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Self-Assessment Questions

Gastroenterology

Protein-Losing Enteropathy: Review Questions

Richard A. Wright, MD

Dr. Wright is Professor and Chief, Division of Gastroenterology/Hepatology,
University of Louisville, KY.



Choose the single best answer for each question.

1. Which of the following best describes protein-losing enteropathy?
  1. Malabsorption of digested amino acids
  2. Lack of pancreatic digestion of dietary proteins
  3. Excessive leakage of plasma proteins into the lumen of the gastrointestinal tract
  4. Excessive protein catabolism
  5. An inborn error of protein biosynthesis
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2. Which of the following signs or symptoms is most common among patients presenting with protein-losing enteropathy?

  1. Headache
  2. Gastrointestinal bleeding
  3. Shock
  4. Peripheral edema
  5. Abdominal pain
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3. Major systemic diseases that may present as protein-losing enteropathy include all of the following EXCEPT:

  1. Migraine
  2. Congestive heart failure
  3. Constrictive pericarditis
  4. Connective tissue disease
  5. Amyloidosis
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4. The pathophysiology of protein-losing gastroenteropathy may include all of the following EXCEPT:
  1. Increased interstitial pressure in the lymphatics
  2. Lymphatic obstruction
  3. Gluten-sensitive enteropathy
  4. Giant hypertrophic gastritis (Ménétrier’s disease)
  5. Irritable bowel syndrome
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5. Infectious etiologies of protein-losing enteropathy include all of the following EXCEPT:

  1. Tuberculosis
  2. Amebiasis
  3. Legionnaires’ disease
  4. Giardiasis
  5. Tropical sprue
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