NMS Q&A Family Medicine

Medical Problems of the Gastrointestinal Tract 9117 Postoperative nausea, vomiting(A) Dopamine antagonists (DAs), serotoninantagonists (SAs)(B) DAs, SAs, dexamethasone(C) Metoclopramide, prochlorperazine(D) Histamine 1 blocker, anticholinergics(E) Ginger, vitamin B 6 , promethazineResume choosing the one lettered answer or completion. Anausea treatment choice may be used for more than onecause of nausea.18 A 74-year-old man being treated for chronic renalfailure has the rapid onset of hematochezia consistingof frequent maroon-colored stools. Upper endoscopywas negative to the ligament of Treitz, as wascolonoscopy except for bleeding brisk enough toobscure visibility. Radioisotope-tagged red cell scan(Technetium 99) revealed a small bowel source.Which of the following is the most likely cause ofbrisk GI bleeding, given the foregoing scenario?(A) Meckel diverticulum(B) Lymphoma(C) Crohn disease(D) Angiodysplasia(E) Jejunoileal diverticulum19 The patient in Question 17 has not stopped bleedingand you consider angiography as a therapeuticapproach. Which of the following is the most significantdisadvantage with that plan?(A) It is specific only for a bleeding Meckeldiverticulum.(B) There is a risk of intestinal infarction withembolization.(C) There is no intervention capability.(D) It misses mucosal lesions.(E) Physician interpretation is time consuming.20 A 35-year-old male graduate student complainsof intermittent difficulty swallowing for the last3 months. He notes that this happened 6 years agoand lasted for about 7 months. Which of the followingsymptoms would most enable you to reassure thepatient that he does not have an organic basis for thedysphagia?(A) Rapidly progressing dysphagia with weight loss(B) Slowly progressing dysphagia, over months oryears(C) Intermittent acute symptoms or even acuteobstruction(D) Dysphagia for both solids and liquids(E) Odynophagia21 Ulcerative colitis is a systemic disease and involvesmany extraintestinal processes. They include all ofthe following except which one?(A) Uveitis(B) Sclerosing cholangitis(C) Arthropathies(D) Pyoderma gangrenosum(E) Erythema nodosum