GASTROINTESTINAL AND LIVER DISEASE – Exercise 5

Q 1. a man who underwent hemopoietic cell transfusion 20 days ago presented with complain of severe pain near anal canal worsened with defecation.external examination of perineum region was normal.significant Neutropenia present next tobe done

Q 2. bacterial overgrowth can manifest in which of the following

Q 3. a patient present with periumblical pain , borborgyni sounds,loss of weight in past 6 months.his mother had graves disease. Rectal examination normal but heme occult positive.TSH was normal.next test to be done

Q 4. bacteria associated with intrabdominal infections and abscess in patient in ICU who is on broad spectrum antibiotics most likely is

Q 5. a G1P0 at 30 weeks gestation brought in confused state with jaundice with uneventful prenatal period until so far.lab tests revealed AST 817, ALT 756 and PT is 18.6 .she undergoes a liver biopsy which reveals intracytoplasmic inclusion bodies and areas of focal hemorrhage.most effective treatment for the patient is

Q 6. a man in his sixties present with one day history of epigastric and right chest pain of abrupt onset accompanied by retching with small amount of mucoid blood .patient is unable to swallow food or fluids.chest Xray and abdominal film show a retrocardiac air filled structure.nasogastric tube can not be passed.epigastrium is mildly tender but no guarding seen.what is the best management

Q 7. treatment of Mediterranean lymphoma (alpha heavy chain disease ) consists of

Q 8. all of the following lymphomas are considered to be non immunoproliferative small intestinal diseases except

Q 9. true statement regarding perforation during UGIE include

Q 10. cholelithiasis, diarrhea, diabetes and hypochlorhydria associated with

Q 11. a 60 year old male present with complains of nocturnal regurgitation of several months recently worsened associated with change of voice , halitosis. No dysphagia and no odynophagia is there. Which of the following is most useful diagnostic study?

Q 12. regarding various purgatives used before colonoscopy all true except

Q 13. secondary cause of eosinophils include all except

Q 14. an alcoholic patient admitted with right lower lobe pneumonia and was started on antibiotics.gram positive cocci detected. On second day of hospitalization he appeared slightly jaundiced which worsen the following day.USG of liver unremarkable.next step in management

Q 15. a patient who underwent liver transplantation on MMF for immunosupression presented with complain of 3 weeks of diarrhea.patient is afebrile ,no abdominal pain and stool study results are negative.what is next step

Q 16. regarding pathology of diffuse large B cell lymphoma of the stomach all are true except

Q 17. a patient of AML whounderwent stem cell transplant 5 months back presents with dysphagia, some weight loss, retrosternal pain and occasional aspiration of gastric contents .UGIE revealed desquamation of squamous epithelium of distal esophagus and diffuse mucosal edema and erythema in gastric antrum.most likely diagnosis is

Q 18. most common clinical manifestation of protein losing gastroenteropathy besides hypoproteinemia

Q 19. regarding Mediterranean lymphoma all true except

Q 20. a female in her forties present with progressive swelling in her hands and feet , numbness in her hands and other symptoms of carpal tunnel syndrome and intermittent galactorrhea.MRI head was normal but there is a mass in the abdomen.appropriate treatment for the patient is

Q 21. a man in his fourties of gastric cancer who recently completed chemotherapy and radiation presnts with complain of increased abdominal girth, fatigue and right upper quadrant abdominal pain.examination revealed tender hepatomegaly , shifting dullness and anicteric sclera.AST level of 120 U/L,ALT 180U/L,ALP 680U/L and a total bilirubin level of 1.2mg/dl.CT scan shows no mass lesion or biliary obstruction.most likely diagnosis

Q 22. in sickle cell disease patient, bouts of jaundice and upper abdominal pain with elevated liver enzymes can be attributable to all of the following except

Q 23. a female with AIDS on ART presents with fever and ascites .diagnostic paracentesis revealed glucose 18 g/dl ,wbc 54000 with 68% lymphocytes ,SAAG .9.which of the following test is diagnostic

Q 24. true statement about anorectal disease in homosexual AIDS patient is

Q 25. useful tool in diagnosis of insulinoma

Q 26. GISTs can present in all of the following ways except

Q 27. PETs are associated with all of the following inherited disorders except

Q 28. what should patients with MEN I/ZES be advised regarding surgery for their disease

Q 29. which of the following is not correctly matched

Q 30. regarding non functioning PETs all true except