GASTROINTESTINAL AND LIVER DISEASE – Exercise 39

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. following is an autoreactive mitochondrial antigen in primary biliary cirrhosis

pyruvate dehydrogenase complex

2 oxoglutarate dehydrogenase complex

branched chain 2 oxoacid dehydrogenase complex

all of the above

Q 2. in PBC (primary biliary cirrhosis) pruritis is most bothersome in

morning

afternoon

evening

night

Q 3. levels of serum AST in alcoholic cirrhosis are

<300 units

<400 units

<500 units

<600 units

Q 4. hyperlipidemia seen in primary biliary cirrhosis shpws characteristic rise in

serum unesterified cholesterol

serum triglycerides

serum LDLc

serum VLDLc

Q 5. micronodular cirrhosis results from

gall bladder stones

following jejunoileal bypass

following gastrectomy

chronic pancreatitis

Q 6. cause of chronic cholestatic syndrome

primary biliary cirrhosis

autoimmune cholangitis

primary sclerosing cholangitis

all of the above

Q 7. regarding PBC (primary biliary cirrhosis) true statement includes

fatigue and pruritis are the commonest presenting symptom

pruritis precedes onset of jaundice by months to years

pruritis is usually worse at night and is exacerbated by contact with wool, other fabrics, or heat

all of the above

Q 8. asymptomatic patients in primary biliary cirrhosis are initially detected by

elevated serum alkaline phosphatase levels

elevated AST levels

elevated ALT levels

all of the above

Q 9. synonymous with posthepatitic cirrhosis

coarsely nodular cirrhosis

multilobular cirrhosis

cryptogenic cirrhosis

all of the above

Q 10. associated findings in PBC (primary biliary cirrhosis) include all except

hyperlipidemia

autoimmune thyroid disease

osteomalacia

fibroadenoma breast

Q 11. anemia in alcoholic cirrhosis may be due to

psychogenic factors

direct suppressive effect of alcohol on bone marrow

deficiency of iron

all of the above

Q 12. regarding PBC (primary biliary cirrhosis) true statement includes

antimitochondrial antibodies are present in ~90%

antimitochondrial antibodies are detectable years before clinical signs appear

autoantibodies recognize three to five inner mitochondrial membrane proteins

all of the above

Q 13. in alcoholic liver disease AST levels > ALT are due to

greater inhibition of ALT synthesis by alcohol

greater production of AST by ethanol

greater clearance of ALT by ethanol

lesser clearance of AST by ethanol

Q 14. primary biliary cirrhosis is characterized by

fibrous obliteration of intrahepatic bile ductules

fibrous obliteration of larger extrahepatic ducts

fibrous obliteration of both intrahepatic bile ductules and larger extrahepatic ducts

none of the above

Q 15. metabolic disturbances seen in alcoholic cirrhosis are all except

hypomagnesemia

hyperphosphatemia

dilutional hyponatremia

hypokalemia

Q 16. medications approved for treating alcoholism by reducing craving

naltrexone

acamprosate

tiapride

all of the above

Q 17. viral infection that can lead to chronic liver disease include all except

CMV

EBV

hepatitis C

hepatitis E

Q 18. metabolic disturbances seen in alcoholic cirrhosis are all except

glucose intolerance

respiratory alkalosis

metabolic alkalosis

prerenal azotemia

Q 19. in cirrhosis liver cell loss generally

lags replacement

exceeds replacement

equals replacement

any of the above

Q 20. loss of liver cells in alcoholic cirrhosis is

uniform

patchy

lobe specific

all of the above

Q 21. coexisting autoimmune disease in primary biliary cirrhosis is

type I DM

scleroderma

pernicious anemia

all of the above

Q 22. in alcoholic cirrhosis liver size may be

enlarged

normal

decreased

all of the above

Q 23. anemia in alcoholic cirrhosis may be due to

acute/chronic GI blood loss

coexistent folic acid & vitamin B12 deficiency

hypersplenism

all of the above

Q 24. feature unique to PBC (primary biliary cirrhosis) include all except

hypopigmentation

xanthelasma

xanthomata

bone pain

Q 25. NASH which nowadays diagnosed earlier diagnosed as

autoimmune cholangiopathy

cardiac cirrhosis

cryptogenic cirrhosis

autoimmune hepatitis

Q 26. following about alcoholic cirrhosis is true

glucocorticoids are helpful in severe alcoholic hepatitis and encephalopathy

survival benefits has been reported for S-adenosyl methionine in alcoholic cirrhosis

diuretics , sedatives , aspirin , acetaminophen should be used with caution

all of the above

Q 27. histopathologic features of chronic cholestasis are all excpt

copper deposition

xanthomatous transformation of hepatocytes

iron deposition

biliary fibrosis

Q 28. altered albumin/globulin ratio in alcoholic cirrhosis is due to

hypoalbuminemia due to impaired hepatic protein synthesis

hyperglobulinemia due to stimulation of RE system

both of the above

none of the above

Q 29. following is true for autoimmune cholangitis

histologic features similar to PBC

negative AMA

antinuclear or smooth muscle antibodies present

all of the above

Q 30. AMA found in primary biliary cirrhosis is of which type of immunoglobulin

IgG

IgM

IgA

IgE

GASTROINTESTINAL AND LIVER DISEASE – Exercise 39

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GASTROINTESTINAL AND LIVER DISEASE – Exercise 39

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