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Gastroenterology_2012

Jeku Jacob 10 questions

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Questions in this quiz (10)

  1. 1Lactulose is frequently used in the management of hepatic encephalopathy. What is the main therapeutic effect of lactulose?
    1. AA. Increased CNS stimulation
    2. BB. Increased blood glucose level
    3. CC. Laxative effect
    4. DD. Increase peristalsis
    5. EE. Decrease faecal pH
  2. 2What is the best marker for recent change in nutrition status?
    1. AA. Albumin
    2. BB. Prealbumin
    3. CC. Ferritin
    4. DD. B12
    5. EE. Folate
  3. 3Which of the following is the best predictor of a flare of inflammatory bowel disease during pregnancy?
    1. AA. Disease activity at conception
    2. BB. Number of hospital admissions
    3. CC. Length of bowel affected
    4. DD. On more than three medications for IBD
    5. EE. Disease duration
  4. 4A 45 yr old man has colon cancer, and also has 3 adenomas on colonoscopy. No family history. Histology shows mismatch repair genes MLH1, MSH2, MSH6 in the tumour, and also in the surrounding normal tissue. What is the likely diagnosis?
    1. AA. Autosomal recessive adenomatous polyposis
    2. BB. HNPCC
    3. CC. FAP
    4. DD. Juvenile polyposis
    5. EE. sporadic colon cancer
  5. 5A 45 year old patient is admitted to ICU with systemic inflammatory response syndrome, secondary to pancreatitis associated with gallstones. Which form of nutrition is best?
    1. AA. Intravenous fluids
    2. BB. PEG feeding
    3. CC. Gastrostomy
    4. DD. Total parenteral nutrition
    5. EE. Nasogastric tube feeding
  6. 667 year old male admitted with a 3 year history of weight loss and dysphagia. Manometry showed absent oesophageal peristalsis and an elevated resting lower oesophageal pressures.
    What is the most likely diagnosis?
    1. AA. Achalasia
    2. BB. GORD
    3. CC. Eosinophilic Oesophagitis
    4. DD. Oesophageal Cancer
    5. EE. Schatzki Ring
  7. 7A 54 year old woman presents with a history of increasing lethargy and pruritis.
    Clinical examination is normal. Her investigations are shown below.
    What is the diagnosis?
    Image for question 7
    1. AA. Autoimmune hepatitis
    2. BB. Systemic Lupus Erythematosis
    3. CC. Primary biliary cirrhosis
    4. DD. Drug induced hepatitis
    5. EE. Primary sclerosing cholangitis
  8. 8An 87 year old lady presented with abdominal pain. She has a history of atrial fibrillation, hypertension. On examination, she was afebrile with a generalised tender abdomen, no focal areas of tenderness.
    Her electrolytes and an arterial blood gas are shown:
    What is the most likely diagnosis?
    Image for question 8
    1. AA. Caecal volvulus
    2. BB. Cardiogenic shock
    3. CC. Mesenteric ischaemia
  9. 9A 70 year old man with a past history of an ileal resection secondary to ischemic gut presents with two year history of watery diarrhea. Stool culture is negative and endoscopy is normal. What is the next best step in management of his diarrhoea?
    Image for question 9
    1. AA. Cholestyramine
    2. BB. Codeine phosphate
    3. CC. Loperamide
    4. DD. Probiotic
    5. EE. Salazapyrin
  10. 10A 28 year old woman presents with a 2 year history of intermittent abdominal pain and diarrhoea. She smokes 20 cigarettes per day. A small bowel series shows a long stricture in the terminal ileum.
    In addition to prednisone, what is the best initial management?    Image for question 10
    1. AA. Infliximab
    2. BB. Cyclosporin
    3. CC. Smoking cessation
    4. DD. Surgery
    5. EE. Antibiotics

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Description
RACP Gastroenterology Quiz on Gastroenterology_2012, created by Jeku Jacob on 11/01/2017.
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