSAID use presents with epigastric pain and melena. Endoscopy reveals a duodenal ulcer with a visible vessel. What is the endoscopic treatment of choice?

Accepted Answer

Hemoclip or thermal coagulation plus epinephrine injection

Answer

Combination therapy with a mechanical method (hemoclip) or thermal coagulation plus epinephrine injection is the standard of care for high-risk ulcers with visible vessels.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Gastroenterology 2