2016 MCQ

Question 1

What condition would a patient have if their LFTs showed raised bilirubin and CRP only

Answer 1

Gilbert’s syndrome

Question 2

What cell is missing in a patient who needs vitamin B12 injections?

Answer 2

Parietal cells (produce intrinsic factor)

Question 3

What are the surface markings of the gall bladder?

Answer 3

Junction between costal margin of 9th ribs and lateral margin of rectus abdominis muscle

Question 4

What are the stages of eGFR?

Answer 4

1. > 90
2. 60-89
   3a. 45-59
   3b. 30-44
3. 15-29
4. <15

Question 5

What are the units of eGFR?

Answer 5

mL/min

Question 6

What is the main blood supply of the pelvic viscera?

Answer 6

Internal iliac arteries

Question 7

What artery branches to give the middle suprarenal arteries?

Answer 7

Abdominal aorta

Question 8

Which artery passes through the transverse mesocolon?

Answer 8

Middle colic

Question 9

In chronic myeloid leukemia, which enlarged organ can be palpated at the left with a notch?

Answer 9

Spleen

Question 10

What is the rate limiting step for cortisol production?

Answer 10

Cholesterol to pregenolone

Question 11

What vein forms oesophageal varices?

Answer 11

Left gastric vein

Question 12

What connects the primary and secondary hypophyseal plexuses?

Answer 12

The hypophyseal portal vein

Question 13

In a tumour of the adrenal medulla, production of what increases?

Answer 13

Catecholamines

Question 14

How does the kidney compensate for acidosis?

Answer 14

Increased bicarbonate absorption, increased glutamine breakdown (produces bicarbonate)

Question 15

What is the main anterior relation to the right kidney?

Answer 15

Liver

Question 16

What is the mechanism of action of carbimazole?

Answer 16

Inhibition of thyroid peroxidase

Question 17

What is the first clinical sign of diabetic nephropathy?

Answer 17

Proteinuria

Question 18

What serum change occurs when podocytes are damaged?

Answer 18

Low serum albumin

Question 19

What drug directly stimulates beta cells to increase insulin production?

Answer 19

Sulfonylureas

Question 20

What is produced by chief cells?

Answer 20

Pepsinogen

Question 21

What does orlistat do?

Answer 21

Inhibits pancreatic lipase; stops lipid absorption

Question 22

What will be seen on a plain upright radiograph in a patient with perforation and air leakage caused by a duodenal ulcer?

Answer 22

(enlarged) suphrenic space

Question 23

What skin condition is associated with coeliac disease?

Answer 23

Dermatitis herpetiformis

Question 24

What process occurs in zone 3 of the hepatic acini?

Answer 24

Glutamine synthesis

Question 25

What does the urogenital septum divide?

Answer 25

Cloaca

Question 26

What is homologous to the clitoris in males?

Answer 26

Glans penis

Question 27

What happens to the bladder in thoracic spinal injury?

Answer 27

Internal urethral sphincter does not contract

Question 28

Which GLUT responds to insulin?

Answer 28

GLUT 4

Question 29

What hormone is responsible for the maintenance of the corpus luteum if fertilisation occurs?

Answer 29

hCG

Question 30

What level of fasting glucose indicates diabetes?

Answer 30

more than 7.0 mmol/L

Question 31

What is the covering of the testis that is derived from the peritoneum?

Answer 31

Tunica vaginalis

Question 32

Which cells in the testis undergo meiosis 1?

Answer 32

Primary spermatocytes

Question 33

What embryological structure is the adrenal medulla derived from?

Answer 33

Neural crest

Question 34

What cells produce MSH in the anterior pituitary?

Answer 34

Corticotrophs

Question 35

What is the gold standard diagnostic test for Cushing's syndrome (excess cortisol)

Answer 35

Dexamethasone suppression test

Question 36

Which artery supplies the pelvic floor muscles?

Answer 36

Internal iliac artery

Question 37

In the GI tract, which ion is glucose co-transported with?

Answer 37

Sodium

Question 38

Which drug acts on the final stage of acid secretion in parietal cells of the stomach?

Answer 38

PPIs

Question 39

What type of structure is the plicae circulars?

Answer 39

Permanent folds

Question 40

What is the order of tubules in which sperm travel after the seminiferous tubules?

Answer 40

Straight to rete testis to efferent ductules to epididymus

Question 41

What is the channel in the thick ascending limb?

Answer 41

NCCK