Page 1 of 2: MCQ "GIT 12"

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Question 14. The following gastrointestinal diseases are associated with the renal conditions listed:

(a) Crohn's disease and renal amyloidosis.
True False

(b) Hepatitis B and glomerulonephritis.
True False

(c) Gastric ulcer and nephrotic syndrome.
True False

(d) Pancreatic neuroendocrine tumours and polycystic kidney disease.
True False

(e) Liver cysts and glomerulosclerosis.
True False

Question 15. The following is true of villous atrophy in the small intestine:

(a) If due to coeliac disease, it should recover completely on a gluten-free diet.
True False

(b) It can be caused by tuberculosis.
True False

(c) It can be associated with Giardi lamblia.
True False

(d) It can be associated with Tropheryma whippelei.
True False

(e) When associated with bacteria, it may cause a rise in serum folate.
True False

Question 16. The following skin conditions are associated with the named GI diseases:

(a) Dermatitis herpetiformis with coeliac disease.
True False

(b) Pruritus with primary biliary cirrhosis.
True False

(c) Pyoderma gangrenosum with gastric carcinoma.
True False

(d) [bleep] pemphigoid with pancreatitis.
True False

(e) Erythema nodosum with Crohn's disease.
True False

Question 17. The following statements are true in relation to vomiting:

(a) Vomiting occurring 12 hours after a suspicious meal is indicative of Salmonella poisoning.
True False

(b) Vomiting in association with headache is a feature of migraine.
True False

(c) Vomiting associated with weight loss can be indicative of malignant disease.
True False

(d) Vomiting usually precedes the pain of biliary colic.
True False

(e) Vomiting can be a feature of myocardial infarction.
True False

Question 18. Scleroderma can produce the gastrointestinal complications listed:

(a) Diarrhoea due to bacterial overgrowth.
True False

(b) Constipation due to gut hypomotility.
True False

(c) Diarrhoea which is unresponsive to a gluten-free diet.
True False

(d) Gastric ulcer due to chronic gastritis.
True False

(e) Dysphagia due to abnormal peristalsis in the oesophagus.
True False

Question 19. Chronic pancreatitis:

(a) Is a cause of diabetes mellitus.
True False

(b) Can result from alcohol ingestion in moderate amounts.
True False

(c) May be hereditary in a minority of cases.
True False

(d) Can be diagnosed by a raised serum amylase.
True False

(e) Is a cause of pancreas divisum.
True False

Question 20. The following is true of rectal bleeding:

(a) In the absence of haemorrhoids, it is usually due to malignant disease.
True False

(b) It occurs more commonly in Crohn's disease than in ulcerative colitis.
True False

(c) If it occurs in a patient with ulcerative colitis, it usually indicates that carcinoma has developed.
True False

(d) When it is due to diverticular disease, colectomy may be indicated to control it.
True False

(e) It may be caused by ingestion of aspirin.
True False

Question 21. The following are risk factors for gastric carcinoma:

(a) Pernicious anaemia.
True False

(b) Coeliac disease.
True False

(c) Partial gastrectomy.
True False

(d) Helicobacter pylori infection.
True False

(e) Ménétrière's disease.
True False

Question 22. The following statements are true:

(a) Solitary rectal ulcers are commonly associated with Crohn's disease.
True False

(b) Crypt abscesses are typical of coeliac disease.
True False

(c) Fistula formation can be a feature of Whipple's disease.
True False

(d) Anal fissure predisposes to faecal incontinence.
True False

(e) Right iliac fossa pain is common with diverticular disease.
True False

Question 23. The following are true of hepatitis:

(a) Hepatitis B is spread via the faecal-oral route.
True False

(b) A vaccine is available for hepatitis C.
True False

(c) Incubation time for hepatitis A is approximately 2-3 weeks.
True False

(d) Hepatitis B is an RNA virus.
True False

(e) Interferon treatment is required for hepatitis E infection.
True False

Question 24. The following is a risk factor for the Budd-Chiari syndrome:

(a) Oral contraceptive pill.
True False

(b) Malignancy.
True False

(c) Ascites.
True False

(d) Polycythaemia rubra vera.
True False

(e) Constrictive pericarditis.
True False

Question 25. The following are true regarding prognostic factors for acute pancreatitis:

(a) A low pAO2 indicates a poor prognosis.
True False

(b) A high serum GGT has a poor prognosis.
True False

(c) Age of over 55 years usually has a good prognosis.
True False

(d) A low serum albumin indicates a poor prognosis.
True False

(e) Abnormal clotting time has a poor prognosis.
True False

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Question 14. The following gastrointestinal diseases are associated with the renal conditions listed:

(a) Crohn's disease and renal amyloidosis.
True False TRUE

(b) Hepatitis B and glomerulonephritis.
True False TRUE

(c) Gastric ulcer and nephrotic syndrome.
True False FALSE

(d) Pancreatic neuroendocrine tumours and polycystic kidney disease. FALSE
True False

(e) liver cysts and glomerulosclerosis.
True False FALSE

Question 15. The following is true of villous atrophy in the small intestine:

(a) If due to coeliac disease, it should recover completely on a gluten-free diet.
True False TRUE/ BUT WHEN LYMPHOMA COMPLICATES IN LATER STAGES,IT MAY NOT

(b) It can be caused by tuberculosis.
True False --FALSE /ESPCIALLY FOCAL--AND DIFFUSE INFILTRATION AND MAY BE SECONDARY TO SECONDARY BACTERIAL COLONISATION WITH STENOSING LESION

(c) It can be associated with Giardi lamblia.
True False TRUE

(d) It can be associated with Tropheryma whippelei.
True False TRUE

(e) When associated with bacteria, it may cause a rise in serum folate.
True False TRUE- DUE TO BACTERIAL PRODUCTION

Question 16. The following SKIN conditions are associated with the named GI diseases:

(a) Dermatitis herpetiformis with coeliac disease.
True False TRUE

(b) Pruritus with primary biliary cirrhosis.
True False TRUE

(c) Pyoderma gangrenosum with gastric carcinoma.
True False TRUE

(d) [bleep] pemphigoid with pancreatitis.
True False TRUE

(e) Erythema nodosum with Crohn's disease.
True False TRUE

Question 17. The following statements are true in relation to vomiting:

(a) Vomiting occurring 12 hours after a suspicious meal is indicative of SALMONELLA poisoning.
True False FALSE

(b) Vomiting in association with headache is a feature of migraine.
True False TRUE/BUT RULE OUT MENINGITIS AND SOL

(c) Vomiting associated with weight loss can be indicative of malignant disease. TRUE/ESP GI MALIGNANCY BUT R/O GOO FIRST SECONDARY TO ACID PEPTIC DISEASE
True False

(d) Vomiting usually precedes the pain of biliary colic.
True False FALSE

(e) Vomiting can be a feature of myocardial infarction.
True False TRUE

Question 18. Scleroderma can produce the gastrointestinal complications listed:

(a) Diarrhoea due to bacterial overgrowth.
True False TRUE

(b) Constipation due to gut hypomotility.
True False TRUE

(c) Diarrhoea which is unresponsive to a gluten-free diet. TRUE
True False

(d) Gastric ulcer due to chronic gastritis.
True False TRUE/ AND GERD AND DUODENAL REFLUX

(e) Dysphagia due to abnormal peristalsis in the oesophagus.
True False TRUE

Question 19. Chronic pancreatitis:

(a) Is a cause of diabetes mellitus.
True False TRUE/SECONDARY DM

(b) Can result from alcohol ingestion in moderate amounts.
True False TRUE

(c) May be hereditary in a minority of cases.
True False TRUE

(d) Can be diagnosed by a raised serum amylase.
True False

(e) Is a cause of pancreas divisum.
True False FALSE/PANCREATIC DIVISUM CAUSES PANCREATITIS

Question 20. The following is true of rectal bleeding:

(a) In the absence of haemorrhoids, it is usually due to malignant disease.
True False TRUE/ BUT DEPENDS ON AGE OF PT-R/O POLYPS AND ADENOMA AND INFLAMMATORY BOWEL DISEASE

(b) It occurs more commonly in Crohn's disease than in ulcerative colitis.
True False FALSE

(c) If it occurs in a patient with ulcerative colitis, it usually indicates that carcinoma has developed.
True False FALSE

(d) When it is due to diverticular disease, colectomy may be indicated to control it.
True False FALSE/MAY BE IN EXTENSIVE AND UNCONTROLLABLE BLEEDING

(e) It may be caused by ingestion of aspirin.
True False TRUE/ESP IN A PT WITH MASSIVE UPPER GI BLEEDING PRESENTING WITH HEMATOCHEZIA AND NO TIME FOR MALENA FORMATION

Question 21. The following are risk factors for gastric carcinoma:

(a) Pernicious anaemia.
True False TRUE

(b) Coeliac disease.
True False TRUE/ESP LYMPHOMA

(c) Partial gastrectomy.
True False TRUE/STUMP CARCINOMA

(d) Helicobacter pylori infection.
True False TRUE

(e) Ménétrière's disease.
True False TRUE

Question 22. The following statements are true:

(a) Solitary rectal ulcers are commonly associated with Crohn's disease.
True False FALSE

(b) Crypt abscesses are typical of coeliac disease.
True False FALSE

(c) Fistula formation can be a feature of Whipple's disease. FALSE
True False

(d) Anal fissure predisposes to faecal incontinence.
True False TRUE/ ESP CONSTIPATION

(e) Right iliac fossa pain is common with diverticular disease.
True False FALSE

Question 23. The following are true of hepatitis:

(a) Hepatitis B is spread via the faecal-oral route.
True False FALSE

(b) A vaccine is available for hepatitis C.
True False FALSE

(c) Incubation time for hepatitis A is approximately 2-3 weeks.
True False TRUE

(d) Hepatitis B is an RNA virus.
True False TRUE

(e) Interferon treatment is required for hepatitis E infection.
True False FALSE

Question 24. The following is a risk factor for the Budd-Chiari syndrome:

(a) Oral contraceptive pill.
True False TRUE

(b) Malignancy. TRUE/ESP RENAL CELL CA,POLYCYTHEMIA RUBRA VERA
True False

(c) Ascites. FALSE- ASCITIS IS A RESULT OF BUDD CHIARRI/ BUT ASCITIS CAN RARELY CAUSE FUNCTIONAL IVC OBSTRUCTION SYNDROMME MIMICKING BUDD CHIARRI
True False

(d) Polycythaemia rubra vera.
True False TRUE

(e) Constrictive pericarditis.
True False FALSE/ A IMPORTANT CLOSE DIFFERENTIAL DIAGNOSIS

Question 25. The following are true regarding prognostic factors for acute pancreatitis:

(a) A low pAO2 indicates a poor prognosis.
True False TRUE/ESP CONSIDER ARDS

(b) A high serum GGT has a poor prognosis.
True False TRUE/ INDICATES SECONDARY TO ALCOHOLISM ASSOCIATED WITH OTHER CO MORBIDITIES LIKE HEPATITIS AND ASPIRATION...

(c) Age of over 55 years usually has a good prognosis. FALSE/REMEMBER RANSONS CRITERIA
True False

(d) A low serum albumin indicates a poor prognosis.
True False TRUE

(e) Abnormal clotting time has a poor prognosis.
True False TRUE

please let me know the correct answers...esp the doubtfulones

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 14. The following gastrointestinal diseases are associated with the renal conditions listed:

(a) Crohn's disease and renal amyloidosis.
True False

(b) Hepatitis B and glomerulonephritis.
True False

(c) Gastric ulcer and nephrotic syndrome.
True False

(d) Pancreatic neuroendocrine tumours and polycystic kidney disease.
True False

(e) Liver cysts and glomerulosclerosis.
True False

(a) Crohn's disease and renal amyloidosis. (True)
(b) Hepatitis B and glomerulonephritis. (True)
(c) Gastric ulcer and nephrotic syndrome. (False)
(d) Pancreatic neuroendocrine tumours and polycystic kidney disease. (False)
(e) Liver cysts and glomerulosclerosis. (False)

wasem · Credits: 8632 My Scrapbook

Question 15. The following is true of villous atrophy in the small intestine:

(a) If due to coeliac disease, it should recover completely on a gluten-free diet.
True False

(b) It can be caused by tuberculosis.
True False

(c) It can be associated with Giardi lamblia.
True False

(d) It can be associated with Tropheryma whippelei.
True False

(e) When associated with bacteria, it may cause a rise in serum folate.
True False

(a) If due to coeliac disease, it should recover completely on a gluten-free diet. (True)
(b) It can be caused by tuberculosis. (True)
(c) It can be associated with Giardi lamblia. (True)
(d) It can be associated with Tropheryma whippelei. (True)
(e) When associated with bacteria, it may cause a rise in serum folate. (True)

wasem · Credits: 8632 My Scrapbook

Question 16. The following skin conditions are associated with the named GI diseases:

(a) Dermatitis herpetiformis with coeliac disease.
True False

(b) Pruritus with primary biliary cirrhosis.
True False

(c) Pyoderma gangrenosum with gastric carcinoma.
True False

(d) [bleep] pemphigoid with pancreatitis.
True False

(e) Erythema nodosum with Crohn's disease.
True False

(a) Dermatitis herpetiformis with coeliac disease. (True)
(b) Pruritus with primary biliary cirrhosis. (True)
(c) Pyoderma gangrenosum with gastric carcinoma. (False)
(d) [bleep] pemphigoid with pancreatitis. (False)
(e) Erythema nodosum with Crohn's disease. (True)

wasem · Credits: 8632 My Scrapbook

Question 17. The following statements are true in relation to vomiting:

(a) Vomiting occurring 12 hours after a suspicious meal is indicative of Salmonella poisoning.
True False

(b) Vomiting in association with headache is a feature of migraine.
True False

(c) Vomiting associated with weight loss can be indicative of malignant disease.
True False

(d) Vomiting usually precedes the pain of biliary colic.
True False

(e) Vomiting can be a feature of myocardial infarction.
True False

(a) Vomiting occurring 12 hours after a suspicious meal is indicative of Salmonella poisoning. (False)
(b) Vomiting in association with headache is a feature of migraine. (True)
(c) Vomiting associated with weight loss can be indicative of malignant disease. (True)
(d) Vomiting usually precedes the pain of biliary colic. (False)
(e) Vomiting can be a feature of myocardial infarction. (True)

wasem · Credits: 8632 My Scrapbook

Question 18. Scleroderma can produce the gastrointestinal complications listed:

(a) Diarrhoea due to bacterial overgrowth.
True False

(b) Constipation due to gut hypomotility.
True False

(c) Diarrhoea which is unresponsive to a gluten-free diet.
True False

(d) Gastric ulcer due to chronic gastritis.
True False

(e) Dysphagia due to abnormal peristalsis in the oesophagus.
True False

(a) Diarrhoea due to bacterial overgrowth. (True)
(b) Constipation due to gut hypomotility. (False)
(c) Diarrhoea which is unresponsive to a gluten-free diet. (True)
(d) Gastric ulcer due to chronic gastritis. (False)
(e) Dysphagia due to abnormal peristalsis in the oesophagus. (True)

wasem · Credits: 8632 My Scrapbook

Question 19. Chronic pancreatitis:

(a) Is a cause of diabetes mellitus.
True False

(b) Can result from alcohol ingestion in moderate amounts.
True False

(c) May be hereditary in a minority of cases.
True False

(d) Can be diagnosed by a raised serum amylase.
True False

(e) Is a cause of pancreas divisum.
True False

(a) Is a cause of diabetes mellitus. (True)
(b) Can result from alcohol ingestion in moderate amounts. (True)
(c) May be hereditary in a minority of cases. (True)
(d) Can be diagnosed by a raised serum amylase. (False)
(e) Is a cause of pancreas divisum. (False)

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