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WorksheetsGIT QUIZ
Total questions: 35
Worksheet time: 18mins
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
Identify the incorrect statement regarding the Stomach
The stomach has two anatomical sphincters at the cardiac and pyloric end.
The site of gastrostomy is bound on the left by the costal margin and on the right by the lower border of the liver and inferiorly by the transverse colon.
The gastric canal of Magenstrasse is present along the lesser curvature
The nerve of Grassi is a branch of the posterior vagal trunk and supplies the gastric fundus.
A 25 year male suffered a road traffic accident on his way home from a party , In the ER he complains of left shoulder pain and the CT shows a ruptured spleen , This is called (a) sign.
Select the incorrect statement
Passage of meconium is delayed in Hirchsprungs disease and normal in functional constipation.
Barium enema shows that rectum is larger than sigmoid in functional constipation. It shows that rectum is smaller than sigmoid in Hirchsprungs disease.
Stool withholding behaviour is seen in both Hirchsprungs and functional constipation.
Episodes of enterocolitis, and growth failure is seen in Hirchsprungs disease, but not functional constipation.
Choose the incorrect statement
Celiac disease is the most common cause of diarrhoea in children less than 2 years of age in North India.
Classical presentation of celiac disease is small bowel diarrhoea, growth failure and anemia.
Diagnosis is confirmed by unequivocal response to gluten free diet within 12 weeks of its initiation.
ESPGHAN 2020 guidelines state that in all suspected cases of celiac disease, the first test should be total serum IgA and IgA-tTG.
Enlisted below are some causes of abdominal pain with the age group that commonly presents with it. Select the mismatch.
<2 yo- intussusception, malrotation of gut with volvulus
2-5 yo- choledochal cyst, Meckel's diverticulum
2-5 yo- Crohn’s disease, intussusception
Adolescents- obstructed inguinal hernia, ectopic pregnancy
Identify the below image
Ultrasonography of Gall stone
Barium enema of achalasia cardia
CT of pseudo cyst in acute pancreatitis
MRCP of chodochal cyst
A 48-year-old man with a history of gastroesophageal reflux disease (GERD) and coronary artery disease complains of recurrent heartburn despite taking over-the-counter antacids. His physician prescribes a drug that requires activation in acidic pH, forms a sticky polymer, and adheres to the ulcer base, protecting it from acid and pepsin.
Sucralfate
Misoprostol
Omeprazole
Ranitidine
A 26-year-old woman with a history of Crohn’s disease presents with worsening diarrhea and abdominal pain. She is started on a drug that inhibits TNF-α, leading to clinical improvement. After a few weeks, she develops fever, joint pains, and antinuclear antibodies (ANA) are detected.
Which of the following drugs is most likely responsible?
Influximab
Sulfasalazine
Azathioprine
Budesonide
What possible electrolyte disturbance can result from overuse of bisacodyl?
Hypercalcaemia
Hyponatremia
Hypokalemia
Hypernatremia
When is a Ranula said to be a deep or plunging ranula?
Extends back towards base of tongue
Extends into neck, palpable in submandibular triangle
Extends into neck, palpable in carotid triangle
Found next to frenulum linguae
Which of the following statements is false
Sliding hernia is exclusive to males
For repair of inguinal hernia, hernioplasty is done to strengthen anterior wall of inguinal canal
Femoral hernia is more common in females
Richter’s hernia does not present with constipation
A 27-year-old female patient with HIV/AIDS has developed profuse diarrhoea since 2 weeks. Stool wet mount examination did not show any parasites. Auto fluorescing round structures are seen in the stool sample under fluorescence microscope. The organism is most likely to be:
Cysisospora belli
Cryptosporidium parvum
Cyclospora caytanensis
Microsporidium species
Which hepatitis virus is associated with highest mortality in pregnancy?
Hepatitis A
Hepatitis E
Hepatitis C
Hepatitis B
Match the preferred specimen(s) to be collected in enteric fever.
First week of illness-Urine and stool culture
Second/third week of illness -Serum specimen
Third/fourth week of illness- Serum specimen
Third/fourth week of illness-Blood culture
A 32-year-old woman developed acute gastroenteritis 24 hours after attending a wedding reception at a resort, where seafood was served buffet-style. She experienced multiple episodes of profuse vomiting and watery, non-bloody diarrhea, along with mild abdominal cramps, a low-grade fever, and generalized weakness. On examination, she showed signs of mild dehydration and slight epigastric tenderness without serious findings. Several other guests reported similar symptoms, and the outbreak was traced to improperly handled oysters.
Which of the following is the most likely caus
e
Rota virus
Sapo virus
Norwalk virus
Astro virus
Choose the incorrect statement in regards to Peutz-Jeghers Syndrome
Autosomal dominant
Associated with markedly increased risk of several malignancies
Arborisation and presence of smooth muscle intermixed with lamina propria help in distinguishing from juvenile polyps
Example of inflammatory polyp
Select the correct statements in regards to inflammatory bowel disease
1. Granulomas are present in ulcerative colitis
2. Extraintestinal manifestations of IBD include ankylosing spondylitis and sacroiletis
3. Skip lesions are seen in Crohn disease
4. Inflammation in ulcerative colitis is not transmural
5. Fat malabsorption is prominent in ulcerative colitis
1,3,5
2,3,4
2,4,5
1,2,3
A 67yr old man presents with complaints of blood in stools. Further evaluation reveals history of progressive weakness and significant weight loss. On palpation, fullness is the right lower abdominal quadrant is noted. Laboratory tests show Hb levels of 7.2g/dl. Colonoscopy reveals exophytic mass in the sigmoid colon. The most likely diagnosis along with the genetic pathway involved in its pathogenesis is?
Adenocarcinoma, mutation in TP53
Adenocarcinoma, APC/ beta catenin pathway
Carcinoid tumor, APC/beta catenin pathway
Carcinoid tumor, mutation in TP53
All of the following may be the cause of intussusception except?
Hirshspring disease
Rotavirus vaccine
Peutz-Jeghers Syndrome
Tumor of bowel
A patient underwent resection of the gastric antrum. A few weeks later, endoscopy revealed atrophy of the gastric mucosa. Serum levels of gastrin were found to be decreased. Which of the following is true regarding this Gl hormone?
Hormone secreted by pepsinogen cells
B polypeptide
primarily released in cephalic phase
Stimulated by secretin
Gastric muscle was isolated and electrical, mechanical recordings were done (given below). All of the following statements are true about the recording except:
Tension developed proportional to frequency of spike potential
Tension developed directly proportional to amplitude of spike potentials
Threshold voltage is - 50 mv
Frequency is around 6/min
A small segment of mammalian small intestine was mounted over Dale’s tissue bath and movement was recorded (given below). A substance was added
at point X. Which of the following will correspond to X?
Acetylcholine
Adrenaline
KCl
BaCl
A medical student presents to the emergency room with a two-day history of severe vomiting and orthostatic hypotension. What kind of metabolic abnormalities would you expect?
Hyperkalemia, hyperchloremia, and metabolic alkalosis
Normal serum electrolytes and metabolic acidosis
Normal serum electrolytes and metabolic alkalosis
Hypokalemic, hypochloremic, metabolic alkalosis
From the reference image given below identify the correct function of A.
Increases tonic relaxation of the gut wall
Decreases intensity of the rhythmical contractions
Increases rate of the rhythm of contraction
Increases velocity of conduction of inhibitory waves along the gut wall, causing more rapid movement of the gut peristaltic waves.
Consider the following statements related to the greater omentum:
Statement A: The greater omentum is also known as the policeman of the abdomen
Statement B: It consists of small dense patches called MILKY SPOTS which formed by deposition of Calcium carbonate
Statement A and B are correct and B is the explanation for A
Statement A and B are correct but B is not the explanation of A
Statement A is correct but statement B is wrong
Statement B is correct but statement A is wrong
