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WorksheetsGI bleeding and dyspepsia
Total questions: 16
Worksheet time: 8mins
A 49-year-old female comes to the Emergency Department with persistent vomiting and epigastric discomfort for three weeks. She has a diagnosis of chronic gastric ulcer since five years ago but defaulted treatment. Clinically she is stable but there is a palpable vague mass at the epigastric region. What is the MOST LIKELY cause of her condition?
Gastric carcinoma
MALT lymphoma
Chronic duodenal ulcer
Zolingger Ellison syndrime
A 35-year-old female presents to the Emergency Department for choking sensation, projectile vomiting and dysphagia for the past three weeks. There is a history of ingestion of paraquat two years back. She has lost 10 kg for the past three months. What is the BEST INVESTIGATION tools to construct a diagnosis ?
CT Abdomen pelvis
MRI thorax
Barium swallow
Neck x ray
A 53-year-old Chinese female, presented to Emergency Department with vomiting of blood since two days ago. She claims had epigastric pain for two weeks and had been taking analgesia for her migraine attacks. Upper GI endoscopy was done shows FORREST IIA bleeding ulcer at antrum. No other mass seen.
•What is the BEST ENDOSCOPIC therapeutic procedure to stop the above condition?
Wash with cold saline
Diluted adrenaline injection
A bolus of iv tranxenemic acid
Endoscopic clip ligation
73 years-old-male, k/c of left hemiparesis due to cva 2 years ago. He is immobilised , presented with coffee ground vomiting since 3 weeks. On examination shows, cachexic and severe dehidration. OGDS was performed and shows no ulcer in the stomach. What is the MOST LIKELY diagnosis
Antral Gastritis
Dieulafoy syndrome
oesophageal varices
Cushing ulcer
Which of the following procedure must be done urgently for a 49-year-old male patient with symptoms of acute bleeding haemorrhoid?
ct angiography
proctoscopy
colonoscopy
sigmoidscopy
A 32-year-old woman comes to the clinic because she has had abdominal pain for the past 2 months. She describes the pain as a burning or gnawing sensation in her stomach. What is the additional characteristics of this patient’s pain that suggesting of duodenal ulcer ?
Awaken patients at night
Intermittent throught out the day
not relieved by food
present immediately during waking in the morning
What is the most common complication of peptic ulcer disease ?
GI haemorrhage
Gastric outlet obstruction
Confined perforation
Stomach cancer
Which of the following therapies is proven to reduce mortality and morbidity in bleeding peptic ulcers?
Triple bismuth theraphies
Long-life Proton pump inhibitor
Anti-H.Pylori regime
Upper GI Endoscopy
What would be the most appropriate evaluation and treatment for this patient’s upper gastrointestinal (UGI) bleed?
urgent upper gi endoscopy and start simultaneously oral PPI
elective upper gi endoscopy and start PPI later
Urgent upper GI endoscopy and start simultaneously IV PPI
Urgeny upper GI endoscopy and start iv PPi if the finding shows bleeding ulcer
What is the common cause of lower gi bleeding in the age under 50 years old ?
anal polyp
anal fissure
haemorrhoid
rectal prolapse
What is the common cause for oesophageal perforation ?
Iatrogenic cause
Boerrhaave syndrome
oesophageal tumor
Foreign body
Which of the following patients would not be considered a candidate for esophagectomy?
A 55-year-old man with GEJ adenocarcinoma confined to the muscularis mucosa
A 60-year-old man with a large GEJ carcinoma with invasion into the pleura without a malignant effusion
47-year-old woman with mid-esophageal cancer and an involved cervical LN
A 70-year-old woman with a small GEJ cancer and three pathologic LNs nearby on EUS
Which of the following statements regarding the treatment of Squamous cell carcinoma of esophageal cancer is not true?
in locally advacne operable cancer responding to chemoradiation, the continuation of chemoradiation is alternatove for surgery
preoperative chemoradiation improves the disease free survival in operable cancer
defintive chemoradiation increases survical compared with radiation alone
in metastatic disease, chemotherapy provides a slight better significant increases in survival and best supportive therapy
Which of the following has the greatest risk of esophageal cancer?
Recently diagnosis of oesophageal varices in a 45 year-old
Recently diagnosis Barret's oesophagitis
Long standing of alcohol and smoking with midl dysphagia
Long history of achalasia
35 year-old-male no medical illness, was worried about risk of have stomach cancer as his father died due to advanced stomach cancer. What is the BEST ADVICE should be given to him ?
arranged for surveillance ct abdomen pelvis
Arranged for FOBT
Arranged for elective barrium meal
Arrange for Upper GI endoscopy and colonoscopy
Which of these is not the causes of achalsia
peptic ulcer disease
Oesophagitis
Hiatus hernia
oesophageal varices
