Daily Exam 1, Week 7, Femur

1. A 47-year-old woman presents to your clinic with a three-month history of dysphagia. There is no history of drastic weight loss and the patient experiences symptoms when swallowing solids but not liquids. Which of the following is not an obstructive cause of dysphagia?

A) Oesophageal web

B) Retrosternal goitre

C) Peptic stricture

D) Achalasia

2. Which of the following is the most common cause of duodenal ulcers?

A. NSAIDs

B. Helicobacter pylori

C. Alcohol abuse

D. Zollinger–Ellison syndrome

3. Causes of small bowel bacterial overgrowth includes all except :

A) Pernicious anaemia

B) Systemic sclerosis

C) Hypogammaglobulinaemia

D) SLE

4. Causes of subtotal villous atrophy includes all except:

A) Dermatitis herpetiformis

B) Giardiasis

C) Angiodysplasia

D) Whipple’s disease

5. Which is not an alarming feature of dyspepsia?

A) Anaemia.

B) Vomiting.

C) Haematemesis and/or melaena.

D) Odynophagia

6. Which is not a common cause of lower GI bleeding

A) Angiodysplasia

B) Ischaemia

C) Diverticuilitis

D) Meckel’s diverticulum

7. Most common cause watery diarrhoea?

A) Rota virus ,

B) Astro virus

C) Adeno virus

D) Corona virus

8. Factors responsible for GERD includes all excpt:

A) Obesity

B) chocolate

C) increased tone of lower oesophageal sphincter

D) Increased intra-abdominal pressure.

9. Non invasive Test for H Pylori is-

A) Histology

B) Urea breath test

C) Rapid urease tests, e.g. CLO, Pyloritek

D) Microbiological culture

10. Management of diarrhea predominat irritable bowel syndrome includes all except :

A) Avoid legumes

B) low FODMAP

C) Prucalopride

D) Loperamide

11. Histological feature of UC includes:

A) Cobble stone appearance

B) Loss of goblet cells

C) Fistulae

D) granulomas.

12. Common cause of acute pancreatitis:

A) Post-ERCP

B) Trauma.

C) Azathioprine

D) Hypercalcaemia

13. Complications of acute pancreatitis includes all excpt:

A) Hypoglycaemia.

B) Hypocalcaemia.

C) Reduced serum albumin concentration.

D) Malaena

14. About NEISSERIA GONORRHOEA which one is wrong?

A) Transmitted sexually

B) Newborn can be infected during birth

C) Cause diseases only in human

D) Gonococci affects only stratified squamous cell cell.

15. Complications of gonorrhea includes all except:

A) Sterility

B) Ectopic pregnancy

C) Septic arthritis

D) Orchitis

16. Causes of Non-Gonococcal Urethritis includes all except:

A) Mycoplasma

B) Gardnerella vaginalis

C) HSV-1

D) Trichomonas vaginalis

17. Features of Secondary Syphilis includes all except:

A) Condylomata lata infectious

B) Patchy alopecia

C) generalized lymphadenopathy

D) chancroid

18. Features of tertiary Syphilis includes all except:

A) Tabes paresis

B) Aortitis, Aneurysm

C) Snail track ulcer

D) Nasal septum destruction occurs

19. Complications of peptic ulcer disease includes all except:

A) Perforation

B) Dumping syndrome

C) Gastric outlet obstruction.

D) MalaENA

20. Confirmatory test for GERD is-

A) Barium swallowing

B) Endoscopy

C) 24 hour pH monitoring

D) Esophageal manometry

21. Which is not a esophageal cause of Dysphagia ?

Ca stomach

Achalasia

Stricture in esophagus

Myasthenia gravis

22. All are right about aphthous ulcer except ?

They are painful

They are superficial ulcer

Occurs in women after menstrual period specially

May recur in upto 30% population

23. Factors responsible for GERD except ?

Hiatus hernia

Decreased intraabdominal pressure

Obesity

Dietary fat

24. Not a sexually transmitted bacterial infection-

AIDS

Syphillis

Gonorrhoea

Chlamydial infection

25. Which is true about T. pallidum -

Non motile,thin walled

Can be grown in artificial media

Human is only natural host

Grows very fast

26. Which is not true about H. pylori ?

Gram negative bacteria

Non motile

Has multiple flagella

They are bacillus

27. Intestinal TB treatment duration-

6 months

9 months

12 months

None

28. Which is not an alarming feature of IBS?

Age<50 years

Anemia

Rectal bleeding

Male

29. Which one is not an alarming feature of dyspepsia?

Anemia

Vomiting

Hemoptysis

Dysphagia

30. Not a cause of upper GIT bleeding -

Ca duodenum

Gastric erosion

Esophagitis

Aorto duodenal fistula

31. Not a clinical feature of GERD

Water brush

Typical chest pain

Odynophagia

Dysphagia

32. Which is not a common site of PUD?

2nd part of duodenum

Antrum of stomach

Lower esophagus

Adjacent to Meckel's diverticulum

33. Not a cause of acute pancreatitis -

During MRCP

Gall stone

Alcohol

Idiopathic

34. Which is not a systemic complication of pancreatitis ?

Hypoxia

Hypoglycemia

Hypocalcemia

Reduced serum albumin

35. True for neisseria gonorrhoea -

New born are not affected

Causes disease in animal also

Transmitted sexually

Affects only columner cells

36. Which is not seen in late Syphilis?

Eardrum destruction

Tabes paresis

Gumma formation

Aortitis

37. Bloody diarrhoea occurs in-

Ulcerative colitis

Crohn's disease

IBS

Coeliac disease

38. Site of peptic ulcer does not include-

Duodenum

Esophagus

Appendix

Meckel's diverticulum

39. Prolonged vomitting due to pyloric stenosis results in-

Metabolic alkalosis

Hyperchloremia

Hyperkalemia

Hypoproteinemia

40. Which is not a cause of genital ulcer ?

Chlamydia

HSV type 1

Trichomonas

Haemophillus

Daily Exam 1, Week 7, Femur

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