GASTROINTESTINAL AND LIVER DISEASE – Exercise 42

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. upper gastrointestinal tract is upto

pylorus

ampulla of vater

ligament of treitz

end of jejunum

Q 2. first line treatment to control upper GI bleeding acutely

somatostatin / octreotide

balloon tamponade

emergency portal systemic non selective shunts

endoscopic intervention

Q 3. hepatic hydrothorax is more common on which side

right side

left side

bilateral

any of the above

Q 4. when levels of ascetic luid proteins are very low patients are at increased risk of

refractory ascites

hepatic encephalopathy

spontaneous bacterial peritonitis

hepatocellular cancer

Q 5. regarding Dieulafoy’s lesion all true except

large caliber arteriole beneath gastrointestinal mucosa

bleeds through a pinpoint mucosal erosion

most common on greater curvature of proximal stomach

also called persistent caliber artery

Q 6. ascites may be demonstrated on physical examination when peritoneal fluid level accumulation exceeds

200 ml

500 ml

1000 ml

1500 ml

Q 7. when absolute level of polymorphonuclear leukocytes raised to what level it is suggestive of ascetic fluid infection

>100/µL

>150/µL

>200/µL

>250/µL

Q 8. malena indicates that blood has been present In GI tract for

3 hours

7 hours

14 hours

22 hours

Q 9. somatostatin and octreotide are

generalized vasoconstrictors

direct splanchnic vasoconstrictors

direct systemic vasoconstrictors

none of the above

Q 10. Minneosta tube has how many lumens

Q 11. factors leading to worsening ascites include all except

worsening liver disease

portal vein thrombosis

splenic vein thrombosis

development of hepatocellular carcinoma

Q 12. hepatic encephalopathy occurs in patients after TIPS in

10%

20%

30%

40%

Q 13. goal treatment of patients of portal hypertension is to reduce hepatic venous pressure gradient (HVPG) to

< 20 mmHg or by 50% from baseline

<15 mmHg or by 40% from baseline

<12 mmHg or by 20% from baseline

< 6 mmHg or by 10% from baseline

Q 14. agents useful in the treatment of portal hypertensive gastropathy

proton pump inhibitors

H2 receptor blockers

sucralfate

nonselective beta adrenergic blockade

Q 15. caput medusa is best related to

cardioesophgeal junction

rectum

retroperitoneal space

falciform ligament of liver

Q 16. Sengstaken-Blakemore tube has how many lumens

Q 17. SAAG stands for

serum ascites to albumin gradient

serum albumin to ascites gradient

serum albumin to anion gradient

serum anion to albumin gradient

Q 18. TIPS stands for

transcutaneous interhepatic portosystemic shunts

transvenous intrahepatic portosystemic shunts

transjugular intrahepatic portosystemic shunts

transarterial intrahepatic portosystemic shunts

Q 19. concurrent use of which drug may enhance the effectiveness of vasopressin and reduce complications

somatostatin

octreotide

nitroglycerine/isosorbide dinitrate

all of the above

Q 20. clues to upper AGI bleed

hyperactive bowel sounds

malena

elevated blood urea nitrogen

all of the above

Q 21. most common cause of upper GI bleed is

esophageal varices

peptic ulcers

gastroduodenal erosions

erosive esophagitis

Q 22. for isolated gastric varices due to splenic vein thrombosis curative is

beta adrenergic blockade

TIPS

portal systemic shunts

splenectomy

Q 23. serious side effect of vasopressin therapy include all except

cardiac ischemia

gastrointestinal tract ischemia

acute renal failure

hypernatremia

Q 24. intravenous infusion of vasopressin results in

general vasoconstriction

vasoconstriction in portal venous system only

none of the above

Q 25. recommended amount of sodium per day in the management of ascites is

<2 gram

<4 gram

<6 gram

<8 gram

Q 26. factors leading to worsening ascites include all except

excessive salt intake

medication non compliance

superimposed infection

GI bleed

Q 27. Splenomegaly with variceal hemorrhage in the absence of cirrhosis suggests

splenic vein thrombosis

portal vein thrombosis

splenic hemorrhage

any of the above

Q 28. false statements about spontaneous bacterial peritonitis is

eschrechia coli are most commonly isolated

a single organism is typically isolated

anaerobes are found less frequently

recurrent episodes are relatively uncommon

Q 29. regarding spontaneous bacterial peritonitis all statements are true except

develops without obvious primary source of infection

ascetic fluid has hogh concentrations of albumin

in ascetic fluid >250 PMN/µL is diagnostic

monomicrobial nonneutrocytic bacterascites is a variant of SBP

Q 30. gastric antral vascular ectasia is the cause of

washerman stomach

watermelon stomach

windmill stomach

windshield stomach

GASTROINTESTINAL AND LIVER DISEASE – Exercise 42

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GASTROINTESTINAL AND LIVER DISEASE – Exercise 42

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