GASTROINTESTINAL AND LIVER DISEASE – Exercise 7

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. a 37 weeks pregnant female present with intense pruritis for several weeks which is worse at night and most severe over her palms and soles.she is without jaundice or rashes.no other history of underlying liver disease present.which intervention result in the safe resolution of her symptoms

delivery of the baby

cholestyramine

steroids

ursodeoxycholic acid

Q 2. typical immunophenotype staging of gastric MALT lunoma includes

CD19

CD20

CD10

A & B

Q 3. optimal test to measure for intestinal protein loss

measurement of the fecal loss of radiolabelled intravenously administered macromolecules such as 51 Cr albumin

measurement of concentration of α1 antitrypsin in the stool

measurement the clearance of α1 antitrypsin from the plasma during a 72 hour stool collection

99m Tc labeled dextran scintigraphy

Q 4. criteria for establishing malignant potential of GISTs include

diameter greater than 4 cm

number of mitosis per high power field

irregular borders on endoscopic USG

all of the above

Q 5. solid organ transplant that has highest incidence of fungal infection

kidney and pancreas

heart and lung

liver

intestinal

Q 6. most common cause of death in celiac disease

ulcerative jejunitis

lymphoma

sepsis due to immunoglobulin deficiency

malnutrition

Q 7. traction diverticula of the esophagus related to all except

motility disorders

enlarged mediastianal lymph nodes from lung malignancies

achalasia

trauma

Q 8. regarding MAC true statement includes

MAC is the most commonly identified organism in patient with chronic diarrhea and low CD4 count

many patients with MAC infection are asymptomatic

duodenal involvement is common

all of the above

Q 9. flushing similar to carcinoid syndrome can be seen in all except

pheochromocytoma

VIPoma

amyloidosis

medullary carcinoma of thyroid

Q 10. a person brought with alleged history of swallowing of few packets of cocaine by police.abdominal radiographs revealed sausage shape radiopaque areas in small intestine.patient is completely asymptomatic.management includes

emergency surgery

emergency endoscopic removal of foreign bodies in the intestine

inpatient observation with a clear liquid diet

all of the above

Q 11. long term cyclosporine therapy may also lead to

thrombocytopenia

congestive heart failure

hyperlipidemia

gall stones/billiary disease

Q 12. hereditary syndromes with GISTs are associated with all except

pulmonary chondroma

extra adrenal paragangliomas

MEN-I syndrome

Q 13. a known case of glucagonoma presents with symptoms of diarrhea,weight loss and new onset of shortness of breath.condition to be ruled out

steatorrhea

metastaic disease

pulmonary emboli

anemia

Q 14. insulinoma treatment include all except

resection

chemotherapy

radiation therapy

dietary control

Q 15. tumors that may stain positive for CD117 besides GISTs

ewings sarcoma

small cell lung cancer

melanoma

all of the abovee

Q 16. in gastroparesis diabeticorum the only symptom which is an independent predictor of delayed gastric emptying

nausea

vomiting

abdominal bloating/ fullness

early satiety

Q 17. regarding flushing etiology of carcinoid syndrome true is

flushing occurs due to release of a number of polypeptide hormones

there is direct correlation between serotonin levels and degree of flushing

norepinephrine levels are not correlated with flushing episodes

flushing not worsened by emotional or physical stress

Q 18. all of the following are histologic characteristic of PET except

homogeeity

crypt distortion

small round cells

mitotic figures

Q 19. main cause of mortality from GI fistula

arrhythmias due to electrolyte imbalance

underlying disease such as cancer

sepsis with multiorgan failure

complication of parenteral feeding

Q 20. a case of post renal transplant in his fifties for APCKD present with complain of left lower quadrant pain with a bloody bowel movement and low grade fever.most likely diagnosis

CMV colitis

ischemic colitis

infectious colitis

diverticular bleeding

Q 21. in apatient of diabetes who had CRF since 10 years and on hemodialysis for last 3 years have recurrent bouts of melena.he is on oral iron supplementation plus epogen every two weeks.upper and lower endoscopy have not revealed a source of bleeding. Most likely source of bleeding

small bowel neoplasm

angiodysplaia of small bowel

meckels diverticulum

Dieulafoys lesion

Q 22. regarding watermelon stomach aka GAVE all are true except

predominantly seen in females

associated with certain connective tissue diseases

thought to be result of accelrated gastric emptying

can be caused by venous occlusive disease

Q 23. bacteria implicated in immunoproliferative small intestinal disease

E.coli

bacteroids

C.jejuni

Yersinia enterocolitica

Q 24. a patient of cirrhosis complicated by hepatocellular carcinoma underwent OLT nine months back now presents with mildly abnormal transaminase levels and multiple new hepatic masses seen on imaging along with periportal lymphadenopathy which appears to be stable in size.most likely diagnosis

hepatocellular carcinoma recurrence

focal nodular hyperplasia

postransplantation lymphoproliferative disorder of liver

postransplantation lymphoproliferative disorder of liver & periportal lymph nodes

Q 25. regarding umbilical hernias all true except

they should be repaired in the neonate to avoid the risk oc incarceration

more common in African-american children

may rupture in cirrhotic patients with ascites

strangulation may occasionally occur after rapid reduction in ascites

Q 26. which is not correctly matched

xerostomia—oral cevimeline

black hairy tongue—topical tretinoin gel

oral thrush—oral mycostatin

oral hairy leukoplakia—topical anesthetic

Q 27. regarding HUS true statement includes

it includes renal failure, hemolytic anemia, thrombocytosis

Adriamycin is the chemotherapy commonly implicated as a cause

it is associated with enteric pathogens such as salmonella, shigella, campylobacter and hemorrhagic 0157:H7 E.coli

in adults idiopathic and sporadic cases have been described

Q 28. regarding Bechets disease all are true except

should be in differential diagnosis when patient present with Budd chiari syndrome

surgical intervention is highly successful

as in Crohns disease ileocecal region is the most commonly affected by ulceration

punched out ulcerations are seen on colonoscopy

Q 29. physiologica changes that occur during pregnancy in GI system include all except

increase in maternal blood volume by 50% resulting in a relative anemia

decrease in plasma protein production

alteration in bile acid composition

decrease in GI motility

Q 30. factors predisposing recurrent inguinal hernia include all except

alcholism

smoking

extension into the scrotum

steroid therapy

GASTROINTESTINAL AND LIVER DISEASE – Exercise 7

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GASTROINTESTINAL AND LIVER DISEASE – Exercise 7

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