04 gastroenterology mcqs Year 4 Internal Medicine Notes

04 gastroenterology mcqs Year 4 · Internal Medicine Collection: 4TH YEAR ALL NOTES / IMED / IMED 4.1 / ALEX -- GASTROENTEROLOGY 1. Dysphagia to normal solid food is always present if oesphageal 10. All are causes of odynophagia except\ndiameter is less than? a. Steak-house syndrome\na. 1.3 cm b. Carcinoma oesophagus\nb. 2 cm c. Caustic ingestion\nc. 2.5 cm d. Severe GERD\nd. 4 cm\n11. The following manoeuvres aggravate heart burn except 2. Postural dysphagia for liquids is seen in a. Straining at stool\na. Scleroderma b. Lifting heavy objects\nb. Achalasia c. Stationery bike riding\nc. Diffuse oesophageal spasm d. Running\nd. None\n12. The symptom that does not suggest reflux induced asthma is 3. Sitophobia is seen in a. Late age of onset\na. Crohn’s disease b. Worsening after meals\nb. Viral hepatitis c. Relieved with bronchodilators\nc. Chronic mesenteric vascular ischaemia d. Steroid dependent asthma\nd. A+C\n13. The most common development anomaly of oesophagus is 4. In achalasis, basic abnormality is a. Isolated oesophageal atresia\na. Inhibitory neural degeneration localized to nerve processes b. Oespohageal atresia + distal type of TOF\nb. Inhibitory neural degeneration localized to nerve cell bodies c. Oesophageal stenosis + distal type of TOF\nc. Excitatory neural degeneration localized to nerve processes d. Oesophageal stenosis\nd. Excitatory neural degeneration localized to nerve cell bodies\n14. Diet modification is the primary therapeutic approach for 5. All are features on oesophageal manometry in scleroderma a. Hiatal hernia\nexcept\nb. oesophageal rings\na. Abnormal sphincter relaxation\nc. dysphagia lusoria\nb. Low amplitude peristalsis\nd. oesophageal webs\nc. Hypotensive LES\nd. Low amplitude simultaneous onset contractions 15. True statement regarding schatzki’s ring\na. It represents the proximal border of oesophageal vestibule 6. Severity of radiation oesophagitis is increased by all drugs\nb. Contains only mucosa and submucosa\nexcept\nc. This is seen in 40% of patients on routine UGI series\na. Doxorubicin\nd. Surgery is the most definitive treatment\nb. Bleomycin\nc. Indomethacin 16. All the following have effect on LES except\nd. Cisplatin a. Truncal vagotomy\nb. Fat 7. All are secondary causes of achalasia except\nc. peppermint\na. Gastric carcinoma\nd. diazepam\nb. African trypanosomiasis\nc. Neuropathic intestinal pseudo- obstruction 17. The most common neoplasm associated with achalasia\nd. Lymphoma a. Oesophageal squamous cell carcinoma\nb. Gastric squamous cell carcinoma 8. All the following provoke oesophageal contractions in D.O.S.\nexcept c. Gastric adenocarcinoma\na. Cold water d. Gastiric lymphoma\nb. solid food\n18. Barrett’s epithelium has all the following histological\nc. Edrophonium characters except\nd. Ergonovine a. Absence of goblet cells\nb. Lack of intestinal absorptive capacity 9. In the clinical evaluation of chest pain, the symptom that\nhas no significant statistical difference among cardiac and c. Presence of villous structure\noesophageal causes is d. Presence of parietal and chief cells\na. Radiation to left arm\n19. Regarding tLESRs (Transient lower oesophageal sphincter\nb. Pain lasting several hours\nrelaxation), false statement\nc. Pain awakens at night\na. Occur in patients with normal LES pressure\nd. Provoked by recumbency\nb. Appear without fixed temporal relation to pharyngeal\ncontractions \n\n c. Persists for shorter duration than swallow induced LESRs b. Adenocarcinoma 1169\nd. Occur physiologically to gastric distension of food/gas. c. Allergic oesophagitis\nd. Parasitic infection 20. “Pseudo-ulcerations” on oesophagogram are seen in\noesophatitis due to 30. Low prevalence of candidal oesophagitis is seen in\na. CMV a. Achalasia \nb. Candida b. Oesophagial Carcinoma\nc. HSV c. AIDS \nd. Pill induced d. Post transplant patients 21. “Volcano lesions” on oesophagogram are seen in oesophagitis 31. Plaque like lesions resembling candidal infection are seen\ndue to with all the following except\n\n GASTROENTEROLOGY\na. CMV a. Swallowed oropharyngeal debris\nb. candida b. Pill oesophagitis\nc. HSV c. CMV infection\nd. Pill induced d. Aspergillus infection 22. Skin condition that is not pre-malignant for oesophageal 32. Phagophobia (fear of swallowing) may occur in all except\ncarcinoma\na. Rabies \na. Epidermolysis bullosa\nb. Tetanus\nb. Bullous perphigoid\nc. Hysteria\nc. Cicatricial Pemphigoid\nd. Achalasia\nd. Tylosis et palmaris\n33. LES pressure is decreased by 23. The incidence and severity of oesophageal damage increase\na. Gastrin\nwith radiation doses greater than\nb. Motilin\na. 30 Gy\nc. VIP \nb. 40 Gy\nd. Substance P\nc. 50 Gy\nd. 75 Gy 34. Transfer dysphagia is seen in\na. Achalasia\n24. Minimum period from exposure of radiation to oesophageal\nstricture formation is b. Carcinoma\na. 3 months c. Myasthenia gravis\nb. 6 months d. Scleroderma\nc. 1 year\n35. Hiccups with dysphagia suggest lesion in which part of\nd. 2 year oesophagus\na