Gastroenterology (GI) Board Review Book
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About this ebook
This ebook is 25 board style multiple choice questions, answers, and explanations in the area of gastroenterology. This books is designed for medical students, physician assistant students and nurse practitioners preparing for boards or to recertify.
Jeremy Boroff
I Am an emergency medicine physician assistant for the last 10 years. Prior to this I worked as a Registered Respiratory Therapist for 7 years. In my spare time I write board review apps and ebooks and enjoy spending time with my wife and two little boys Samuel 6 years, and Michael 10 months. I also guest lecture quite often.
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Book preview
Gastroenterology (GI) Board Review Book - Jeremy Boroff
GI Board Review Questions
Copyright 2013 by Jeremy Boroff, PA-C
Smashwords Edition
1. Your patient is a 27 year old female who presents with a several month history of progressively worsening fatigue. Lab evaluation reveals a hemoglobin of 9.6, hematocrit of 28.1, and a guiac that is negative. Her further workup reveals a macrocytic anemia. She ensures us that she eats a health diet along with a vitamin supplement, despite having a low Vitamin B12 on lab evaluation. What hormone may she be lacking?
A. Gastrin
B. Intrinsic Factor
C. Cyclooxygenase
D. HCO3
1. The correct answer is B intrinsic factor. This type of anemia, pernicious anemia, is caused by the lack of intrinsic factor being secreted by the parietal cells of the stomach. If a patient is lacking in intrinsic factor the Vitamin B12 should ideally be administered parenterally. Another common nutritional deficiency that manifests itself as a macrocytic anemia is folic acid. This is common in patients that have had gastric bypass and who are pregnant. A common microcytic hypochromic anemia is iron