Page 1 of 2: mcq "GIT 1"

wasem · Credits: 8632 My Scrapbook

Question 1. The following statements are true:

(a) Tylosis is associated with achalasia.
True False

(b) On barium swallow, a 'bird's beak' appearance is suggestive of squamous carcinoma.
True False

(c) Pneumatic dilatation is the treatment of choice for achalasia.
True False

(d) Reduced lower oesophageal sphincter pressure is a common feature of gastro-oesophageal reflux disease .
True False

(e) Oesophageal pH is usually less than 4.
True False

Question 2. The following is true of Barrett's oesophagus:

(a) Columnar epithelium is replaced by squamous epithelium.
True False

(b) It appears in an antegrade (top to bottom) direction.
True False

(c) It is a premalignant condition.
True False

(d) Severe dysplasia is an ominous sign.
True False

(e) It is an indication for surveillance endoscopy.
True False

Question 3. Helicobacter pylori:

(a) Causes ulceration in the duodenum.
True False

(b) Causes Barrett's metaplasia in the oesophagus.
True False

(c) Is associated with hypergastrinaemia.
True False

(d) Is often resistant to certain antibiotics.
True False

(e) Can convert urea to ammonia and carbon dioxide.
True False

Question 4. Gastric hypomotility (gastroparesis):

(a) Is commonly associated with diabetes mellitus.
True False

(b) Is a risk factor for gastro-oesophageal reflux disease.
True False

(c) Is a feature of generalized scleroderma (systemic sclerosis).
True False

(d) Occasionally responds to erythromycin.
True False

(e) Is often secondary to duodenal ulcer disease.
True False

Question 5. The following are features of coeliac disease:

(a) Hypocalcaemia.
True False

(b) Hypercalcaemia.
True False

(c) Normocytic anaemia.
True False

(d) Hypoalbuminaemia.
True False

(e) Positive antiparietal cell antibodies.
True False

Question 6. The following is true of Crohn's disease:

(a) The rectum is always affected.
True False

(b) Commonly affects the terminal ileum.
True False

(c) More commonly occurs in smokers.
True False

(d) Can result in vitamin B12 deficiency with a negative Schilling test.
True False

(e) Commonly presents with bloody diarrhoea.
True False

Question 7. The following is true of giardiasis:

(a) Diarrhoea abates with avoidance of dairy produce.
True False

(b) Diarrhoea abates with avoidance of gluten.
True False

(c) Diarrhoea requires treatment with metronidazole.
True False

(d) Diarrhoea is usually accompanied by vomiting.
True False

(e) Diarrhoea commonly results in vitamin B12 deficiency.
True False

Question 8. The following is true of inflammatory bowel disease:

(a) Increased liver enzymes in the serum usually indicate the complication of carcinoma.
True False

(b) Small bowel barium enema is the best radiological investigation for ulcerative colitis.
True False

(c) It is occasionally complicated by carcinoma of the caecum.
True False

(d) It is commonly associated with thyroiditis.
True False

(e) It is sometimes complicated by iritis.
True False

Question 9. The following is true of viral hepatitis:

(a) Hepatitis C commonly presents with jaundice.
True False

(b) Hepatitis E is fatal particularly in pregnant women.
True False

(c) Hepatitis BeAg is a marker of viral replication.
True False

(d) Hepatitis A is a risk factor for hepatoma.
True False

(e) Hepatitis D occurs only in association with hepatitis C.
True False

Question 10. The following drugs cause jaundice:

(a) Methotrexate.
True False

(b) Flucloxacillin.
True False

(c) Metronidazole.
True False

(d) Isoniazid.
True False

(e) Phenobarbitone.
True False

Question 11. Haemochromatosis:

(a) Is a genetic defect resulting in copper overload in the liver.
True False

(b) Is a risk factor for the development of hepatoma.
True False

(c) Has an equal sex incidence but presents earlier in males than females.
True False

(d) Is treated by avoiding meat products.
True False

(e) Can cause hypogonadism in the absence of cirrhosis.
True False

Question 12. Colonic carcinoma:

(a) Most commonly occurs in the right side of the colon.
True False

(b) May present with iron deficiency anaemia in the absence of any gastrointestinal symptoms.
True False

(c) Commonly arises in colonic polyps.
True False

(d) Carries a 5-year survival of less than 10%.
True False

(e) Is the cause of carcinoid syndrome.
True False

Question 13. The following is true of colon polyps and colon cancer:

(a) The larger the polyp, the greater the risk of carcinoma.
True False

(b) Malignant polyps can be successfully treated by colonoscopy and polypectomy alone.
True False

(c) Hyperplastic polyps have a higher malignant potential than villous polyps.
True False

(d) Polyps are most common in the ascending colon.
True False

(e) Colonic polyps are often recurrent.
True False

drlouis · Credits: 5374 My Scrapbook

Question 1. The following statements are true:

(a) Tylosis is associated with achalasia.
True False FALSE/ ASS WITH OESO CANCER

(b) On barium swallow, a 'bird's beak' appearance is suggestive of squamous carcinoma.
True False FALSE/ EEN IN ACHALSIA

(c) Pneumatic dilatation is the treatment of choice for achalasia.
True False TRUE

(d) Reduced lower oesophageal sphincter pressure is a common feature of gastro-oesophageal reflux disease .
True False TRUE

(e) Oesophageal pH is usually less than 4.
True False FALSE/ TRUE IN GERD

Question 2. The following is true of Barrett's oesophagus:

(a) Columnar epithelium is replaced by squamous epithelium. FALSE/ REVERSE IS TRUE
True False

(b) It appears in an antegrade (top to bottom) direction. FALSE/RETROGRADE
True False

(c) It is a premalignant condition.
True False TRUE

(d) Severe dysplasia is an ominous sign.
True False TRUE

(e) It is an indication for surveillance endoscopy.
True False TRUE

Question 3. Helicobacter pylori:

(a) Causes ulceration in the duodenum.
True False TRUE

(b) Causes Barrett's metaplasia in the oesophagus.
True False TRUE

(c) Is associated with hypergastrinaemia.
True False TRUE

(d) Is often resistant to certain antibiotics.
True False TRUE

(e) Can convert urea to ammonia and carbon dioxide. TRUE
True False

Question 4. Gastric hypomotility (gastroparesis):

(a) Is commonly associated with diabetes mellitus.
True False TRUE

(b) Is a risk factor for gastro-oesophageal reflux disease. TRUE/ESP WITH CANDIDIAIS AND AUTONOMIV NEUROPATHY
True False

(c) Is a feature of generalized scleroderma (systemic sclerosis). TRUE
True False

(d) Occasionally responds to erythromycin.
True False TRUE

(e) Is often secondary to duodenal ulcer disease.
True False FALSE

Question 5. The following are features of coeliac disease:

(a) Hypocalcaemia. TRUE
True False

(b) Hypercalcaemia. FALSE
True False

(c) Normocytic anaemia. FALSE/IRON DEFICIENY AND VIT B 12 DEFICIENCY
True False

(d) Hypoalbuminaemia. TRUE
True False

(e) Positive antiparietal cell antibodies.
True False FALSE/ANTI-ENDOMYCEAL

Question 6. The following is true of Crohn's disease:

(a) The rectum is always affected.
True False FALSE

(b) Commonly affects the terminal ileum.
True False TRUE

(c) More commonly occurs in smokers.
True False TRUE/ SMOKING IS PROTECTIVE IN UC

(d) Can result in vitamin B12 deficiency with a negative Schilling test. FALSE/ VIT B12 DEFICIENCY WITH POSITIVE SCHILLING DUE TO TERMINAL ILEAL RECEPTOR DEFECT
True False

(e) Commonly presents with bloody diarrhoea.
True False TRUE/ ESP. ANAL FISTULA AND ...BUT SEEN MORE WITH UC

Question 7. The following is true of giardiasis:

(a) Diarrhoea abates with avoidance of dairy produce. FALSE/ LITTLEBIT WITH ASSOCIATED LOCTOSE INTOLR=ERANCE
True False

(b) Diarrhoea abates with avoidance of gluten.
True False FALSE

(c) Diarrhoea requires treatment with metronidazole.
True False TRUE

(d) Diarrhoea is usually accompanied by vomiting.
True False FALSE

(e) Diarrhoea commonly results in vitamin B12 deficiency. FALSE
True False

Question 8. The following is true of inflammatory bowel disease:

(a) Increased liver enzymes in the serum usually indicate the complication of carcinoma.
True False FALSE/ MAY BE WITH SCLEROSING CHOLANGITIS

(b) Small bowel barium enema is the best radiological investigation for ulcerative colitis.
True False FALSE/---COLONOSCOPY

(c) It is occasionally complicated by carcinoma of the caecum. TRUE/ CA COLON IN GEBNERAL
True False

(d) It is commonly associated with thyroiditis.
True False TRUE

(e) It is sometimes complicated by iritis.
True False TRUE

Question 9. The following is true of viral hepatitis:

(a) Hepatitis C commonly presents with jaundice.
True False FALSE

(b) Hepatitis E is fatal particularly in pregnant women. TRUE
True False

(c) Hepatitis BeAg is a marker of viral replication.
True False TRUE

(d) Hepatitis A is a risk factor for hepatoma.
True False FALSE

(e) Hepatitis D occurs only in association with hepatitis C.
True False FALSE/ASS WITH HEPATITIS B

Question 10. The following drugs cause jaundice:

(a) Methotrexate.
True False TRUE/HEPATIC FIBROSIS

(b) Flucloxacillin. FALSE
True False

(c) Metronidazole. FALSE
True False

(d) Isoniazid.
True False TRUE

(e) Phenobarbitone. FALSE
True False

Question 11. Haemochromatosis:

(a) Is a genetic defect resulting in copper overload in the liver .
True False FALSE

(b) Is a risk factor for the development of hepatoma.
True False TRUE

(c) Has an equal SEX incidence but presents earlier in males than females.
True False FALSE

(d) Is treated by avoiding meat products.
True False FALSE/USE PHLEBOTOMY AND IRON CHELATORS

(e) Can cause hypogonadism in the absence of cirrhosis.
True False TRUE/ESP AFTER PITUITRAY IRON DEPOSITION

Question 12. Colonic carcinoma:

(a) Most commonly occurs in the right side of the colon. FALSE
True False

(b) May present with iron deficiency anaemia in the absence of any gastrointestinal symptoms.
True False TRUE

(c) Commonly arises in colonic polyps.
True False TRUE

(d) Carries a 5-year survival of less than 10%.
True False FALSE

(e) Is the cause of carcinoid syndrome.
True False TRUE/ESP AFTER HEPATIC METASTASIS FROM A CARCINOID TUMUR

Question 13. The following is true of colon polyps and colon cancer:

(a) The larger the polyp, the greater the risk of carcinoma. TRUE/ESP MORE THAN 2 CM AND VILLOUS NATURE
True False

(b) Malignant polyps can be successfully treated by colonoscopy and polypectomy alone.
True False FALSE DEPENDS ON EXTENTION AND ADJACENT NODES AND METASTASIS THAT MAY REQUIRE PARTIAL COLECTOMY

(c) Hyperplastic polyps have a higher malignant potential than villous polyps.
True False FALSE

(d) Polyps are most common in the ascending colon.
True False FALSE

(e) Colonic polyps are often recurrent.
True False TRUE

wasem · Credits: 8632 My Scrapbook

thnx

wasem · Credits: 8632 My Scrapbook

we need more answers
i will post the correct answer in 30/3/2006

wasem · Credits: 8632 My Scrapbook

Question 1. The following statements are true:

(a) Tylosis is associated with achalasia.
True False

(b) On barium swallow, a 'bird's beak' appearance is suggestive of squamous carcinoma.
True False

(c) Pneumatic dilatation is the treatment of choice for achalasia.
True False

(d) Reduced lower oesophageal sphincter pressure is a common feature of gastro-oesophageal reflux disease .
True False

(e) Oesophageal pH is usually less than 4.
True False

(a) Tylosis is associated with achalasia. (False)
(b) On barium swallow, a 'bird's beak' appearance is suggestive of squamous carcinoma. (False)
(c) Pneumatic dilatation is the treatment of choice for achalasia. (True)
(d) Reduced lower oesophageal sphincter pressure is a common feature of gastro-oesophageal reflux disease . (True)
(e) Oesophageal pH is usually less than 4. (False)

wasem · Credits: 8632 My Scrapbook

Question 2. The following is true of Barrett's oesophagus:

(a) Columnar epithelium is replaced by squamous epithelium.
True False

(b) It appears in an antegrade (top to bottom) direction.
True False

(c) It is a premalignant condition.
True False

(d) Severe dysplasia is an ominous sign.
True False

(e) It is an indication for surveillance endoscopy.
True False

(a) Columnar epithelium is replaced by squamous epithelium. (False)
(b) It appears in an antegrade (top to bottom) direction. (False)
(c) It is a premalignant condition. (True)
(d) Severe dysplasia is an ominous sign. (True)
(e) It is an indication for surveillance endoscopy. (True)

wasem · Credits: 8632 My Scrapbook

Question 3. Helicobacter pylori:

(a) Causes ulceration in the duodenum.
True False

(b) Causes Barrett's metaplasia in the oesophagus.
True False

(c) Is associated with hypergastrinaemia.
True False

(d) Is often resistant to certain antibiotics.
True False

(e) Can convert urea to ammonia and carbon dioxide.
True False

(a) Causes ulceration in the duodenum. (True)
(b) Causes Barrett's metaplasia in the oesophagus. (False)
(c) Is associated with hypergastrinaemia. (True)
(d) Is often resistant to certain antibiotics. (True)
(e) Can convert urea to ammonia and carbon dioxide. (True)

wasem · Credits: 8632 My Scrapbook

Question 4. Gastric hypomotility (gastroparesis):

(a) Is commonly associated with diabetes mellitus.
True False

(b) Is a risk factor for gastro-oesophageal reflux disease.
True False

(c) Is a feature of generalized scleroderma (systemic sclerosis).
True False

(d) Occasionally responds to erythromycin.
True False

(e) Is often secondary to duodenal ulcer disease.
True False

Question 4. Gastric hypomotility (gastroparesis):

(a) Is commonly associated with diabetes mellitus.
True False

(b) Is a risk factor for gastro-oesophageal reflux disease.
True False

(c) Is a feature of generalized scleroderma (systemic sclerosis).
True False

(d) Occasionally responds to erythromycin.
True False

(e) Is often secondary to duodenal ulcer disease.
True False

Question 4. Gastric hypomotility (gastroparesis):

(a) Is commonly associated with diabetes mellitus.
True False

(b) Is a risk factor for gastro-oesophageal reflux disease.
True False

(c) Is a feature of generalized scleroderma (systemic sclerosis).
True False

(d) Occasionally responds to erythromycin.
True False

(e) Is often secondary to duodenal ulcer disease.
True False

(a) Is commonly associated with diabetes mellitus. (True)
(b) Is a risk factor for gastro-oesophageal reflux disease. (True)
(c) Is a feature of generalized scleroderma (systemic sclerosis). (True)
(d) Occasionally responds to erythromycin. (True)
(e) Is often secondary to duodenal ulcer disease. (False)

wasem · Credits: 8632 My Scrapbook

Question 5. The following are features of coeliac disease:

(a) Hypocalcaemia.
True False

(b) Hypercalcaemia.
True False

(c) Normocytic anaemia.
True False

(d) Hypoalbuminaemia.
True False

(e) Positive antiparietal cell antibodies.
True False

(a) Hypocalcaemia. (True)
(b) Hypercalcaemia. (False)
(c) Normocytic anaemia. (False)
(d) Hypoalbuminaemia. (True)
(e) Positive antiparietal cell antibodies. (False)

wasem · Credits: 8632 My Scrapbook

Question 6. The following is true of Crohn's disease:

(a) The rectum is always affected.
True False

(b) Commonly affects the terminal ileum.
True False

(c) More commonly occurs in smokers.
True False

(d) Can result in vitamin B12 deficiency with a negative Schilling test.
True False

(e) Commonly presents with bloody diarrhoea.
True False

(a) The rectum is always affected. (False)
(b) Commonly affects the terminal ileum. (True)
(c) More commonly occurs in smokers. (True)
(d) Can result in vitamin B12 deficiency with a negative Schilling test. (True)
(e) Commonly presents with bloody diarrhoea. (False)

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