GASTROINTESTINAL AND LIVER DISEASE – Exercise 6

The multiple choice questions in this online test paper focuses on GASTROINTESTINAL AND LIVER DISEASE MCQ. If you are looking for self evaluation of your PG Medical entrance exam preparation then this online GASTROINTESTINAL AND LIVER DISEASE MCQ Test Paper will help you to evaluate your exam preparation.

Instruction for REPRODUCTIVE BIOLOGY/ REPRODUCTIVE MEDICINE / INFERTILITY MCQs:

1- This online MCQ practice test paper contains 30 questions.
2- Each question in this online practice test paper have four options and only 1 option is correct.
3- You can view the answers of this practice test paper after submitting the practice test paper.
Note: The answers mentioned at the end of practice test are the best suitable option as per our knowledge. Users shall cross-check the answers with their textbooks.

Q 1. Gold therapy for rheumatoid arthritis associated with

diarrhea

enterocolitis

toxic megacolon

all of the above

Q 2. treatment of choice for the management of food bolus impaction and foreign bodies

flexible endoscopy

foley catheter extraction under fluoroscopy

glucagon

nifedipine

Q 3. a female presents with episodic arthralgias , pleuritic chest pain and vague abdominal pain.she have similar family history inher parents and cousins.treatment includes

diagnostic laproscopy

prednisone

colchicine

melphalan

Q 4. true statement regarding radiation induced enteritis include

symptoms of radiation enteritis may appear within a week of radiation therapy

younger more affected than older patients

concurrent chemotherapy has not been shown to intensify the effects of radiation therapy

colonoscopy is the diagnostic test of choice for radiation enteritis

Q 5. in a female with history of worsening watery diarrhea diluted tea color since 2 months.stool study revealed no WBC and osmolar gap<50.VIPoma suspected .what other lab findings favour diagnosis

hyperglycemia

hypochlorhydria

hypokalemia

all of the above

Q 6. preferred treatment for large B cell lymphoma of the stomach

rituximab

radiation alone

chemotherapy alone

all are true

Q 7. a female presents as a case of acute appendicitis for which appendicectomy was performed.histopathological examination of appendix results in discovery of a 2.5 cm carcinoid tumor.which of the following statements is true

she had a carcinoid tumor of appendix cured by appendicectomy

she may have metastatic disease and needs to undergo CT abdomen every 3 months

she is likely to have a recurrence of tumor

she should undergo right hemicolectomy

Q 8. a patient present after ingestion of an alkaline substance with no symptoms.UGIE revealed grade II A injury.next step

keep patient NPO and start TPN

keep patient NPO and insert a nasoenteral feeding tube

start him on a liquid diet and advice him regular diet in 24 to 48 hours

perform a barium swallow before allowing oral intake

Q 9. majority of patients with esophageal food impaction have underlying pathology which include all except

schatzki ring

eosinophilic esophagitis

candiada esophagitis

altered surgical anatomy

Q 10. most common group that unintentially ingest foreign bodies

older adults

children

college students playing quarters

intoxicated patients

Q 11. most common site of extragonadal GI lymphoma in developed countries

colon

small intestine

prednisone

stomach

Q 12. regarding carcinoid syndrome all are true except

atypical carcinoid syndrome is caused by foregut carcinoids

flushing and diarrhea are the first symptoms of carcinoid syndrome

typical carcinoid syndrome is caused by midgut carcinoids

patient with atypical carcinoid syndrome have normal serotonin levels

Q 13. all are true regarding GI symptoms in AIDS except

because of HAART ,GI symptoms are most often drug induced or nonopportunistic

CD4 count>200/mm favors common bacteria and other opportunistic infections

CD4 count <100/mm favors CMV , fungi , MAC and unusual protozoa

clinical signs and symptoms frequently suggest a specific diagnosis

Q 14. a man in his fifty presents with four daily episodes of watery diarrhea for 18 months accompanied by fatigue and 15 pound weight loss.there is no blood or mucus , abdominal pain , nausea or vomiting . investigations revealed Hb of 11,MCV 76 , &Ca+ of 11.UGIE demonstrates antral ulcers.all of the following used to confirm diagnosis except

chromogranin A

parathyroid hormone

gastrin level

serum protein electrophoresis

Q 15. factors predicting fibrosis and progression to cirrhosis in patients with hepatitis C who are also infected with HIV include

higher ALT level

older age at infection

higher inflammatory activity

all of the above

Q 16. Vasculitides including PAN , Chrug strauss syndrome and HSP can cause each of the following GI manifestations except

pancreatitis

ischemic bowel

cholecystitis

eosinophilic gastroenteritis

Q 17. in children symptoms that raise suspicion of foreign body in esophageous

failure to thrive

choking

drooling

all of the above

Q 18. protein losing enteropathy should be treated with

replacing lost protein through albumin infusion

aggressive protein nutritional resucitation

treating the underlying disease

H2 receptor antagonists,anticholinergic agents and octreotide

Q 19. technique likely to reduce radiation enteritis

using only anterior and posterior fields for pelvic radiation

administering radiotherapy in the supine position

maintaining an empty bladder during radiation therapy

using misoprostol suppositories in patients undergoing radiation

Q 20. true statement regarding adverse effects of imatinib include all except

it has not been reported to cause myelotoxicity

diarrhea , myalgia and skin rash occur in 30%-45%

adverse effect tend to lessen with continued treatment

GI hemorrhage from shrinking tumor masses noted in 5% cases receiving medication

Q 21. true statement regarding rectal carcinoid tumors include

rectum is a very rare site of carcinoid tumors

rectal carcinoid tumors are more common in female than male

carcinoid syndrome is a common feature of rectal carcinoid tumors

primary determinant of the prognosis for patients with rectal carcinoid tumor is the underlying tumor biology

Q 22. most common site of gastrinoma

first portion of the duodenum

third portion of the duodenum

pancreatic tail

pancreatic head

Q 23. a patient on tacrolimus present with anorexia, nausea and vomiting post renal transplant her UGIE revealed deep irregular ulcer surrounded by edematous mucosa.most likely diagnosis

HSV

CMV

Candida infection

GVHD

Q 24. metabolic derangement in glucagonoma patients include all of the following except

thromboembolic events

anemia

increased amino acid production

hyperglycemia

Q 25. a female who underwent liver transplant for billiary cirrhosis one month back presented with complains of anorexia , nausea, and intermittent vomiting.she is presently on tacrolimus and prednisone.what is the next best step

endoscopy

reduce tacrolimus dose

add a PPI

stop tacrolimus and prednisone

Q 26. a female presents with symptoms of weight loss and a rash.on examination there are raised erythematous lesions with central blistering which were in several stages of healing with associated hyperpigmented areas and bullous crusted lesions.lab investigations revealed normocytic anemia ,elevated serum glucose and a glucagon level of 1200.most likely diagnosis

type 2 DM

cirrhosis

glucagonoma

celiac disease

Q 27. for diagnosis of amyloidosis advisable sites for biopsy include all except

stomach or duodenum

liver

colon

subcutaneous abdominal fat pad

Q 28. regarding bezoars true statement includes

develop after surgery due to delayed gastric emptying,decreased gastric accommodation and reduced acid peptic disease

can cause gastric ulceration secondary to pressure necrosis

Rapunzel syndrome can lead to pancreatitis/jaundice

all of the above

Q 29. there is increased risk of esophageal cancer after alkaline caustic ingestion.all are true except

there is an increased risk of squamous cell cancer

there is an increased risk of adenocarcinoma

Lye ingestion leads to 1000 fold increase in cancer risk

endoscopic surveillance every one to three years should begin 20 years after ingestion

Q 30. a female with diverticulosis presents with lower left quadrant abdominal pain.CT scan of abdomen revealed 1×1.2cm abscess in the left lower quadrant.management includes

perform CT guided percutaneous catheter drainage

perform USG guided percutaneous catheter drainage

iv antibiotics

surgery

GASTROINTESTINAL AND LIVER DISEASE – Exercise 6

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GASTROINTESTINAL AND LIVER DISEASE – Exercise 6

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