Regular Exam 01, Penta 07 (Radius)

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 ?

A) ca stomach

B) achalasia

C) stricture in esophagus

D) myasthenia gravis

22. All are right about aphthous ulcer except ?

A) they are painful

B) they are superficial ulcer

C) occurs in women after menstrual period specially

D) may recur in upto 30% population

23. Factors responsible for GERD except ?

A) Hiatus hernia

B) decreased intraabdominal pressure

C) obesity

D) dietary fat

24. Not a sexually transmitted bacterial infection-

A) AIDS

B) syphillis

C) Gonorrhoea

D) Chlamydial infection

25. Which is true about T. pallidum -

A) non motile,thin walled

B) can be grown in artificial media

C) human is only natural host

D) grows very fast

Regular Exam 01, Penta 07 (Radius)

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