Type II Test gastro Vth year 2010/11

1. Following are IPP drugs, with two exceptions:

a. Omeprazolum
b. Famotidinum
c. Esomeprazolum
d. Pantoprazolum
e. Ranitidinum
2. Chronic gastritis type A is characterized by:
a. Is the most common form of chronic gastritis
b. Is the less common form of chronic gastritis
c. Involves mainly the fundus (fundal gastritis) and body of the stomach
d. Hyposecretion of acid as a function of fundal glandular atrophy produces
development of marked hypergastrinemia due to feedback inhibition of acid on
gastrin release
e. Is produced by Helicobactoer piolry
3. * Causes of constipation outside the colon include the following, with one exception:
a. Poor dietary habit (most common)
b. Medications
c. Systemic endocrine or neurologic disease
d. Psychological factors
e. Gastroduodenal ulcer
4. Patients diagnosed with chronic active hepatitis B disease may present:
a. Mild to moderate elevation of the aminotransferases (less than or equal to 5
times the U)
b. Normal ALT/AST levels
c. Impaired synthetic function of the liver (ie, decreased albumin levels,
increased bilirubin levels, and prolonged PT).
d. Hepatits B virus (HBV) DNA levels are high during this phase, HBsAg and
HBcAb of IgG or IgM type (in case of reactivation ) are identified in the serum
e. Low albumin levels, hyperbilirubinemia, prolonged PT, low platlet count and
white cell count
5. The adverse effects that may occur after INF-a treatment can be:
a. Flulike syndrome
b. Myelosuppression (eg, leucopenia, thrombocytopenia)
c. Dysphagia
d. Abdominal pain
e. Thyroid dysfunction, and aplecia are among the adverse effects
6. Complications of chronic hepatitis B are:
a. Cholangiocarcinoma
b. Hepatocellular carcinoma
c. Polyarteritis nodosa
d. Glomerulonephritis
e. Arthralgias and arthritis
7. The most common risk factors for acquiring hepatitis C are:
a. Food
b. Receiving clotting factor concentrations (such as anti-hemophilic factor)
c. Hemodialysis for kidney failure
d. Birth to an HCV-infected mother
e. Suffering a needle-stick accident from a person with hepatitis C
8. Physical findings of HCV cirrhosis may include:
a. Enlarged liver
b. Enlarged kidneys
c. Jaundice
d. Ascites (fluid-filled belly)
e. Ankle swelling

9. Extrahepatic manifestations in chronic hepatitis C might be:

a. Skin rashes such as Purpura vasculitis or urticaria
b. Joint and muscle aches
c. Kidney disease
d. Encephalopathy
e. Cryoglobulins, rheumatoid factor and low-complement levels in serum
10.Chronic diarrhea has the following aspects:
a. Watery diarrhea
b. Solid stool but more than 2 times day
c. Steatorrhea
d. Inflammatory diarrhea
e. Melena
11.Complications of diarrhea could be:
a. Electrolyte loss (Na, K, Mg, Cl), fluid loss with consequent dehydration and
vascularitis may occur
b. Metabolic acidosis may develop due to HCO3- loss
c. Hypokaliemia may occur in severe or chronic diarrhea
d. Tetany due to hypomagnesemia following prolonged diarrhea
e. Hyperglycemia
12.The most characteristic histologic features of CD are:
a. Transmural inflammation (in the form of chronic inflammatory infiltration and
filtration) affecting all layers of the mucosa
b. Noncaseating granulomas
c. Dilatation or sclerosis of lymphatic channels
d. Lymphoid aggregates (sometimes with germinal centers) in all levels of the
bowel wall
e. Crypts abscesses, epithelial necrosis, and mucosal ulceration ultimately
develop
13.Menetriers gastritis is characterized by:
a. Rare incidence
b. Mucosal folds similar to cerebrum
c. Ulcerative lesions on the surface
d. Polipoid aspect
e. Eosinophilic infiltrate
14.Complications of gastric cancer could be:
a. Digestive hemorrhages (upper or lower)
b. Barretts metaplasia
c. Chronic with invasion of nearby organs
d. Phlebitis
e. Perforation
15.Barretts esophagus has the following characteristics:
a. Is a malignant lesion of the esophagus
b. Develops in the upper 1 third of the esophagus
c. Is the condition in which any extent of metaplastic columnar epithelium
replaces the stratified squamous epithelium that normally lines the distal
esophagus
d. Develops as a consequence of chronic gastroesophageal reflux disease (GERD)
e. Predisposes to the development of adenocarcinoma of the esophagus.