CCEP 9Q Study
Guide Exam
Questions with
Complete Solutions
Graded A+
Denning [Date] [Course title]
, Esophagitis presentation - Correct Ans: inflammation of the esophageal wall as a consequence of
abnormal gastroesopheal reflux of HCL
What is the etiology of esophagitis? - Correct Ans: Incompetence of the lower esophageal sphincter and
loss of protective mucus layer
What is the conservative treatment for esophagitis? - Correct Ans: avoid strong acid stimulators,
alcohol, coffee, fats and chocolate
What is the presentation of hiatal hernia? - Correct Ans: protrusion of part of the stomach through the
diaphragm hiatus
What are the types of hiatal hernias? - Correct Ans: sliding, paraesophageal
What is a sliding hiatal hernia? - Correct Ans: gastroesophageal junction and part of stomach are above
diaphragm. (stomach is pulled up)
What is a paraesophageal hiatal hernia? - Correct Ans: esophageal junction is in normal place, but part
of the stomach is next to esophagus (AKA rolling)
What is the presenation of a peptic ulcer? - Correct Ans: area of stomach or proximal duodenal mucosa
that has been penetrated
What is the etioloy of peptic ulcers? - Correct Ans: H. Pylori, NSAIDS, hypersecretion of acid disrupting
the mucosa
What is the treatment for a peptic ulcer? - Correct Ans: avoid fruit juice, spicy and fatty foods, restrict
alcohol, smoking is a risk factor
What is the presentation of cholecystits? - Correct Ans: inflammation of the gall bladder wall (usually in
response to a cystic duct obstruction
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