wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

GIT QUIZ

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

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 ?

a)

30 minutes before meals

b)

30 minutes after meals

c)

Along with meals

d)

When the pain starts

2.

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?

a)

Cytomegalovirus

b)

H.pylori

c)

Herpes simplex virus

d)

Epstein Barr virus

3.

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?

a)

Penicillin G

b)

Ceftriaxone

c)

Meropenem

d)

Trimethoprim/Sulfamethoxazole

4.

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?

a)

Intestinal lymphoma

b)

Intestinal ulcers

c)

Pancreatic insufficiency

d)

Collagenous sprue

5.

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

a)

Cardia

b)

Body

c)

Antrum

d)

Fundus

6.

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

a)

Esophageal injury

b)

Achalasia cardia

c)

Gas- Bloat syndrome

d)

Pneumothorax

7.

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?

a)

Radio frequency ablation and 6 monthly follow up

b)

No intervention now and follow up every 2 years

c)

Argon photocogulation and 3 monthly follow up

d)

Laparoscopic esophagectomy

8.

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?

a)

Dysphagia is the most common symptom

b)

T1a tumor is restricted to submucosa

c)

Barium swallow shows rat tail appearance

d)

Flexible endoscopy with biopsy is used to confirm diagnosis

9.

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

a)

Dukes staging

b)

Bloom- Richardson grading

c)

Nevine staging

d)

Robson staging

10.

The incorrect derivative of the midgut is

a)

Jejunum

b)

Ileum

c)

Left one third of transverse colon

d)

Appendix

11.

Identify the incorrect statement regarding the Stomach

a)

The stomach has two anatomical sphincters at the cardiac and pyloric end.

b)

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.

c)

The gastric canal of Magenstrasse is present along the lesser curvature

d)

The nerve of Grassi is a branch of the posterior vagal trunk and supplies the gastric fundus.

12.

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.

13.

Select the incorrect statement

a)

Passage of meconium is delayed in Hirchsprungs disease and normal in functional constipation.

b)

Barium enema shows that rectum is larger than sigmoid in functional constipation. It shows that rectum is smaller than sigmoid in Hirchsprungs disease.

c)

Stool withholding behaviour is seen in both Hirchsprungs and functional constipation.

d)

Episodes of enterocolitis, and growth failure is seen in Hirchsprungs disease, but not functional constipation.

14.

Choose the incorrect statement

a)

Celiac disease is the most common cause of diarrhoea in children less than 2 years of age in North India.

b)

Classical presentation of celiac disease is small bowel diarrhoea, growth failure and anemia.

c)

Diagnosis is confirmed by unequivocal response to gluten free diet within 12 weeks of its initiation.

d)

ESPGHAN 2020 guidelines state that in all suspected cases of celiac disease, the first test should be total serum IgA and IgA-tTG.

15.

Enlisted below are some causes of abdominal pain with the age group that commonly presents with it. Select the mismatch.

a)

<2 yo- intussusception, malrotation of gut with volvulus

b)

2-5 yo- choledochal cyst, Meckel's diverticulum

c)

2-5 yo- Crohn’s disease, intussusception

d)

Adolescents- obstructed inguinal hernia, ectopic pregnancy

16.

Identify the below image

a)

Ultrasonography of Gall stone

b)

Barium enema of achalasia cardia

c)

CT of pseudo cyst in acute pancreatitis

d)

MRCP of chodochal cyst

17.

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.

a)

Sucralfate

b)

Misoprostol

c)

Omeprazole

d)

Ranitidine

18.

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?

a)

Influximab

b)

Sulfasalazine

c)

Azathioprine

d)

Budesonide

19.

What possible electrolyte disturbance can result from overuse of bisacodyl?

a)

Hypercalcaemia

b)

Hyponatremia

c)

Hypokalemia

d)

Hypernatremia

20.

When is a Ranula said to be a deep or plunging ranula?

a)

Extends back towards base of tongue

b)

Extends into neck, palpable in submandibular triangle

c)

Extends into neck, palpable in carotid triangle

d)

Found next to frenulum linguae

21.

Which of the following statements is false

a)

Sliding hernia is exclusive to males

b)

For repair of inguinal hernia, hernioplasty is done to strengthen anterior wall of inguinal canal

c)

Femoral hernia is more common in females

d)

Richter’s hernia does not present with constipation

22.

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:

a)

Cysisospora belli

b)

Cryptosporidium parvum

c)

Cyclospora caytanensis

d)

Microsporidium species

23.

Which hepatitis virus is associated with highest mortality in pregnancy?

a)

Hepatitis A

b)

Hepatitis E

c)

Hepatitis C

d)

Hepatitis B

24.

Match the preferred specimen(s) to be collected in enteric fever.

a)

First week of illness-Urine and stool culture

b)

Second/third week of illness -Serum specimen

c)

Third/fourth week of illness- Serum specimen

d)

Third/fourth week of illness-Blood culture

25.

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

a)

Rota virus

b)

Sapo virus

c)

Norwalk virus

d)

Astro virus

26.

Choose the incorrect statement in regards to Peutz-Jeghers Syndrome

a)

Autosomal dominant

b)

Associated with markedly increased risk of several malignancies

c)

Arborisation and presence of smooth muscle intermixed with lamina propria help in distinguishing from juvenile polyps

d)

Example of inflammatory polyp

27.

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

a)

1,3,5

b)

2,3,4

c)

2,4,5

d)

1,2,3

28.

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?

a)

Adenocarcinoma, mutation in TP53

b)

Adenocarcinoma, APC/ beta catenin pathway

c)

Carcinoid tumor, APC/beta catenin pathway

d)

Carcinoid tumor, mutation in TP53

29.

All of the following may be the cause of intussusception except?

a)

Hirshspring disease

b)

Rotavirus vaccine

c)

Peutz-Jeghers Syndrome

d)

Tumor of bowel

30.

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?

a)

Hormone secreted by pepsinogen cells

b)

B polypeptide

c)

primarily released in cephalic phase

d)

Stimulated by secretin

31.

Gastric muscle was isolated and electrical, mechanical recordings were done (given below). All of the following statements are true about the recording except:

a)

Tension developed proportional to frequency of spike potential

b)

Tension developed directly proportional to amplitude of spike potentials

c)

Threshold voltage is - 50 mv

d)

Frequency is around 6/min

32.

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?

a)

Acetylcholine

b)

Adrenaline

c)

KCl

d)

BaCl

33.

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?

a)

Hyperkalemia, hyperchloremia, and metabolic alkalosis

b)

Normal serum electrolytes and metabolic acidosis

c)

Normal serum electrolytes and metabolic alkalosis

d)

Hypokalemic, hypochloremic, metabolic alkalosis

34.

From the reference image given below identify the correct function of A.

a)

Increases tonic relaxation of the gut wall

b)

Decreases intensity of the rhythmical contractions

c)

Increases rate of the rhythm of contraction

d)

Increases velocity of conduction of inhibitory waves along the gut wall, causing more rapid movement of the gut peristaltic waves.

35.

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

a)

Statement A and B are correct and B is the explanation for A

b)

Statement A and B are correct but B is not the explanation of A

c)

Statement A is correct but statement B is wrong

d)

Statement B is correct but statement A is wrong