Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MBBS VI Medicine > Gastroenterology and hepatology MCQ > Flashcards

Gastroenterology and hepatology MCQ Flashcards

1
Q
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
A

E (non invasive test for checkup)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
A

C (protective levels of antibody to HAV could be present for at least 25y in adults and at least 14-20y in children)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
A

B

D is not likely as asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
A

Ans: C

A – ascitic protein classically <10
B – usu G- or streptococci, or may be -ve
D – pH <7.3 suspicious; pH <7.15 a/w poor prognosis
E – diagnostic paracentesis always needed!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
A

E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
A

Ans: C

A (esophageal web in Plummer Vinson syndrome)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

Ans: C

Pathophysiology incl:
* Altered gastric motility and compliance
* Visceral hypersensitivity
* Helicobacter pylori infection, altered gut microbiome
* Psychosocial dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
A

Ans: C. HEV infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
A

Ans: D

E (mitral stenosis resulting in enlargement of left atrium which can cause compression of the recurrent laryngeal nerve (dysphagia/hoarsness in voice) –> Ortner syndrome)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A

Ans: C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
A

Ans: B (day 3 CT scan used to detect necrosis: may need further management)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
A

C.

A: reversed de Ritis ratio 2:1 typical
D: histological features incl lipogranuloma, neutrophil infiltration, Mallorys hyaline, pericellular fibrosis
E: Maddrey score based on PT, bilirubin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
A

C
Obstructive jaundice: cholestatic component leading to vit K deficiency
Painless jaundice more likely to be malignant cause (but HCC CBD obstruction usually uncommon)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

Ans: A

B, C, D – in Glasgow criteria
E – part of SIRS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
A

Ans: C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
A

Ans: C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
A

Ans: A

Inflammatory exudation – IBD, GI malignancy, CD colitis, multiple ulcer
Mucosal condition – celiac disease, Whipple disease, Menetrier disease, lupus enteritis
Lymphatic obstruction – primary lymphangiectasis, constrictive pericarditis, Rt HF, portal HT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
A

Ans: C (will actually exacerbate HE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q
A

Ans: E (for HE prophylaxis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q
A

Ans: E (PSA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q
A

Ans: B (increased absorption of ammonia into the mesenteric blood supply due to slow transit constipation –> such absorption most likely overwhelemd hepatic excretion)

C: hypoK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q
A

Ans: B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q
A

Ans: B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q
A

Ans: B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q
A

Ans: E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q
A

Ans: A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q
A

Ans: D

  • 5y: low-risk adenoma (1-2 polyps, tubular, <1cm, ≤moderate dysplasia), low-risk sessile (SSP <1cm + no dysplasia)
  • 3y: high-risk adenoma (≥3 polyps, villous element, ≥1cm, severe dysplasia), high-risk sessile (SSP ≥1cm or dysplastic or TSA)
  • <3y: >10 adenoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q
A

Ans: C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q
A

Ans: B (HSV associated with shallow ulcers)

A: candida (whitish patches)
C: CMV (deep longitudinal ulcers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q
A

Ans: C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q
A

C. (TAF first line, TDF only reserved for pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q
A

Ans: D (PT included in Kings criteria)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q
A

Ans: B (should add PPI too)

43
Q
A

Ans: E (hyperplastic polyp risk not increased)

44
Q
A

Ans: E

45
Q
A

Ans: E

46
Q
A

Ans: E

47
Q
A

Ans: B

RF: immune tolerance phase, no treatment, amle sex, HCV/HDV coinfection, alcoholism

48
Q
A

Ans: A

49
Q
A

Ans: C

50
Q
A

Ans: A

51
Q
A

Ans: A

Causes of AST>ALT are acute cholangiohepatitis and alcoholic hepatitis. For alcoholic hepatitis, ALT AST typically <500. For acute cholangiohepatitis it can be of any level.

52
Q
A

Ans: A (sustained virologic response defined by undetectable HCV RNA 12w after completion i.e. means that is cleared already)

53
Q
A

Ans: C

54
Q
A

Ans: B

Cholestasis: OCP, steroids, chlorpromazine
Mixed cholestatic hepatitis; Augmentin, erythromycin, ACEI, NSAID Hepatitis: Panadol, isoniazid, rifampicin, allopurinol Steatosis: tetracycline, valproate, amiodarone, tamoxifen, TPN, glucocorticoid, metoprolol

55
Q
A

Ans: B (PBC)

56
Q
A

Ans: D

57
Q
A

Ans: A

Most commonly * fluoroquinolone * clindamycin * broad-spectrum penicillin/cephalosporin

58
Q
A

Ans: A

59
Q
A

Ans: C

60
Q
A

Ans: A

61
Q
A

Ans: A

62
Q
A

Ans: B

MRA is 1st line (e.g. spironolactone)

63
Q
A

Ans: A

64
Q
A

Ans: E

65
Q
A

Ans: D

66
Q
A

Ans: C

67
Q
A

Ans: D

68
Q
A

Ans: B

69
Q
A

Ans: A

70
Q
A

Ans: E (most common cause of renal impairment in cirrhosis is not hepatorenal syndrome, but hypovolemia due to excessive diuretics. In case of renal function worsening, stop or reduce diuretics first)

71
Q
A

Ans: C

72
Q
A

Ans: D

73
Q
A

Ans: A

74
Q
A

Ans: C

75
Q
A

Ans: A

76
Q
A

Ans: C

77
Q
A

Ans: B (non invasive test)

78
Q
A

Ans: A

79
Q
A

Ans: B

80
Q
A

Ans: C

81
Q
A

Ans: C

82
Q
A

Ans: B

Alternatives are ceftriaxone, cefazolin, ceftazidime
All similar efficacy

83
Q
A

Ans: B

84
Q
A

Ans: A (HBV DNA high)

85
Q
A

Ans: D

86
Q
A

Ans: D

87
Q
A

Ans: metronidazole

88
Q
A

Ans: A

89
Q
A

Ans: B

90
Q
A

Ans: D

91
Q
A

Ans: A

92
Q
A

Ans: A

93
Q
A

Ans: A

94
Q
A

Ans: E (sky high ALT and AST usu suggest ischemic or toxic liver injury. The reversed de Ritis ratio here may suggest more to ischemic cause (as AST being released from other ischemic organs)

95
Q
A

Ans: D

96
Q
A

Ans: D

97
Q
A

Ans: B (reduces ammonia production by eliminating ammonia producing colonic bacteria)

98
Q
A

Ans: D

99
Q
A

Ans: A

100
Q
A

Ans: A

101
Q
A

Ans: C (increasing clarithromycin resistance)

102
Q
A

Ans: B

103
Q
A

Ans: C

104
Q
A

Ans: B

assess response to intravenous corticosteroid by third day; consider rescue therapy incl infliximab or cyclosporine if fail to show significant improvement within 3–5d

MBBS VI Medicine (92 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions