GASTROINTESTINAL AND LIVER DISEASE – Exercise 4

Q 1. regarding esophageal strictures resulting from caustic ingestion true statement is

Q 2. considering GI bacterial infections in patients with AIDS, all are true except:

Q 3. A 16-year presents with symptoms of abdominal pain, vomiting, and sporadic diarrhea. He has a serum albumin level of 2.3 g/dL and a creatinine level of 0.9 mg/dL. blood smear shows microcytosis and peripheral eosinophilia. The stool specimen most likely shows which of the following?

Q 4. True statements regarding the relationship between carcinoid tumor of the gut and urine levels of (5-HIAA) include all of the following except:

Q 5. a man comes to the emergency because of melena of two days duration and dizziness. He has been taking (NSAIDs) for three days for a sports-related injury. He has multiple cherry-red spots on his lips and tongue. All of the following statements about this patient’s condition are true except:

Q 6. following statements about post-traumatic diaphragmatic hernias are correct except:

Q 7. in relationship between somatostatin and carcinoid tumors all are true except:

Q 8. Subacute periumbilical abdominal pain develops in a 30-year-old woman taking glucocorticoids for SLE. The pain is most likely due to which of the following?

Q 9. woman who has been on oral contraceptive pills for 15 years presents with abdominal pain. A CT scan suggestive of multifocal leiomyomas along the peritoneum. What is the most appropriate treatment?

Q 10. presence of H.pylori by histology in cases of gastric MALT lymphoma is

Q 11. a man in his sixties present with complain of severe diarrhea,abdominal pain , weight loss , electrolyte imbalance and malnutrition.physical findings include alopecia , onchyolysis,pigmentation on the upper arms and thighs.patient brother had colon cancer at age of 70 years.patient endoscopies showed multiple gastric and colon polyps which are hyperplastic.most likely diagnosis

Q 12. All of the following are useful in the staging of MALT lymphoma except:

Q 13. A woman with a somatostatinoma that is being treated with octreotide presents with severe right upper quadrant and midepigastric pain along with fever and chills. Which treatment is most likely to benefit her?

Q 14. Which lists the correct sequence of damage to intestinal epithelium after ingestion of a caustic substance?

Q 15. a man with AIDS whose last CD4 count was 58 presents to the emergency department with a history of diarrhea for several days. He has not been taking his HAART medications. The diarrhea is large volume, nonbloody, and associated with nausea, but not with abdominal pain. What is the most likely cause of the patient’s diarrhea?

Q 16. a underweight 70-year-old woman is brought to the emergency department with right lower abdominal pain. Resident on duty notes that her pain is felt into the medial aspect of the thigh with associated paresthesias. Hip flexion improves the pain, whereas extension of the hip and medial rotation increases the pain. What is her most likely diagnosis?

Q 17. On physical examination of a young patient there are multiple varicose veins over the left lower limb. There is predominant left lower limb hypertrophy, with the left limb being longer and larger. An x-ray shows distinct soft tissue and osteohypertrophy of the left lower limb. A duplex scan of left lower limb shows massive superficial venous varicosities and multiple anastomoses between the superficial and deep venous systems. An angiogram shows multiple arteriovenous fistulas. Most likely diagnosis is

Q 18. all are true for patient of pemphigus vulgaris except

Q 19. Ascites in multiple myeloma

Q 20. regarding hyperemesis gravidarum are true except:

Q 21. A young woman who is 24 weeks pregnant presents with dysphagia and odynophagia that started about a week ago and have progressed in severity She has multiple lace-like lesions in her oral cavity with overlying ulcerations and small to medium, flat-topped pruritic and violaceous papules all over her skin. All statements about her condition are true except:

Q 22. In polymyositis and dermatomyositis

Q 23. most common gastric lesion causing severe protein loss?

Q 24. a female presented with history of nausea , vomiting and abdominal distension.obstruction series shows dilated loops of small bowel.abdomen is soft and no local tenderness.a 2-3 cm induratedtender module is felt in the right groin.most likely diagnosis

Q 25. one of the following diseases causes constipation?

Q 26. A 46-year-old woman with type 2 DM, hypertension, and gastroparesis was recently started on nifedipine. She now presents with a vague feeling of epigastric distress and worsening early satiety. Her physical examination findings are unremarkable. An endoscopy performed two months earlier for dyspepsia showed no abnormalities, but an upper GI series with barium contrast shows a gastric-filling defect. What is the most likely diagnosis?

Q 27. a young man presents to the hospital emergency department with food impaction. As UGI endoscopy performed, the bolus spontaneously passes. Endoscopy shows no stenosis but longitudinal furrows in the distal esophagus with punctate white patches scattered over the mucosal surface. he has had multiple allergies in the past. All of the following statements about his diagnosis are true except:

Q 28. four months post–orthotopic liver transplantation (OLT) a patient presents with fever, malaise, myalgia, and an occasional cough. He is found to have elevated liver enzymes. His only medication is mycophenolate mofetil (MMF). Which treatment should be started for his condition?

Q 29. most accurate statements regarding management of carcinoid syndrome is

Q 30. which of the following treatments is the least appropriate treatment of gastroesophageal reflux disease (GERD) in a pregnant patient?