GASTROINTESTINAL AND LIVER DISEASE – Exercise 41

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. apart from propranolol which other β adrenergic blocker is used to reduce portal pressure

atenolol

nadolol

sotalol

cavedilol

Q 2. portal hypertension is defeined as elevation of hepatic venous pressure gradient to

>2mm Hg

>3mm Hg

>4mm Hg

>5mm Hg

Q 3. portal vein obstruction may occur in association with

cirrhosis

abdominal trauma

pancreatitis

all of the above

Q 4. which vitamin toxicity causes veno-occlusive disease

vitamin A

vitamin D

vitamin E

vitamin K

Q 5. esophageal varices are present in what percentage of compensated and decompensated cirrhosis

10 & 40%

20 & 50%

30 & 60%

40 & 70%

Q 6. false statement about free and wedged hepatic vein pressure

wedged hepatic vein pressure is usually normal in presinusoidal portal hypertension

wedged hepatic vein pressure is elevated in sinusoidal portal hypertension

wedged hepatic vein pressure is elevated in postsinusoidal portal hypertension

none of the above

Q 7. portal vein is formed by the confluence of splenic vein with

superior mesenteric vein

inferior mesenteric vein

gastric vein

all of the above

Q 8. primary complication of portal hypertension

gastroesophageal varices with hemorrhage

ascites

hypersplenism

all of the above

Q 9. what level of portal hypertension threatens bleeding from gatroesophageal varices

> 6 mm Hg

> 8 mm Hg

> 10 mm Hg

> 12 mm Hg

Q 10. levels of which of the following characteristically elevated in cardiac cirrhosis

serum bilirubin

SGOT

SGPT

serum alkaline phosphatase

Q 11. Budd chiari syndrome diagnosed by all except

tender hepatomegaly

intractable ascites

right sided heart failure

centrilobular congestion & sinusoidal dilatation

Q 12. factors predicting the risk of esophageal varices bleeding in cirrhosis of liver is

severity of cirrhosis

wedged hepatic vein pressure

tense ascites

all of the above

Q 13. risk of variceal hemorrhage is related to

size of varices

appearance of varices

severity of liver dysfunction

all of the above

Q 14. initial investigation of choice in suspected Budd chiari syndrome is

USG abdomen

Doppler studies

CT abdomen

MR Angiography

Q 15. acute Budd chiari syndrome features include all except

abdominal pain

jaundice

ascites

caudate lobe hypertrophy

Q 16. progressive decrease in what serves as a marker of the presence of cirrhosis in chronic liver disease

progressive decrease in platelet count

progressive increase in platelet count

progressive decrease in lymphocyte count

progressive increase in lymphocyte count

Q 17. normal pressure in the portal vein is

2 to 5 mm Hg

5 to 10 mm Hg

10 to 15 mm Hg

20 to 25 mm Hg

Q 18. doses of propranolol to treat hypertension should aim to reduce the resting pulse rate by

10%

25%

33%

Q 19. marker of presence of cirrhosis in a patient being followed for chronic liver disease is

appearance of an enlarged spleen

development of ascites

hepatic encephalopathy

all of the above

Q 20. in variceal hemorrhage mortality associated with each episode of bleeding is

10-20%

20-30%

30-40%

40-50%

Q 21. on screening of histologically confirmed cases of cirrhosis proportion of patients having esophageal varices

one fourth

one third

one half

three fourth

Q 22. portal vein thrombosis may develop in

polycythemia vera

deficiencies of protein C, protein S, or antithrombin III

resistance to activated protein C (factor V Lieden)

all of the above

Q 23. following is posthepatic cause of portal hypertension

Budd chiari syndrome

venoocclusive disease

chronic right sided cardiac congestion

all of the above

Q 24. in liver disease development of portal hypertension is revealed by the appearance of which of the following

splenomegaly

ascites

encephalopathy

all of the above

Q 25. inherited metabolic liver disease that can progress to cirrhosis is

hemochromatosis

Wilsons disease

cytic fibrosis

all of the above

Q 26. following accounts for most cases of portal hypertension

prehepatic

intrahepatic

posthepatic

any of the above

Q 27. Budd chiari syndrome is an example of

presinusoidal obstruction

sinusoidal obstruction

post sinusoidal obstruction

any of the above

Q 28. following can lead to cardiac cirrhosis

valvular heart disease

constrictive pericarditis

cor pulmonale of long duration (> 10 years)

all of the above

Q 29. increased resistance seen at what level in cirrhosis complicated by portal hypertension

presinusoidal

sinusoidal

post sinusoidal

all of the above

Q 30. Symmers clay pipe stem fibrosis in liver is due to

brucellosis

toxoplasmosis

echinococcosis

schistosomiasis

GASTROINTESTINAL AND LIVER DISEASE – Exercise 41

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