GIT system exam

Frage 1 von 43

1

H.pylori causes peptic ulcer in all of the following mechanisms except :

Wähle eine der folgenden:

Producing urease
Enhancing gastric acid secretion.
Producing phospholipase.
Producing immunogenic proteins.
Non of the above

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Frage 2 von 43

1

Which of the following muscles is responsible for protruding
the tongue?

Wähle eine der folgenden:

The styloglossus
The hyoglossus
The genioglossus
The palatoglossus
The mylohyoid

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Frage 3 von 43

1

A patient with a duodenal ulcer is treated successfully with the drug cimetidine. The basis for cimetidine’s inhibition of gastric H+ secretion is that it?

Wähle eine der folgenden:

A) blocks muscarinic receptors on parietal cells
B) blocks H2 receptors on parietal cells
C) increases intracellular cyclic adenosine monophosphate (cAMP) levels
D) blocks H+,K+-adenosine triphosphatase (ATPase)
E) enhances the action of acetylcholine (ACh) on parietal cells

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Frage 4 von 43

1

The following statements concerning the sigmoid colon are correct except which?

Wähle eine der folgenden:

It is a continuation of the descending colon.
It begins above in front of the left quadratus lumborum muscle
It receives its arterial supply from the inferior mesenteric artery.
It becomes continuous with the rectum in front of the third sacral vertebra.
It is attached to the posterior pelvic wall by the sigmoid mesocolon.

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Frage 5 von 43

1

The following information concerning the sensory innervation of the abdominal peritoneum is correct except which?

Wähle eine der folgenden:

The peritoneum on the central part of the inferior surface of the diaphragm is supplied by the phrenic nerves.
The peritoneum forming the mesentery of the small intestine is innervated by autonomic nerves.
The peritoneum on the peripheral part of the inferior surface of the diaphragm is supplied by the phrenic nerves.
The peritoneum lining the anterior abdominal wall in the right lower quadrant is supplied by T12 and L1 spinal nerves
The peritoneum lining the lateral wall of the pelvis is supplied by the obturator nerve.

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Frage 6 von 43

1

The jejunum and ileum can be differentiated on the basis of the following anatomic features except which?

Wähle eine der folgenden:

Numerous (four to five) arterial arcades are associated with the jejunum
The plicae circulares are much more prominent in the jejunum than in the ileum
Fat depositions are generally present throughout the mesentery associated with the ileum.
The jejunum is generally located in the upper left region of the abdominal cavity
Peyer’s patches are characteristic of the lower ileum and may be visible on the surface.

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Frage 7 von 43

1

A 49-year-old woman presents with increasing problems swallowing food (progressive dysphagia). X-ray studies with contrast reveal that she has a markedly dilated
esophagus above the level of the lower esophageal sphincter (LES). No lesions are seen within the lumen of the esophagus. Which of the following is the most likely cause of
this disorder?

Wähle eine der folgenden:

a. Decreased LES resting pressure
b. Absence of myenteric plexus in the body of esophagus
c. Absence of myenteric plexus at the LES
d. Absence of submucosal plexus in the body of esophagus
e. Absence of submucosal plexus at the LES

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Frage 8 von 43

1

Patient presents with increasing “heartburn,” Endoscopic examination finds a red velvety plaque located at the distal esophagus. Biopsies from this area, taken approximately 4 cm proximal to the gastroesophageal junction reveal metaplastic columnar epithelium Which of the following is the most likely diagnosis?

Wähle eine der folgenden:

Acquired achalasia
Barrett esophagus
Hamartomatous polyp
Metastatic adenocarcinoma
Reflux esophagitis

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Frage 9 von 43

1

A 49-year-old woman taking NSAID, Gastroscopy reveals multiple, scattered, punctate hemorrhagic areas in her gastric mucosa. Biopsies from one of these hemorrhagic lesions reveal mucosal erosions with edema and hemorrhage. No mucosal ulceration is seen. Which of the following is the most likely diagnosis?

Wähle eine der folgenden:

a. Chronic gastritis
b. Acute gastritis
c. Autoimmune gastritis
d. Chronic gastritis
e. Peptic ulcer disease

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Frage 10 von 43

1

Patient presents with increasing gastric pain and is found to have a 3-cm mass located in the anterior wall of his stomach. This mass is resected and histologic examination reveals a tumor composed of cells having elongated, spindle-shaped nuclei. This tumor is usually defined histologically by the expression of which one of the listed markers?

Wähle eine der folgenden:

CD10 (CALLA)
CD15 (leuM1)
CD30 (Ki-1)
CD95 (Fas)
CD117 (c-KIT)

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Frage 11 von 43

1

A 39-year-old man presents with bloody diarrhea, examination of the patient’s colon reveals a characteristic “string sign.” A colonoscopy reveals the rectum and sigmoid portions of the colon to be unremarkable. A biopsy from the terminal ileum reveals numerous acute and chronic inflammatory cells within the lamina propria. Gross examination of this resected bowel reveals several transmural fistulas are also found. Which of the following is the most likely diagnosis?

Wähle eine der folgenden:

Ulcerative colitis
Lymphocytic colitis
Infectious colitis
Eosinophilic colitis
Crohn disease

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Frage 12 von 43

1

Multiple dark black stones are found within the gallbladder. These stones are composed of which one of the following substances?

Wähle eine der folgenden:

Bilirubin
Carbon
Cholesterol
Struvite
Urate

Erklärung

Frage 13 von 43

1

Regarding exocrine pancreatic neoplasms, which of the following is not correct :

Wähle eine der folgenden:

a- Mucinous Cystic Neoplasms always arise in women
b- benign Mucinous Cystic Neoplasms show significant cytologic & architectural atypia but no tissue invasion
c- a quarter of all pancreatic cystic tumors are Serous Cystadenomas.
d- Mucinous cyst adenomas & intraductal Papillary Mucinous T can be benign, borderline malignant or malignant T.
e- b & d

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Frage 14 von 43

1

All are true regarding michel's diverticulum except

Wähle eine der folgenden:

Pernicious anemia.
Symptoms like appendicitis
heterotopic islands of functioning gastritis mucosa.
Intestinal bleeding.
Volvulus

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Frage 15 von 43

1

All are causes of acquired megacolon except

Wähle eine der folgenden:

Chagas disease.
Disruption of migration of neural crest derived cells during development
Organic obstruction
Toxic magacolon of crohn disease.
. A functional psychosomatic disorder

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Frage 16 von 43

1

Hepatitis C is transmitted MAINLY by

Wähle eine der folgenden:

Fecal -oral route.
By blood.
Insects or fomites
Sexual contact
None of the above

Erklärung

Frage 17 von 43

1

The disorder that results in the mildest jaundice from the following is:

Wähle eine der folgenden:

a- Crigler-Najjar syndrome
b- Gilbert syndrome
c- thalassemia
d- physiological in neonates
e- Siderocytosis

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Frage 18 von 43

1

All the following reactions are involved in phase to detoxification in the liver except :

Wähle eine der folgenden:

a- Sulfation
b- Glucoronidation
c- methylation
d- oxidation
e- c&d

Erklärung

Frage 19 von 43

1

Which of the following arteries supplies foregut
derivatives of the digestive system?

Wähle eine der folgenden:

A. Celiac trunk
B. Superior mesenteric artery
C. Inferior mesenteric artery
D. Right umbilical artery
E. Intercostal artery

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Frage 20 von 43

1

Kupffer cells present in the adult liver are derived from: (Embryology)

Wähle eine der folgenden:

A. mesoderm
B. endoderm
C. ectoderm
D. neuroectoderm
E. neural crest cells

Erklärung

Frage 21 von 43

1

Which of the following is NOT true regarding oropharynx:

Wähle eine der folgenden:

A. It is on the level of C2 and C3 vertebra.
B. Communicates with the mouth through the oropharyngeal isthmus.
C. The superior constrictor muscle separates the lateral surface of the palatine tonsil from the facial artery.
D. The lateral walls on each side have the palatoglossal and palatopharyngeal arches

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Frage 22 von 43

1

The nasopharynx ends at the level of.

Wähle eine der folgenden:

A. Atlas vertebra.
B. C2 vertebra.
C. The lower part of the soft palate.
D. C3 vertebra.
E. None of the above

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Frage 23 von 43

1

All of the following muscles are supplied by hypoglossal nerve (Xll) except:

Wähle eine der folgenden:

A.Styloglossus
B. Genioglossus.
C. Hyoglossus.
D. Palatoglossus

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Frage 24 von 43

1

One of the of following is an INCORRECT matching:

Wähle eine der folgenden:

A. Nasopharynx ---- ciliated pseudo stratified columnar epithelium.
B. Oropharynx ---- stratified squamous epithelium.
C. Esophagus ---- keratinized stratified squamous epithelium.
D. Gastroesophagel junction ---- non-ciliated simple columnar epithelium.
E. Stomach ---- non-ciliated simple columnar epithelium.

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Frage 25 von 43

1

In cases of mild nausea and vomiting in the 1st 3 months of pregnancy, the drug of choice is :

Wähle eine der folgenden:

A. Diphenhydramine
B. Meclizine.
C. Promethazine.
D. Nabilone.
E. Pyridoxine.

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Frage 26 von 43

1

A 35-years old patient came to the clinic suffering from severe diarrhea, knowing that the patient has a history of colitis, which of the following anti-diarrheal agentsis/are contraindicated:

Wähle eine der folgenden:

a. Diphenoxylate
b. Al(OH)3
c. Methylcellulose
d. A+C
e. None of the above

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Frage 27 von 43

1

Black tongue is a finding that can be seen in a patient treated with:

Wähle eine der folgenden:

a. Methylcellulose
b. Bismuth subsalicylate
c. Nizatidine
d. Diphenoxylate
e. Loperamide

Erklärung

Frage 28 von 43

1

Which of the following agents are contraindicated in pregnancy:

Wähle eine der folgenden:

a. Misoprostol
b. Castor oil
c. Methyl cellulose
d. A+b
e. A+c

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Frage 29 von 43

1

All of the following can be involved in the treatment of GERD, except:

Wähle eine der folgenden:

a. Dexlansoprazole
b. Cimetidine
c. Clarithromycin
d. Misoprostol
e. None of the above

Erklärung

Frage 30 von 43

1

Which of the following is preferentially used for the treatment and the prevention of NSAIDs-induced ulcers?

Wähle eine der folgenden:

a. Nizatidine
b. Lansoprazole
c. Misoprostol
d. Metronidazole
e. All of the above

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Frage 31 von 43

1

For a patient with opioid-induced constipation, the best drug of choice is:

Wähle eine der folgenden:

a. Calcium docusate
b. Nizatidine
c. Senna
d. A+c
e. All of the above

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Frage 32 von 43

1

Vitamin B12 deficiency is a risk in patients treated with:

Wähle eine der folgenden:

a. Cimetidine
b. Omeprazole
c. Lactulose
d. A+b
e. All of the above

Erklärung

Frage 33 von 43

1

. Which of the following can be used in preparation for colonoscopy:

Wähle eine der folgenden:

a. Misoprostol
b. Calcium carbonate
c. PEG laxatives
d. B+C
e. None of the above

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Frage 34 von 43

1

. A 35-years old woman suffering from electrolytes insufficiency, after investigations, no causative illness has been identified, which of the following agents is it predicted for the woman to take:

Wähle eine der folgenden:

a. Bisacodyl
b. Misoprostol
c. Magnesium hydroxide
d. Calcium carbonate
e. Lansoprazole

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Frage 35 von 43

1

All of the following are osmotic laxatives, except:

Wähle eine der folgenden:

a. PEG laxative
b. Lactulose
c. Magnesium citrate
d. Sodium phosphate
e. Calcium carbonate

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Frage 36 von 43

1

All of the following are absorbed in small intestine by Na co-transporter except:

Wähle eine der folgenden:

A. amino acids
B. glucose
C. fatty acid
D. dipeptides
E. More than one of the above

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Frage 37 von 43

1

One of the following is characteristic of slow waves:

Wähle eine der folgenden:

A. They are affected by neurons and hormones
B. can change their frequecy
C. same frequency all along the GIT
D. determine the maximum frequency of contraction

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Frage 38 von 43

1

Retching happens when:

Wähle eine der folgenden:

A. lower esophageal sphincter is closed
B. upper esophageal sphincter is closed
C. upper and lower esophageal sphincters are closed
D. pyloric sphincter is closed

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Frage 39 von 43

1

Dyskinesia is a side effect for one of these drugs :

Wähle eine der folgenden:

A. Lubiorostone
B. PPI
C. Ondansetron
D. Metoclopramide
E. Hyoscine

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Frage 40 von 43

1

All these agents are used to treat diarrhea except :

Wähle eine der folgenden:

A. Lorpermide
B. Bismuth subsalicylate
C. Famotidine
D. Methylcellulose
E. Atropine

Erklärung

Frage 41 von 43

1

The diffirence between Metoclopramide and domperidone is :

Wähle eine der folgenden:

A. Metoclopramide is D2 receptor antagonists but domperidone is 5-HT3 antagonist
B. Metoclopramide crosses BBB but domperidone cannot
C. domperidone has antiemetic effect but Metoclopramide doesn't
D. domperidone crosses BBB but Metoclopramide cannot
E. there is no difference between them

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Frage 42 von 43

1

One of these commbination the best effect in prevention (CINV):

Wähle eine der folgenden:

A. D2 + corticosteroids and NK1 antagonists.
B. corticosteroids and Chlorpromazine
C. Substance P antagonist + 5-HT3antagonists and corticosteroids.
D. droperidol + 5-HT3antagonists and corticosteroids.
E. None of the above

Erklärung

Frage 43 von 43

1

All of these drugs are used to treat Postoperative Nausea & Vomiting except:

Wähle eine der folgenden:

A. Dopamine antagonists
B. D2-antagonists
C. 5-HT3antagonists
D. NK1 antagonistsVomiting
E. All of the above

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GIT system exam

Frage 1 von 43

H.pylori causes peptic ulcer in all of the following mechanisms except :

Wähle eine der folgenden:

Erklärung

Frage 2 von 43

Which of the following muscles is responsible for protruding the tongue?

Wähle eine der folgenden:

Erklärung

Frage 3 von 43

A patient with a duodenal ulcer is treated successfully with the drug cimetidine. The basis for cimetidine’s inhibition of gastric H+ secretion is that it?

Wähle eine der folgenden:

Erklärung

Frage 4 von 43

The following statements concerning the sigmoid colon are correct except which?

Wähle eine der folgenden:

Erklärung

Frage 5 von 43

The following information concerning the sensory innervation of the abdominal peritoneum is correct except which?

Wähle eine der folgenden:

Erklärung

Frage 6 von 43

The jejunum and ileum can be differentiated on the basis of the following anatomic features except which?

Wähle eine der folgenden:

Erklärung

Frage 7 von 43

Wähle eine der folgenden:

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Frage 8 von 43

Wähle eine der folgenden:

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Frage 9 von 43

Wähle eine der folgenden:

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Frage 10 von 43

Wähle eine der folgenden:

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Frage 11 von 43

Wähle eine der folgenden:

Erklärung

Frage 12 von 43

Multiple dark black stones are found within the gallbladder. These stones are composed of which one of the following substances?

Wähle eine der folgenden:

Erklärung

Frage 13 von 43

Regarding exocrine pancreatic neoplasms, which of the following is not correct :

Wähle eine der folgenden:

Erklärung

Frage 14 von 43

All are true regarding michel's diverticulum except

Wähle eine der folgenden:

Erklärung

Frage 15 von 43

All are causes of acquired megacolon except

Wähle eine der folgenden:

Erklärung

Frage 16 von 43

Hepatitis C is transmitted MAINLY by

Wähle eine der folgenden:

Erklärung

Frage 17 von 43

The disorder that results in the mildest jaundice from the following is:

Wähle eine der folgenden:

Erklärung

Frage 18 von 43

All the following reactions are involved in phase to detoxification in the liver except :

Wähle eine der folgenden:

Erklärung

Frage 19 von 43

Which of the following arteries supplies foregut derivatives of the digestive system?

Wähle eine der folgenden:

Erklärung

Frage 20 von 43

Kupffer cells present in the adult liver are derived from: (Embryology)

Wähle eine der folgenden:

Erklärung

Frage 21 von 43

Which of the following is NOT true regarding oropharynx:

Wähle eine der folgenden:

Which of the following muscles is responsible for protruding
the tongue?

Which of the following arteries supplies foregut
derivatives of the digestive system?