Sample questions / Gastrointestinal & Hepatobiliary
Organ systemWork through gastrointestinal & hepatobiliary vignettes that mix physiology, pathology and pharmacology, the way the exam does. Every explanation covers all five options.
A 46-year-old man with alcoholic cirrhosis has marked muscle wasting despite adequate calories. Albumin is 2.8; he is fatigued and has ascites and edema.
What contributes most to protein-energy malnutrition in cirrhosis?
A 25-year-old woman back from South Asia has a stepwise rising fever, relative bradycardia, rose spots and hepatosplenomegaly. Blood cultures grow non-lactose-fermenting gram-negative rods that produce H2S.
Which serologic test supports the diagnosis?
Four hours after swallowing many iron tablets, a 3-year-old has severe belly pain, vomiting and bloody diarrhea.
What causes the GI injury?
Screening colonoscopy in a 45-year-old man finds twenty polyps scattered through the colon, all tubular adenomas on histology. His father died of colorectal cancer at 50.
Which gene is most likely mutated?
A 3-month-old has poor growth, a big liver and fasting hypoglycemia with lactic acidosis. Liver biopsy shows massive glycogen in hepatocytes.
Which enzyme is most likely deficient?
Your free trial includes questions from this system and every other one.
Start free trialCardiovascular · Respiratory · Renal & Urinary · Nervous System · Endocrine · Reproductive · Hematology & Oncology · Musculoskeletal & Skin · Behavioral Health · Multisystem & General Principles ·
