Page 1 of 2: MCQ "GIT"

wasem · Credits: 8632 My Scrapbook

Question 1. Causes of mouth ulcers include

gluten enteropathy
True False

Crohn's disease
True False

lichen planus
True False

adverse drug reaction
True False

herpes simplex
True False

Question 2. Causes of salivary gland enlargement include

alcoholic liver disease
True False

Sjögren's syndrome
True False

bacterial infection
True False

sarcoidosis
True False

measles
True False

Question 3. Recognised causes of dysphagia include

iron deficiency anaemia
True False

pharyngeal pouch
True False

Barrett's oesophagus
True False

myasthenia gravis
True False

achalasia
True False

Question 4. Typical features of oesophageal achalasia include

recurrent pneumonia
True False

spasm of the lower oesophageal sphincter (LOS)
True False

heartburn and acid reflux
True False

predisposition to oesophageal carcinoma
True False

symptomatic response to pneumatic balloon dilatation
True False

Question 5. Gastro-oesophageal reflux disease is associated with the following factors

decreased intra-abdominal pressure
True False

delayed gastric emptying
True False

prolonged oesophageal transit time
True False

increased lower oesophageal sphincter tone
True False

presence of a hiatus hernia
True False

dr4jc · Credits: 4396 My Scrapbook

Hey am jus giving a try...plz do let me know the answers..

Question 1. Causes of mouth ulcers include

gluten enteropathy
True

Crohn's disease
True (anywhere frm mouth to anus)

lichen planus
True

adverse drug reaction
True

herpes simplex
True

Question 2. Causes of salivary gland enlargement include

alcoholic liver disease
True

Sjögren's syndrome
True

bacterial infection
True

sarcoidosis
True

measles
False (mumps)

Question 3. Recognised causes of dysphagia include

iron deficiency anaemia
True(Patterson-Kelly-Brown synd)

pharyngeal pouch
True

Barrett's oesophagus
False

myasthenia gravis
True

achalasia
True

Question 4. Typical features of oesophageal achalasia include

recurrent pneumonia
True

spasm of the lower oesophageal sphincter (LOS)
False

heartburn and acid reflux
False

predisposition to oesophageal carcinoma
True

symptomatic response to pneumatic balloon dilatation
True

Question 5. Gastro-oesophageal reflux disease is associated with the following factors

decreased intra-abdominal pressure
False

delayed gastric emptying
True

prolonged oesophageal transit time
True

increased lower oesophageal sphincter tone
True
presence of a hiatus hernia
True

drlouis · Credits: 5374 My Scrapbook

some doubts...

Recognised causes of dysphagia include
dr4jc Barrett's oesophagus
False

Barrett's oesophagus - per se may not cause dysphagia but can cause it when stricture or malignancy complicates.----so a pt with barrets coming with difty swallowing-suspest stricture/carcinoma

Question 5. Gastro-oesophageal reflux disease is associated with the following factors

dr4jc -increased lower oesophageal sphincter tone
True

i think the LES tone would be less

Typical features of oesophageal achalasia include

dr4jc spasm of the lower oesophageal sphincter (LOS)
False

i think there is indeed spasm in achalasia

any other opinion?

dr4jc · Credits: 4396 My Scrapbook

yea Baretts oesophagus is what is asked...so that doesnt produce dysphagia.

Yep LES tone will be less sorry... that was slip of the mind....

Im not sure abt the LES spasm of achalasia though

dr4jc · Credits: 4396 My Scrapbook

hey I read abt Achalasia , there is LES spasm there... so there goes another mistake..

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. Causes of mouth ulcers include

gluten enteropathy
True False

Crohn's disease
True False

lichen planus
True False

adverse drug reaction
True False

herpes simplex
True False

gluten enteropathy (True)

Explanation: And systemic lupus erythematosus, Beh[sfgr ]et's syndrome, Reiter's syndrome
Crohn's disease (True)

Explanation: And ulcerative colitis
lichen planus (True)

Explanation: And pemphigoid and pemphigus
adverse drug reaction (True)

Explanation: Stevens-Johnson syndrome due to either drugs or infections
herpes simplex (True)

Explanation: Aphthous mouth ulcers are usually idiopathic rather than viral-induced

wasem · Credits: 8632 My Scrapbook

Question 2. Causes of salivary gland enlargement include

alcoholic liver disease
True False

Sjögren's syndrome
True False

bacterial infection
True False

sarcoidosis
True False

measles
True False

alcoholic liver disease (True)

Explanation: Also associated with malnutrition and autoimmune hepatitis
Sjögren's syndrome (True)

Explanation: Associated with dry mouth and keratoconjunctivitis sicca (dry eyes)
bacterial infection (True)

Explanation: May be associated with calculi in the parotid duct
sarcoidosis (True)

Explanation: Uveoparotid fever (Heerfordt's syndrome)
measles (False)

Explanation: Associated with mumps

wasem · Credits: 8632 My Scrapbook

Question 3. Recognised causes of dysphagia include

iron deficiency anaemia
True False

pharyngeal pouch
True False

Barrett's oesophagus
True False

myasthenia gravis
True False

achalasia
True False

iron deficiency anaemia (True)

Explanation: Via formation of an oesophageal web-'sideropenic dysphagia'
pharyngeal pouch (True)

Explanation: May also be associated with regurgitation and recurrent aspiration
Barrett's oesophagus (False)

Explanation: Asymptomatic unless complicated by malignancy
myasthenia gravis (True)

Explanation: More commonly caused by stroke; typically worse with fluids than with solids
achalasia (True)

Explanation: Best diagnosed on oesophageal manometry

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