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GIT Exam for FCPS part 1 with Dr Sohrab
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GIT Exam for FCPS part 1 with Dr Sohrab
GIT Exam for FCPS part 1 with Dr Sohrab
1
Personal infomations
2
True and false
3
multiple choice
Name
*
Phone number
*
Email
GLP -- a) Reduce satiety b) Inhibit glaucagon c) Reduce acid secretion d) Insulinotrophic e) Produced by L cell
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
GIP --- a) Enhance satiety b) Stimulate acid c) Produced by K cell d) Produced throughout GIT e) Stimulate insulin releases
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Faecal Calprotectin -- a) Is a protein b) Produced by neutrophil in git mucosa c) Produced during GIT inflammation d) Screening test for GIT malignancy e) Useful for monitoring Crohn's disease
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Subtotal villous atrophy causes are a) Tropical spure b) Coeliac disease c) Pernicious anaemia d) Dermatitis Herpetiformis e) TB
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Drugs causing Acute colonic pseudo obstruction a) Alginates b) Opioids с) ТСА d) Antacid e) Phenothiazine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Hormone Release from stomach-- a) Somatostatin b) Gastrin c) Secretin d) Cholecystochynin e) Acetylcholine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
TRORcar old man came to you with H/O dyspepsia, When you suspect it as on alarming features? a) Age b) Weight loss c) Anemia d) Bleeding e) Vomiting
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
If you suspect a patient with carcinoma of stomach, which are the following clinical feature-- a) Weight loss b) Epigastric mass c) Anemia d) Anorexia e) Jaundice
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Function of gastrin includes -- a) Stimulates pepsin secretion b) Decreases acid secretion c) Stimulates growth of gastrointestinal mucosa d) Contraction of lower esophageal sphincter e) Inhibits pancreatic secretion
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pancreatic exocrine function test includes-- a) Faecal calprotein b) Faecal elastase c) Pancreolauryl test d) Lactose breath test e) Urea breath test
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
VIP --- a) Contains 28 amino-acid b) Stimulate acid secretion c) Stimulate electrolyte and water secretion in the colon d) Secreted from nerve fiber from GIT e) Causes peripheral vasodilatation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Neuropeptides released from gut a) Secretin b) Motilin c) Amylase d) ССK e) Opioids
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Closure of lower oesphageal sphincter is augmented by a) Vagal stimulation b) Gastrin c) Secretin d) ССK e) Glucagon
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Features of Achalasia cardia of esophagus -- a) It can cause adenocarcinoma of esophagus b) Dysphagia is worse for both solid & liquid c) Heart burn does not occur d) Neuron loss e) Heller's operation is indicated
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Diagnosis of H. pylori is done by a) Antigen detection b) Antibody detection c) Urea breath test d) Histology e) Rapid urease test
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
In Plummer Vinson syndrome a) Macrocytic anaemia b) Glossitis c) Cheilosis d) Oesophageal web e) Adenocarcinoma
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Somatostatin -- a) Reduces absorption b) Reduces gastrin release c) Reduces insulin secretion d) Decreases intestinal motility c) Stimulates glucagon secretion
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
In terminal ileum-absorption occurs a) Monosaccharide b) Calcium c) Bile salts d) Vit. B12 e) Fat
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Causes of subtotal villous atrophy are a. Giardiasis b. Lymphoma c. Whipple's disease d. Small bowel bacterial overgrowth e. Coeliac disease
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Glucagon Like Peptide 1 (GLP-1) -- a) Anorectal hormone b) Stimulate glucagon release c) Decreases gastric motility d) Secreted from terminal ileum e) Decreases blood glucose
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Diagnosis of IBS -- a) Bleeding per stool b) Abdominal pain relieved by defecation c) No obvious abdominal sweeping d) Constipation & Diarrhea e) Feeling of incomplete evacuation after defecation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Which hormone increases gastric motility? a) Gastrin b) ССК c) Secretin d) GIP e) Serotonin
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Adverse prognostic factors in acute pancreatitis include a) Albumin >32g/L b) Poz<8 KPa c) Glucose > 10 mmoL d) Urea > 16 mmoL/L e) Alanine >200 U/L
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Stimulator's of GIT motility are a) Dopamine b) Gastrin c) Somatostatin d) Acetylcholine e) Nitric oxide
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Bile acids --- a) Are water soluble b) Secreted in gall bladder c) Concentrated in gall bladder d) Break down in fatty acids c) Synthesized from the end products of fat s.
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
A 50 years old man having a long history of smoking, presents with anorexia, weight loss & anemia. On examination, there are enlarged lymph nodes in left supraclavicular region. What is the most probable clinical diagnosis?
Tuberculosis
Oesophageal carcinoma
Lymphoma
Gastric carcinoma
Bronchial carcinoma
Gut hormone act on different part of GIT. Which one of the following hormone causes sphincter of oddi relaxation ?
GIP
Gastrin
VIP
Secretin
Cholecytokinin
Which is not a cause of acute pancreatitis ?
Hyperlipidaemia
Gallstones
Pancrease division
Hypercalcaemia
Hypermagnesaemia
Which one of the following hormone is the most important for absorption of glucose from gut ?
Glucocorticoids
PTH
Thyroxin
Glucagon
Insulin
Bleeding in duodenal ulcer, which arterial crosion is responsible for that?
Gastro-duodenal artery
Inferior pancreatico-duodenal artery
Gastric artery - branches of cocliac trunk
Superior pancreatico-duodenal artery
Cystic artery
Which complication occurs in both acute & chronic pancreatitis?
Panereatic pscudo cyst
Pancreatic necrosis
Peptic ulcer
Duodenal stenosis
Portal vein thrombosis
A 60 years old patient came to you with abdominal bloating, Dyspepsia & weight loss for 3 months. She is apparently pale. Which most appropriate test you do next?
Upper GIT endoscopy
Stool OBT
Colonoscopy
ERCP
CT scan
A person has watery diarrhea for a long time. She takes coffee that lead to flushing and pain. What is the investigation to diagnose?
Urine 5-HIAA
Serum electrolytes
USG of abdomen
Urinary mayanephrine
VMA
Which Ig deficient in coeliac discase ?
Ig A
Ig G
Ig M
Ig D
Ig E
Patient suffering from 6 months chronic diarrhea. How do you consider the diarrhea due to malabsorption?
Large voluminous
Steatorrhoea
Abdominal bloating
Abdominal pain
Blood vomiting
Where do the majority of VIPomas arise from?
Small intestine
Pituitary
Pancreas
Antrum of stomach
Pylorus of stomach
A 66-year-old comes for review. He had a prosthetic aortic valve replacement five years ago for which he is warfarinised. Over the past three months he has been complaining of fatigue and a full blood count was requested:
An upper GI endoscopy was reported as normal.
What is the most appropriate next investigation?
Transthoracic echocardiogram
Colonoscopy
Three sets of blood cultures
Transoesophageal echocardiogram
Reticulocyte count
A 54-year-old female presents with a 3 month history of dysphagia affecting both food and liquids from the start, along with occasional symptoms of heartburn. What is the most likely underlying diagnosis?
Pharyngeal pouch
Gastric adenocarcinoma
Benign stricture
Oesophageal cancer
Achalasia
A 59-year-old male patient presents to the gastroenterology clinic with a 6-month history of abdominal pain, diarrhoea and weight loss. Gastroscopy reveals a gastrinoma in the antrum of the stomach. What is the function of the hormone secreted by this tumour?
It increases HCL production and reduces gastric motility
It increases the secretion of pancreatic fluid
It inhibits HCL production and reduces gastric motility
It increases HCL production and increases gastric motility
It inhibits HCL production and increases gastric motility
A 59-year-old female with a history of hypothyroidism presents with fatigue. Blood tests reveal the following:
What is the most appropriate investigation to perform next
Antral biopsy
Bone marrow biopsy
Lactate dehydrogenase
Intrinsic factor antibodies
Barium enema
A 64-year-old man presents to his GP with several months of dysphagia, weight loss and vomiting. He has a background of gastric oesophageal reflux disease (GORD) and is a smoker. The symptoms prompt the GP to urgently refer the patient to the hospital, where endoscopy is performed and a biopsy taken. This demonstrates an adenocarcinoma of the oesophagus. Which of the following investigations should be performed next, to assess mural invasion?
Computed tomography scan
Endoscopic ultrasound
Laparoscopy
Magnetic resonance imaging scan
Positron emission tomography scan
A 30-year-old woman is investigated for chronic diarrhoea, bloating and tiredness. A diagnosis of coeliac disease is suspected. Which one of the following factors would increase the likelihood of a false negative serology test?
Hyposplenism
Being on a gluten free diet for one week prior to the test
A course of prednisolone one week prior to the test
The presence of dermatitis herpetiformis
Selective IgA deficiency
A 46-year-old man is being investigated for indigestion. Jejunal biopsy shows deposition of macrophages containing PAS-positive granules. What is the most likely diagnosis?
Bacterial overgrowth
Coeliac disease
Tropical sprue
Whipple's disease
Small bowel lymphoma
A 21-year-old lady is admitted to hospital from her GP with her mother due to extremely low body mass index (BMI). Her GP notes explain that she has a history of anorexia nervosa. Her mother explains that she hasn't been eating well for the last couple of months and on examination the patient has a BMI of 14.0kg/m² and looks unwell. You are aware that some patients, such as those with eating disorders, are at risk of refeeding syndrome. Given this patient's history, which of the following electrolyte imbalances would suggest that she is at risk of refeeding syndrome?
Hypermagnesaemia
Hypophosphataemia
Hyperkalaemia
Hyperphosphataemia
Thiamine overload
A 65-year-old woman is referred in from her GP with deranged blood tests. She initially went to see the GP due to pain in her tongue and pain on swallowing. On examination, she has angular stomatitis, a red smooth tongue and splenomegaly.
What is the most likely diagnosis?
Kawasaki disease
Oesophageal malignancy
Vitamin B12 deficiency
Plummer-Vinson syndrome
Behcets syndrome
What are the most common type of antibodies seen in pernicious anaemia?
Vitamin B12 receptor antibodies
Gastric parietal cell antibodies
Jejunal mucosa antibodies
Intrinsic factor antibodies
Vitamin B12 antibodies
Which one of the following investigations is considered the gold standard for the diagnosis of gastro-oesophageal reflux disease?
Endoscopy
24hr oesophageal pH monitoring
Oesophageal manometry
Barium swallow
CT thorax
A 56-year-old man presented with cramping abdominal pain and watery diarrhoea. He reports the symptoms persisting for the last 4-weeks and denies any blood loss in his stool. He has been taking omeprazole for his gastro-oesophageal reflux disease for several years now. What is the diagnostic investigation of choice in this case?
Abdominal x-ray
Capsule endoscopy
Colonoscopy and biopsy
Computed-tomography (CT) scan
Digital rectal examination
A 67-year-old man with a 10-year history of gastro-oesophageal reflux disease is investigated for dysphagia. An endoscopy shows an obstructive lesion highly suspicious of oesophageal cancer. What is the biopsy most likely to show?
Squamous cell carcinoma
Normal squamous epithelium
Adenocarcinoma
Leiomyoma
Metaplastic columnar epithelium
Which one of the following may be used to monitor patients with colorectal cancer?
CA-125
Carcinoembryonic antigen
Alpha-fetoprotein
CA 19-9
CA 15-3