GIT QUIZ

A 28 year old female patient comes to you for advice. She is known case of irritable bowel syndrome. She asks you when is the best time to take anti-spasmodics for her postprandial abdominal pain. What would you suggest ?

• 30 minutes before meals

• 30 minutes after meals

• Along with meals

• When the pain starts

A 6 year old child with vomiting, abdominal pain, weight loss and peripheral edema underwent an upper GI biopsy. Histology is given below with glandular atrophy within gastric mucosa. Which of the following is most commonly associated with this condition?

• Cytomegalovirus

• H.pylori

• Herpes simplex virus

• Epstein Barr virus

A 38 year old man presented with chronic diarrhea, weight loss and joint pains. A duodenal biopsy was done. Which of the following drug is used in the maintenance phase of treatment of this condition?

• Penicillin G

• Ceftriaxone

• Meropenem

• Trimethoprim/Sulfamethoxazole

A 30 year old man presented with chronic diarrhoea, steatorrhea and weight loss. IgA tissue trans - glutaminase antibodies we found to be positive. Duodenal biopsy revealed the following. Which of the following complications would you not expect in this patient?

• Intestinal lymphoma

• Intestinal ulcers

• Pancreatic insufficiency

• Collagenous sprue

What is the most common site of gastric adenocarcinoma in the Asian population

• Cardia

• Body

• Antrum

• Fundus

What is the most common post complication of Nissen’s fundoplication?

• Esophageal injury

• Achalasia cardia

• Gas- Bloat syndrome

• Pneumothorax

Endoscopic biopsy of a patient with GERD revealed high-grade dysplasia of oesophageal mucosa proximal to the GE junction. What is appropriate management for the patient?

• Radio frequency ablation and 6 monthly follow up

• No intervention now and follow up every 2 years

• Argon photocogulation and 3 monthly follow up

• Laparoscopic esophagectomy

An elderly male presented with significant weight loss and an inability to swallow food. A barium swallow was done and showed the following. Which of the following statements is false regarding this condition?

• Dysphagia is the most common symptom

• T1a tumor is restricted to submucosa

• Barium swallow shows rat tail appearance

• Flexible endoscopy with biopsy is used to confirm diagnosis

Which of the following staging systems is used for rectal carcinoma?

• Dukes staging

• Bloom- Richardson grading

• Nevine staging

• Robson staging

The incorrect derivative of the midgut is

• Jejunum

• Ileum

• Left one third of transverse colon

• Appendix