Multiple Choice Questions in Gastroenterology

Stomach and Duodemum

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1

The best duration of treatment to ensure 90% duodenal ulcer healing with H2 receptor antagonist is:

A1

A. 1 week
B. 2 weeks
C. 4 weeks
D. 8 weeks
E. 1 year





2

Effective ulcer treatment which works without any action on gastric acid secretion is:

A2

A. Lactulose
B. Aluminium hydroxide
C. Sucralfate
D. Lactitol
E. Magnesium trisilicate





3

Antacid therapy relieves symptoms:

A3

A. Rapidly
B. By complete neutralisation of gastric acid
C. By eradicating Helicobacter pylori
D. Indefinitely
E. By protecting the mucosa from acid





4

Basal and peak acid output are most important in the diagnosis of:

A4

A. Duodenal ulcer
B. Gastrinoma
C. Gastric ulcer
D. Gastric carcinoma
E. Rickets





5

Gastric atony can occur in:

A5

A. Motor neurone disease
B. Marfan’s syndrome
C. Friedreich’s ataxia
D. Diabetes insipidus
E. Diabetes mellitus





6

Gastric surgery may be followed by:

A6

A. Osteomalacia
B. Weight loss
C. Pulmonary tuberculosis
D. Gallstones
E. Gastric cancer





7

The success of peptic ulcer surgery can be judged by:

A7

A. Insulin test meal
B. Sham feeding
C. Pre- and post-operative pentagastrin test meals
D. Symptoms
E. Gastric pH monitoring





8

Helicobacter pylori bacteria:

A8

A. Live in gastric acid
B. Adhere to the gastric mucosa in an alkaline layer
C. Are never seen in healthy people
D. Can be simply identified in the endoscopy room by their urease activity
E. Are associated with peptic ulcer relapse






9

The stomach is sometimes involved in:

A9

A. Coeliac disease
B. Lymphoma
C. Crohn’s disease
D. Alactasia
E. Barrett’s oesophagus





10

Prostaglandin analogues heal peptic ulcers but:

A10

A. Are slow to take effect
B. Have some action on gastric acid
C. Have an unusually high relapse rate
D. Cause diarrhoea
E. Are unlikely to be drugs of first choice





11

Chagas’ disease may be suspected if a patient has:

A11

A. Constipation
B. Dysphagia
C. Heart failure
D. Jaundice
E. Reflux oesophagitis





12

A patient with a third episode of gastrointestinal haemorrhage from an unknown site should be offered first:

A12

A. Early endoscopy
B. Barium radiology
C. Laparotomy
D. Intravenous acid-suppressing therapy
E. A Sengstaken tube





13

Body mass index is measured by:

A13

A. Weight / height
B. Weight2 / height
C. Weight / height2
D. Weight2 / height2
E. Weight3 / height





14

Fibre-optic upper digestive endoscopy:

A14

A. Is less accurate than video endoscopy
B. Is superior to barium meal examination
C. Replaces the need for small bowel biopsy capsules in coeliac disease
D. Has no mortality
E. Usually requires IV sedation which may be reversed with flumazenil








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