Chronic Small Intestinal Disease Practice Test

These questions are part of the practice quiz. Start practicing

• Which statement best describes ascites in PLE?
• Majority of existing prescription diets are partially hydrolyzed at ___- ___ kD
• What duration defines chronic GI signs for suspicion of CIE?
• What is the recommended diagnostic approach for suspected small intestinal T-cell lymphoma in cats?
• If cobalamin (B12) deficiency is found in a dog with PLE, what is the recommended action?
• How long should immunosuppressive therapy be continued to treat steroid-responsive enteropathy?
• What type of diets reduce undigested substrate for bacteria to feed off?
• Which term best describes the GI tract's microbial community?
• In the stepwise approach, which imaging procedure may be used to evaluate abnormal structures?
• Definitive diagnosis of suspected intestinal small cell lymphoma in cats typically requires which type of biopsy?
• Which category of enteropathy shows improvement with antibiotic therapy?
• A common complication of lymphangiectasia is hypocobalaminemia; what is the appropriate management?
• Which form of lymphangiectasia is more common in dogs?
• To abolish ALL chance of a response to protein, what size do they need to be?
• Which two drugs are used to treat small T cell lymphoma in the intestine?
• Mean survival time of PLE?
• Is there a single diet optimal for both inflammatory bowel disease and primary lymphangiectasia?
• NOT listed as a way to pamper your microbiome?
• For the differential diagnosis of lymphangiectasia, which finding on histopathology would you expect?
• Which condition is categorized under mechanical or structural problems as a chronic diarrhea cause?
• Screening panels evaluating GI biomarkers are recommended for diagnosis.
• What route do you need to use due to hypoalbuminemia?
• Which statement best describes congenital lymphangiectasia in dogs?
• Which statement NOT a protozoal cause among the listed options?
• What is the role of fenbendazole trial in the stepwise approach to chronic diarrhea?
• Chronic dietary indiscretion is also known as which informal term?
• What is the pathogenesis of Lymphangiectasia?
• During the stepwise approach, when is a dietary trial performed and how many attempts are recommended if there is no response?
• The tiger stripe pattern is caused by which condition?
• Which statement about disease pathophysiology and management is most accurate?
• Which statement is true about Hill's i/d Low Fat, Royal Canin GI Low Fat, Purina Pro Plan EN Low Fat diets for primary lymphangiectasia?
• What is the anti-inflammatory dose of steroids for this condition?
• What is called when there is an increased numbers of bacteria in the small intestine due to proliferation of 'normal' microbiome under abnormal conditions?
• Which of the following trials is commonly used before a diet trial to assess potential parasite involvement in suspected food-responsive enteropathy?
• What goes against the principles of good antibiotic stewardship?
• What is the correct order of the stepwise approach to chronic diarrhea?
• Secondary lymphangiectasia can be caused by obstruction of lymphatic flow due to which condition?
• What is the preferred cytotoxic drug to be used in cats?
• Loss of antithrombin III predisposes to a hypercoagulable state leading to what complication?
• What is the recommended management for chronic dietary indiscretion?
• Which of the following is NOT an anatomical cause of chronic diarrhea in the small bowel?
• Which drug should be avoided for chronic diarrhea because it can cause antibiotic-responsive enteropathy?
• What term describes chronic diarrhea that responds to antibiotic therapy?
• Is hypoalbuminemia not responsive to treatment considered a negative prognostic indicator?
• How long do the effects of Antibacterial therapy on the microbiome persist?
• Which of the following best describes a condition that is associated with an immune reaction to a dietary antigen?
• Which of the following is an anatomical cause of chronic diarrhea in the small intestine?
• What type of effusion is typically seen in the fluid analysis of a PLE patient?
• Which drug has T-lymphocyte suppressive activity and is used as a cytotoxic therapy option?
• Intestinal dysbiosis contributes to the pathogenesis of which condition?
• How do you perform a Fecal microbiota transplantation (FMT)?
• What diagnostic finding is needed to confirm PLE in dogs?
• Which of the following is NOT listed as a contributor to secondary lymphangiectasia?
• What ultrasound finding is highly specific for lacteal dilation in lymphangiectasia?
• What is the direct clinical consequence of protein-rich lymph leaking into the gut lumen in lymphangiectasia?
• What duration qualifies a disease as chronic?
• What should you do if the lowest dose cannot be used in the pet?
• What are the two most common histopathological diagnoses for PLE?
• Which of the following is a recognized classification for chronic small intestinal enteropathy in dogs?
• Which endocrine combination is cited as extra-GI causes of chronic diarrhea?
• Which dog breeds are cited as having congenital lymphangiectasia?
• Which statement best aligns with antibiotic stewardship in canine GI disease?
• In the context of PLE due to lymphangiectasia, what is a recommended diagnostic step for prognosis and management?
• Typically, how many diet trials are recommended before concluding non-food-related problem?
• Azathioprine cannot be used in which animal?
• What drugs are used for Immunosuppressive therapy with Steroid-responsive enteropathy?
• What term describes abnormal immune response to normal bacterial antigens in the GI microbiome?
• What is the primary rationale for using hydrolyzed diets in suspected protein allergy cases?
• Which organism is a protozoal cause of chronic diarrhea?
• Which combination of conditions is listed under the mechanical or structural causes of chronic diarrhea?
• Lymphangiectasia is one of the main differential diagnoses for protein-losing enteropathy.
• Which organism is associated with PLE as a fungal-like pathogen?
• Bacterial causes of chronic diarrhea are rare and zoonotic. Which statement is correct?
• Which statement is true regarding food-responsive enteropathy?
• Which mediator is primarily associated with the Type 1 hypersensitivity reaction seen in food-responsive enteropathy?
• Which ultrasound feature may be described as tiger stripe in PLE?
• Which medication is commonly used to address the thrombotic risk associated with loss of antithrombin III in lymphangiectasia?
• What is the key histologic feature of lymphangiectasia on biopsy?
• What best defines novel proteins in a dietary trial?
• Which of the following are commonly cited drawbacks of commercial hydrolyzed diets?
• In dogs with PLE, ascites may be the only presenting sign.
• If intestinal biopsies and histopathology are consistent with CIE, what should you do next?
• What is the preferred cytotoxic drug due to T-lymphocyte specific activity?
• The lower the albumin, the worse the prognosis in lymphangiectasia-related PLE.
• When advising a diet trial for a dog, what must you tell the owner regarding feeding during the trial?
• Which imaging feature is most informative for detecting lymphangiectasia?
• Which bloodwork finding is commonly seen in PLE?
• Which of the following is a negative prognostic indicator for PLE?
• Which option best completes the statement: 'The following are clinical signs of PLE: ascites, pleural effusion, edema' ?
• Which vitamin supplementation is essential for life if ileum completely removed?
• Which statement best describes whether primary causes of Lymphangiectasia are common in dogs?
• On endoscopy, which lesion is most suggestive of lymphatic dilation?
• Which vitamins should be assessed for non-responsive enteropathy?
• What are the two main differentials for protein-losing enteropathy?
• Which components are included in the Texas GI panel mentioned in the approach?
• What is the cause of thromboembolic disease associated with protein-losing enteropathy (PLE)?
• Which endocrine disorders are noted as extra-GI causes of chronic diarrhea?
• Which of the following is a cause of Secondary SIBO/dysbiosis?
• What is the most common classification of predominant cell type with canine IBD?
• Which statement best describes the relationship between small intestinal lymphoma and inflammatory bowel disease in cats?
• If there is no improvement on hydrolyzed diet trial, what does this imply about dietary allergens?
• What is the recommended initial treatment for suspected food intolerance?
• Which protozoal parasite is associated with chronic diarrhea in cats?
• What is called when there is an imbalance between the types of microorganisms in the GI microbiome?
• Which of the following is NOT a listed novel protein source?
• How do you treat Primary lymphangiectasia?
• Which deficiencies are checked in the Texas GI panel when evaluating a dog with PLE?
• Which test is used to rule out Addison's disease in the stepwise evaluation?
• What ultrasound finding is commonly seen with PLE?
• Chronic Inflammatory Enteropathy (CIE) diagnosis is based on which components?
• You need to do biopsies BEFORE starting steroids!
• If neither a novel protein diet nor a hydrolyzed diet yields improvement, what is the typical next conclusion?
• What type of intestinal biopsy is full thickness, larger samples, can biopsy any part of the intestinal tract; invasive, increased complications, contraindicated with severe hypoproteinemia; can be performed by a general practitioner?
• Which two protozoal causes are listed as chronic diarrhea causes?
• What is the term for chronic ingestion of inappropriate food materials?
• Protein-losing enteropathy is best described as?
• Neoplasia is listed as a differential diagnosis for chronic diarrhea. Which statement is true?
• Which fungus is listed as a cause of chronic diarrhea?
• Which endoscopic finding is classic for lymphatic dilation?
• Which vitamin is essential for enterocyte health?
• Secondary SIBO is caused by which factor?
• What is another name for Steroid-responsive enteropathy?
• Which may be effective in treating chronic diarrhea in dogs but signs will often recur after stopping medication?
• Which nutrient is absorbed in the ileum?
• IBD is likely over-diagnosed and steroids are often started too quickly.
• Which term refers to an imbalance between the types of microorganisms in the GI microbiome?
• How do hydrolyzed diets work?
• Diet must be the sole source of what in a diet trial?
• Which statement about dysbiosis is true?
• Which test helps diagnose PLE by ruling out exocrine pancreatic insufficiency (EPI) and what does it assess?
• What are the two drugs that have immune mediating properties of Idiopathic antibiotic-responsive diarrhea?
• Fecal microbiota transplantation (FMT) is best described as which of the following?
• Which statement about protein-losing enteropathy is most accurate given the material?
• What is the term for a non-immunologic reaction to a food or food additive?
• Which of the following best describes the consequence of extensive ileal loss?
• Which statement is true regarding prognosis when more than two-thirds of the small intestine is lost?
• Among extra-GI hepatic causes of chronic diarrhea, which option best represents a chronic hepatopathy with portosystemic shunt?
• Which of the following is listed as a novel protein option?
• What plays a central role in maintenance of overall health of the host?
• Which statement is true about prognosis related to body weight in PLE?
• What is the most consistent method to diagnose PLE?
• Which statement is part of the diagnostic criteria for steroid-responsive enteropathy?
• Which vitamin deficiency is listed as a negative prognostic indicator for PLE?
• What is the most common intestinal lymphoma?
• Why are dogs with PLE often hypocalcemic, and how should this be addressed?
• Which sequence best describes a diet trial protocol for suspected food-responsive disease?
• Which statement about secondary SIBO is accurate?
• True or False: You should always deworm before starting a diet trial for suspected food-responsive enteropathy.
• Some dogs with chronic inflammatory enteropathy may not respond to diet, antibiotics, or immunosuppressive therapy.
• Dysbiosis describes what kind of condition?
• Which deworming medication is suggested for suspected parasitic causes?
• Historically, improvement with antibiotics such as metronidazole or tylosin led to classification as antibiotic-responsive enteropathy.
• Tapeworms rarely cause diarrhea.
• In the differential diagnoses for chronic small intestinal diarrhea, which option represents the pancreas-related extra-GI cause?
• Which statement about parasites and chronic diarrhea is true?
• Before attributing chronic diarrhea to IBD, which conditions should be ruled out?
• Why does it matter if a dog has PLE due to primary lymphangiectasia versus CIE/IBD-associated lymphangiectasia?
• Which of the following is not listed as a clinical sign of protein-losing enteropathy in the material?
• If the entire ileum is resected, what management is required?
• Where is the small cell tumor typically localized in the intestinal wall, and what biopsy is recommended for diagnosis?
• If there is moderate to severe panhypoproteinemia with PLE, what is the recommended initial step?
• Which category is defined by lack of response to standard therapies in chronic enteropathy?
• Food intolerance and food allergy are the same thing.
• In the differential diagnosis framework for chronic diarrhea, what does the letter I stand for?
• In lymphangiectasia, dilation and dysfunction of intestinal lacteals lead to what sequence?
• Which of the following is listed as a novel protein option?
• During a diet trial for a cat, which type of product could invalidate the trial if given regularly?
• What diagnostic step is typically performed after initial workup if food-responsive enteropathy remains suspected?
• The most common histologic pattern in canine IBD features predominant infiltration by which cell types?
• Which of the following is NOT part of the five diagnostic criteria for steroid-responsive enteropathy?
• Which conditions are underlying causes to address when treating protein-losing enteropathy in dogs?
• What is called when there is an increased numbers of bacteria in the small intestine due to excessive proliferation of 'normal' microbiome under abnormal conditions?
• Steroid-responsive enteropathy is also referred to as which of the following?
• Which anatomical structure's resection can contribute to chronic small bowel diarrhea?
• What test can confirm intestinal protein loss but does not differentiate the underlying cause?
• Which virus is associated with chronic diarrhea?
• It may be challenging to tell apart primary from secondary lymphangiectasia.
• If you perform a fluid analysis on a PLE patient, what is the typical description of the effusion?
• What is the primary therapeutic approach for suspected food-responsive enteropathy?
• Which condition is an extra-GI kidney cause of chronic diarrhea?
• Which statement about the frequency of primary versus secondary SIBO is true?
• Besides hypoalbuminemia, which lipid-related bloodwork change may be observed in PLE?
• During diet trials, which of the following should be avoided?
• In cats, which condition is difficult to differentiate from small T cell lymphoma on histology?
• Which statement is NOT listed as a negative prognostic indicator for PLE?
• What is the primary diagnostic approach for suspected food-responsive enteropathy?
• Which condition is identified as a primary lymphatic disorder associated with chronic diarrhea?
• Secondary lymphangiectasia can be caused by increased venous pressure from which condition?
• What type of intestinal biopsy is described as superficial, small samples, easily crushed, from stomach, duodenum +/- ileum (but not jejunum)?
• If there is doubt that parasites are causing chronic diarrhea, what should you do?
• What did he say about corticosteroids and dosing that is important?
• Which of the following are clinical signs of protein-losing enteropathy?
• Which statement about diet for both IBD and primary lymphangiectasia is true?