GASTROINTESTINAL AND LIVER DISEASE – Exercise 3

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. Which of the following agents is approved for long-term use in the pharmacologic treatment of obesity?

Amphetamine

Orlistat

Fenfluramine

Phentermine

Q 2. which of the following statements regarding CNS involved in modulating food intakeis the most accurate?

The stimulation of α1-adrenergic receptors increases food intake.

The stimulation of serotonin receptors in the brain reduces fat intake, with little or no effect on the intake of protein or carbohydrates.

The stimulation of β2 receptors in the brain increases food intake.

The stimulation of the H1 receptor in the central nervous system increases food intake.

Q 3. In patients with anorexia nervosa and bulimia nervosa, elevation of which hormone is most closely associated with secretion of growth hormone, stimulation of appetite and intake, induction of adiposity, and signaling to the hypothalamic nuclei involved in energy homeostasis?

Leptin

Serotonin

Cholecystokinin

Ghrelin

Q 4. An 18-year-old female college freshman preoccupied with maintaining a low weight for much of her life. The patient periodically diets Her current weight is 100 pounds, and her height is 5 feet 8 inches. What is her most likely diagnosis?

Bulimia nervosa

Purging disorder

Anorexia nervosa

Binge-eating disorder

Q 5. which of the following abnormalities is found in the GI tract of a malnourished patient?

Proliferation of intestinal villi

Increased volume of gastric secretions

Increased number of facultative and anaerobic bacteria in the small bowel

Increased volume of bile

Q 6. regarding hepatitis B infection in pregnancy which statement is true?

Most women of childbearing age with chronic hepatitis B have a high risk of the development of complications of their disease during gestation.

Maternal-fetal transmission is responsible for most cases of hepatitis B worldwide.

Mothers who test negative for the hepatitis B e-antigen cannot transmit the virus to their fetuses.

Women with hepatitis B can be treated with interferon during pregnancy.

Q 7. which of the following bariatric surgical procedures is most likely to lead to serious complications due to excessive malabsorption?

Biliopancreatic diversion/duodenal switch

Roux-en-Y gastric bypass

Laparoscopic adjustable gastric banding

Partial and sleeve gastrectomy

Q 8. correct way to manage incidental discovery of telangiectasias of colon during colonoscopy

It should be treated with a heater probe to prevent occurrence of lower GI bleeding.

patient should undergo angiography after the colonoscopy to confirm that he does not have other similar lesions

It should be treated with argon plasma coagulation because this kind of lesion is a common cause of recurrent lower GI bleeding.

It does not require any treatment because the risk of bleeding from this lesion is very small.

Q 9. Hypoproteinemia, the most common clinical sequela of protein-losing gastroenteropathy,manifests as a decrease in serum levels of albumin, fibrinogen, lipoproteins, α1-antitrypsin, transferrin, and ceruloplasmin, and the following gamma globulins except:

IgA

IgM

IgE

IgG

Q 10. most common complication after colonoscopy with polypectomy?

Perforation of the hollow viscus

Infection

Immediate postoperative bleeding

Cardiorespiratory complications

Q 11. which of the following statements regarding weight reduction agents is correct?

Fluoxetine is approved by the FDA for weight reduction.

Fluoxetine is a good option for a long-term weight loss.

Wellbutrin has data to support off-label use for short-term weight loss.

Topiramate is ineffective for weight reduction.

Q 12. a patient with a history of antrectomy and vagotomy for recalcitrant peptic ulcer disease presents with recurrent episodes of nausea, cramping, diaphoresis, and palpitations after meals. Upper endoscopy reveals normal postoperative findings. Which intervention is most likely to improve this patient’s symptoms?

Ingest frequent small meals.

Ingest simple sugars with meals.

Ingest large volumes of fluids with meals.

Start a prokinetic agent

Q 13. which of the following statements regarding sibutramine is true?

It has no side effects.

It acts directly on serotonin receptors in the brain.

It is a selective inhibitor of serotonin uptake.

It is not considered effective for maintenance of weight loss

Q 14. Foreign bodies and/or food boluses can lodge in the esophagus in any of the following areas of narrowing except:

Hiatal hernia

Upper esophageal sphincter

Level of the aortic arch

Level of the mainstem bronchus

Q 15. During hospitalization, the patient is observed to have hyperglycemia. Which micronutrient deficiency best explains this problem?

Chromium deficiency

Manganese deficiency

Copper deficiency

Iron deficiency

Q 16. following statements about eosinophilic gastroenteritis are true except:

It commonly presents between 20 and 60 years of age.

Peripheral eosinophilia is present in a majority of patients.

It most commonly affects the stomach and small bowel, but also can extend to the esophagus, colon, and rectum.

It affects primarily mucosa and pyloric obstruction and usually indicates alterative disease.

Q 17. A 48-year-old woman with esophageal cancer receives nutrition via a percutaneously placed gastrostomy tube. She was recently hospitalized for 5 days for treatment of pneumonia and subsequently developed severe diarrhea. Which one of the following is the best treatment for this patient’s diarrhea?

Change the enteral feeding formula

Change the gastrostomy tube to a jejunostomy tube

Metronidazole

Ciprofloxacin

Q 18. A man who has undergone bilateral lung transplantation presents with midepigastric pain and nausea. He takes high-dose glucocorticoids and cyclosporine for acute rejection as well as a proton pump inhibitor (PPI). Which one of the following studies should be performed next?

Upper GI series

Upper endoscopy

CTscan of the abdomen

Gastric-emptying scan

Q 19. A cachectic man admitted to the hospital with pneumonia. He is treated with intravenous antibiotics and total parenteral nutrition is started. He initially demonstrates clinical improvement but then becomes short of breath despite an improved chest radiograph. Which of the following deficiencies best explains his dyspnea?

Phosphorous

Calcium

Copper

Selenium

Q 20. Early MALT lymphomas of the stomach can be difficult to distinguish from marked Helicobacter pylori gastritis. Histologic features of the mucosa to assist the differentiation include which of the following?

Follicular colonization and invasion of germinal centers of lymphoid follicles

Destruction of gastric folds by lymphoid infiltrate

Presence of plasma cells with Dutcher bodies

All of the above

Q 21. about esophageal dilation during upper endoscopy all are true except:

Patients with eosinophilic esophagitis (EE) should not undergo dilation because they are at very high risk of perforation.

The esophageal stricture should always be dilated to the size of an uninvolved lumen for symptom relief.

The greatest risk of esophageal dilation is perforation.

Proximal esophageal strictures are more likely to perforate than mid or distal strictures.

Q 22. which laboratory result is most commonly seen with refeeding syndrome?

Hyperphosphatemia

Hypophosphatemia

Hypercalcemia

Hypocalcemia

Q 23. A 20-year-old white woman who had hematochezia when she was five days old is found to be suffering from blue rubber bleb nevus syndrome. Following statements about this young woman’s diagnosis are true except:

Gastrointestinal (GI) bleeding is a rare feature of this condition.

.Intussusception may be a presenting feature.

It can be transmitted in an autosomal dominant fashion.

The cutaneous nodules are venous malformations, for which no treatment is needed.

Q 24. Based on BMI of 24.2, which best describe nutritional status?

Moderately malnourished

Normal

Overweight

Obese

Q 25. A 26-year-old woman with a BMI of 43 An evaluation for infertility has led to a diagnosis of polycystic ovarian syndrome. Which of the following agents would be most optimal for treating this?

Orlistat

Metformin

Prozac

wellbutrin

Q 26. what is the largest contributor to the total (daily) energy expenditure (TEE)?

Resting energy expenditure

Energy expenditure of physical activity

Thermic effect of feeding

Q 27. Typhlitis can be the presenting manifestation of or be associated with

Yersinia infection

chronic leukemia

Crohn’s disease

Cecal superinfection with cytomegalovirus (CMV)

Q 28. A 30-year-old woman with a history of irritable bowel syndrome is seen in a dermatology clinic for evaluation of a papulovesicular rash on her elbows. A biopsy is performed and dermatitis herpetiformis is diagnosed. Her rash is likely to improve by excluding which of the following foods from her diet?

Wheat, soy, and dairy

Wheat, soy, and peanuts

Wheat, rye, and barley

Wheat, corn, and peanuts

Q 29. which of the following supports the diagnosis of factitious hypoglycemia?

Elevated sulfonylurea levels

Normal proinsulin levels

Normal C-peptide levels

All of the above

Q 30. A man with a history of biliary obstruction due to cholangiocarcinoma has a long-term indwelling external biliary drain that is functioning well. The serum bilirubin level is normal, but the patient is noted to have a severe hypochromic microcytic anemia. Which micronutrient deficiency best explains this patient’s anemia?

Selenium deficiency

Zinc deficiency

Copper deficiency

Iodine deficiency

GASTROINTESTINAL AND LIVER DISEASE – Exercise 3

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