GASTROINTESTINAL AND LIVER DISEASE – Exercise 2

Q 1. A 17-year-old girl diagnosed case of bulimia nervosa. She reports to her dentist symptoms of heartburn, teeth discoloration, and sensitivity to extreme temperatures. The dentist observes rounded teeth and some dents. Which of the following best describes this complication of bulimia nervosa?

Q 2. a 50 year old female after 4 months of gastric bypass surgery presents with new epigastric pain that begins 30 minutes after a meal and is not relieved by antacids,most likely cause of the condition is

Q 3. which of the following is the principal regulator of cell cycle progression or movement from G2 to M phase and G1 to S phase in the cell cycle

Q 4. Microsatellite instability involves which of the following

Q 5. in a hospitalized patient aggressive nutritional support be most beneficial in

Q 6. regarding orlistat true is

Q 7. in chronically malnourished patients somatostatin analog octreotide acetate may be used for management of diarrhea.which of the following is most accurate regarding this medication

Q 8. two pathways trigger cell apoptosis,one is mediated by activation of TP53 and the other is mediated through death receptors.which of the following is not a death receptor

Q 9. which of the following participate in pain pathways and modulate inflammation in GI tract

Q 10. chemokines are secreted by IECs and they aid in the regulation of inflammation. Chemokines attract which of the following cells to sites of interest

Q 11. all of the following are oncogenes except

Q 12. a patient of bulimia nervosa with BMI of 15 admitted twice in past 2 months with complaints of early satiety and postprandial pain and has lost 5 pounds . endoscopy reveals scant food debris in the stomach.treatment with PPI results in minimal clinical improvement.which diagnostic test would be most helpful

Q 13. what modulator is released from the extrinsic and intrinsic nerves and from the mucosal enterochrmophin cells of the gut

Q 14. which of the following would usually be recommended as a part of preoperative evaluation for bariatric surgery

Q 15. essential amino acid includes

Q 16. which is considered protective against childhood obesity

Q 17. a female in her thirties usually taking salads and other low calorie diet.however once in a month consumes ice cream ,cookies and other high calorie diet afterwhich she becomes very anxious ,takes laxatives and forces herself to vomit.she is 5 feet 5 inches tall and weighs 130 pounds.her most likely diagnosis

Q 18. a 50 year old alcoholic man present in an emergency in confused state with ataxia and abnormal eye movements.CT head was normal and result of drug and alcohol are negative.cause of these symptoms

Q 19. which of the following may contribute to why OPV provides active immunity in the gut

Q 20. all of the following are gene mutations that can lead to colon cancer and can be tested for by immunohistochemistry except

Q 21. which of the following is the most distinguishing feature appreciated during physical examination of a child with kwashiorkor compared with a child with marasmus?

Q 22. A 40-year-old man with a history of rhinoconjunctivitis, asthma, and atopic dermatitis presents with heartburn and dysphagia. Twice daily treatment with a proton pump inhibitor for six weeks does not improve his symptoms. Endoscopy reveals mucosal rings, ulcerations, and strictures throughout the esophagus. What is his most likely diagnosis?

Q 23. A person present with BMI of 42. What is his weight classification?

Q 24. primary origin of TNF is in the following cell types

Q 25. a 2 month male infant presents with protrcted vomiting and diarrhea.the infant was initially begun on a cow milk formula and was then switched to soya based formula which he tolerated for 2 days before his symptoms recurred.small intestinal biopsy revealed edema and an increased number of lymphocytes , eosinophils and mast cells.most likely diagnosis

Q 26. what proportion of total protein requirements should be provided in the form of essential amino acids

Q 27. deletions of which of the following can lead to colitis

Q 28. NOD2/CARD15 polymorphisms are associated with which of the following

Q 29. a child is diagnosed as having a gastrointestinal allergy due to IgE mediated hypersensitivity.eliminating which of the following group of foods would most likely reduce this child symptoms

Q 30. which of the following statement regarding calcium absorption is most accurate