44. Which of the following statements is NOT a
Ruptured acute
characteristic of Crohn's Disease?
A. Associated with extraintestinal
manifestations like migratory polyarthritis and
ankylosing spondylitis
B. Granulomatous reaction in all layers of
involved intestine
C. Response to surgery is good
D. Skip areas are seen between involved
segments of intestine
45. Disaccharidase deficiency is classified under
which of the following major causes of
malabsorption syndrome:
A. Defective Intraluminal digestion
B. Lymphatic obstruction
C. Primary mucosal cell abnormalities
D. Reduced small intestinal surface area
46. In ulcerative colitis, inflammation is limited
to the:
A. Mucosa C. Serosa
B. Submucosa D. Transmural layer
47. Large areas of hemorrhagic green ulceration
of the mucosa and green-black
necrosis through the wall, extending to the
serosa of the appendix is most likely
associated to which of the following stages of
acute appendicitis?
A. Acute gangrenous appendicitis C. Acute
suppurative appendicitis
B. Early acute appendicitis D.
appendicitis
48. Leon, 25-year-old male complained of
intermittent diarrhea and lower abdominal
pain. An upper G-I series showed segmental
narrowing in the ileum. Microscopic
findings of the lesion showed inflammation
from the mucosa to the serosa with the
presence of non-caseating granulomas. The
most likely diagnosis is:
A. Celiac sprue C. Crohn's disease
B. Tropical sprue D. Whipple's disease
49. Henry, 45-year-old, male suffers from
episodic abdominal bloating with flatulence
and explosive diarrhea after attending a week-
long community celebration of the
dairy industry during the rest of the year, he
does not consume milk shakes or ice
cream and is not symptomatic. Which of the
following conditions best accounts for
these findings?
A. Celiac sprue C. Disaccharidase deficiency
B. Ulcerative colitis D. Whipple's disease
50. Josie, 40-year-old female, has a total serum
bilirubin concentration of 8. 9 mg/dl and
a direct bilirubin level of 6.8 mg/dl. The serum
Alanine aminotrasferase (ALT) level is
125 U/L, and the aspartate aminotransferase
(AST) level is 108 U/L. A liver biopsy
shows histologic findings characteristic for
Sclerosing cholangitis. Which of the
following gastrointestinal tract disease is most
likely to coexist in this patient?

A. Celiac sprue C. Tropical sprue

B. Ulcerative colitis D. Whipple's disease

51. A middle-aged male complains of food

sticking somewhere between mouth and

stomach. Monometry reveals a peristalsis. The

most possible diagnosis is:

A. Stenosis due to severe gastroesophageal

reflux

B. Paraesophageal hiatal hernia

C. Achalasia

D. Zenker's diverticulum

52. Joshua, 25-year-old, medical student

developed sharp epigastric pain relieved by

eating. An upper G. I. series demonstrated a 1

cm gastric ulcer. Which of the

following features is not compatible with the

clinical findings?

A. The size of the ulcer does not differentiate a

benign from malignant ulcer.

B. Heaping-up margin is rare in the benign ulcer

but characteristic of malignant

lesion

C. The base of the peptic ulcer is smooth and

clean

D. Ulcerative lesion in the greater curvature is

more likely to be classic peptic ulcer