Gastro-enterology MCQ 89+

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• The recognized features of gastro esophageal reflux are
  ক

  Respiratory Symptoms

  খ

  Failure to thrive

  গ

  Anemia

  ঘ

  Carcinoma of stomach

  ঙ

  Peptic ulcer
• Mouth Ulcer is seen in the following Condition
  ক

  Reiter’s disease

  খ

  Syphilis

  গ

  Psoriasis

  ঘ

  Hyperthyroidism

  ঙ

  Ulcerative Colitis
• Bloody diarrhoea may be caused by
  ক

  Clostridium difficile

  খ

  Shigella flexneri

  গ

  Bacillus cereus food poisoning

  ঘ

  Vibrio cholerae

  ঙ

  Salmonella typhi
• Clinical features of carcinoid syndrome include
  ক

  Increased sweating

  খ

  Flushing

  গ

  Diarrhoea

  ঘ

  Facial' telangiectasia

  ঙ

  Vertigo
• Regarding familial adenomatous polyposis
  ক

  Manifest with numerous adenomatous polyps by age 15 years

  খ

  Vast majority develops colorectal cancer by 50 years of age

  গ

  Upper gastrointestinal tract is rarely involved

  ঘ

  It is an autosomal recessive disorder

  ঙ

  There is no extra-intestinal features
• Familial adenomatous polyposis
  ক

  Leads to adenocarcinoma in untreated case

  খ

  Is diagnosed by detection of 100 polyps in the colon

  গ

  May develop due to new mutation in germline

  ঘ

  Is an autosomal recessive disorder

  ঙ

  Is known as Lynch syndrome
• The following disease may respond to treatment with broad spectrum antibiotics
  ক

  Tropical sprue

  খ

  Small bowel bacterial Colonization

  গ

  Immuno-proliferative small intestinal disease

  ঘ

  Gluten sensitive Enteropathy

  ঙ

  Eosinophilic gastroenteritis
• The skin lesions may occur in
  ক

  Metachronous colonic carcinoma

  খ

  Crohn’s disease [Davidson’s/24th/838]

  গ

  Intestinal amoebiasis

  ঘ

  Intestinal TB

  ঙ

  Ulcerative colitis
• Causes of protein losing enteropathy are
  ক

  Radiation therapy

  খ

  Lymphoma

  গ

  Coeliac disease

  ঘ

  CMV infection

  ঙ

  Cystic fibrosis
• Causes of subtotal villous atrophy are
  ক

  AIDS enteropathy

  খ

  Coeliac disease

  গ

  Whipple's disease

  ঘ

  Crohn's disease

  ঙ

  Tuberculosis
• Chronic pancreatitis is caused by
  ক

  Alcohol

  খ

  Cystic fibrosis

  গ

  Ingestion of cassava

  ঘ

  Gall stone disease

  ঙ

  Aspirin
• The following conditions may cause acute pancreatitis
  ক

  Gall stone

  খ

  Alcohol consumption

  গ

  Hypocalcaemia

  ঘ

  Corticosteroid therapy

  ঙ

  Cystic fibrosis
• Causes of acute pancreatitis include
  ক

  Choledocholithiasis

  খ

  Hypertriglyceridemia

  গ

  Alcohol abuse

  ঘ

  Measles

  ঙ

  FCPD
• Risk factor/s of acute pancreatitis is/are
  ক

  Gall stone

  খ

  Alcohol abuse

  গ

  Hypocalcemia

  ঘ

  Hyperlipedemia

  ঙ

  Spironolactone therapy
• The following are features of acute pancreatitis
  ক

  Left loin ecchymosis

  খ

  Cullen’s sign

  গ

  Hyperglycemia

  ঘ

  Methaemalbuminaemia

  ঙ

  Hypofibrinogenaemia
• Complications of acute pancreatitis include
  ক

  Hypercarbia

  খ

  Hyperglycemia

  গ

  Hypoalbuminaemia

  ঘ

  Variceal hemorrhage

  ঙ

  Hypercalcaemia
• Acute pancreatitis is
  ক

  Associated with azathioprine therapy

  খ

  A recognized cause of tetany

  গ

  Associated with worse prognosis in elderly patients

  ঘ

  Invariably associated with hyper amylasaemia

  ঙ

  Always a surgical condition
• Biochemical changes of acute pancreatitis include
  ক

  Hypercarbia

  খ

  Hyperglycemia

  গ

  Hypoalbuminaemia

  ঘ

  Hypercalcaemia

  ঙ

  Hyperkalemia
• Causes of acute colonic pseudoobstruction include
  ক

  Burns

  খ

  Hypokalemia

  গ

  Diabetes mellitus

  ঘ

  Carcinoma of rectum

  ঙ

  Colonic tuberculosis
• Feaures not consistent with functional bowel disorders include
  ক

  Weight loss

  খ

  Progressive worsening of symptoms

  গ

  Nocturnal symptoms

  ঘ

  Passage of mucus with stool

  ঙ

  Feeling of incomplete rectal evacuation
• Features of irritable bowel syndrome include
  ক

  Alternate diarrhea and constipation

  খ

  Associated psychiatric symptoms

  গ

  Weight loss

  ঘ

  Nocturnal diarrhea

  ঙ

  Lactose intolerance
• Crohn's disease may be associated with
  ক

  Anal fistula

  খ

  Arthritis

  গ

  Uveitis

  ঘ

  Pulmonary fibrosis

  ঙ

  Acanthosis nigricans
• The following are extra-intestinal features of inflammatory bowel disease
  ক

  Sacroilitis

  খ

  Apthous ulcer

  গ

  Sclerosing cholangitis

  ঘ

  Erythema marginatum

  ঙ

  Rheumatoid arthritis
• The following are recognized associations of crohns disease
  ক

  Anal fissure

  খ

  Arthritis

  গ

  Aortic stenosis

  ঘ

  Uveitis

  ঙ

  Acanthosis
• Facts of Crohns disease
  ক

  It is characterized by skip lesions

  খ

  Has many Similarities with tuberculosis [Davidson’s/24th/P-520]

  গ

  It is common in our country

  ঘ

  Surgery is to be done conservatively

  ঙ

  Rectum is almost invariably involved
• Recognized association of Crohns disease is/are
  ক

  Perianal fistula

  খ

  Uveitis

  গ

  Arthritis

  ঘ

  Aortic stenosis

  ঙ

  Acanthosis nigricans
• Ulcerative colitis
  ক

  Is characterized by bloody diarrhea

  খ

  Can be complicated by sclerosing cholangitis [Davidson’s/819]

  গ

  Has transmural involvement

  ঘ

  Can involve the gastrointestinal tract from mouth to anus

  ঙ

  Is a self-limited disease
• In ulcerative colitis
  ক

  Common presentation is bloody diarrhoea

  খ

  Small gut is rarely involved

  গ

  Acute attack may be precipitated by NSAID

  ঘ

  Rectum is usually spared

  ঙ

  Skip lesion is characteristic
• Ulcerative colitis is characterized by
  ক

  Extraintestinal manifestations

  খ

  Rectal involvement

  গ

  Perianal fistula

  ঘ

  Skip lesion

  ঙ

  Transmural lesion
• Features of ulcerative colitis include
  ক

  Crypt abscess

  খ

  Associated arthritis

  গ

  Extensive pseudopolyp

  ঘ

  Intestinal obstruction

  ঙ

  Distribution from anus to mouth