Page 2 of 2: MCQ "GIT 12"

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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

(a) In the absence of haemorrhoids, it is usually due to malignant disease. (False)
(b) It occurs more commonly in Crohn's disease than in ulcerative colitis. (False)
(c) If it occurs in a patient with ulcerative colitis, it usually indicates that carcinoma has developed. (False)
(d) When it is due to diverticular disease, colectomy may be indicated to control it. (True)
(e) It may be caused by ingestion of aspirin. (True)

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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

(a) Pernicious anaemia. (True)
(b) Coeliac disease. (False)
(c) Partial gastrectomy. (True)
(d) Helicobacter pylori infection. (True)
(e) Ménétrière's disease. (True)

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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

True False

(a) Solitary rectal ulcers are commonly associated with Crohn's disease. (False)
(b) Crypt abscesses are typical of coeliac disease. (False)
(c) Fistula formation can be a feature of Whipple's disease. (False)
(d) Anal fissure predisposes to faecal incontinence. (False)
(e) Right iliac fossa pain is common with diverticular disease. (False)
(True)

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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

(a) Hepatitis B is spread via the faecal-oral route. (False)
(b) A vaccine is available for hepatitis C. (False)
(c) Incubation time for hepatitis A is approximately 2-3 weeks. (True)
(d) Hepatitis B is an RNA virus. (False)
(e) Interferon treatment is required for hepatitis E infection. (False)

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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

(a) Oral contraceptive pill. (True)
(b) Malignancy. (True)
(c) Ascites. (False)
(d) Polycythaemia rubra vera. (True)
(e) Constrictive pericarditis. (False)

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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

a) A low pAO2 indicates a poor prognosis. (True)
(b) A high serum GGT has a poor prognosis. (False)
(c) Age of over 55 years usually has a good prognosis. (False)
(d) A low serum albumin indicates a poor prognosis. (True)
(e) Abnormal clotting time has a poor prognosis. (True)

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