(Confidential)
Questions for trainingA previously healthy young lady started to develop dyspepsia consist of epigastric pain that specifically induced by fasting and often awaken the patient from sleep at night over the last 3 months . She was given an appointment by her physician for gastroduodenoscopy as a next step for management.
What is the most likely expected lesion in endoscopy? Outline the management planning.
Suppose this patient develops an attack of vomiting containing a Coffee ground like materials; how the planning management is differ at this point?
A 35-year- old patient with chronic diarrhea referred to gastroenterology outpatient clinic for further evaluation. Outline the treatment of the patient in following circumstances.
If colonoscopy revealed a friable mucosa with diffuse ulceration involving the rectum, sigmoid, and descending colon. Stool examination was positive for blood.
If patient is otherwise looks healthy, his diarrhea is accompanied by lower abdominal discomfort and bloating, relieved by defecation. The stool is negative for blood and total colonoscopy is quite normal.
His stool showing the presence of large numbers of Amoebic Trophozoites and positive for RBCs and Colonoscopy showing non-specific changes.
SINGLE CHOICE QUESTIONS: Choose the appropriate best of five answer:
The aggressive forces against gastric mucosa include all the following, except:Pepsins secretion.
Bile acid.
Ischaemia.
Smoking.
Prostaglandins.
All the following conditions are recognized associations with Coeliac disease, except:
Type 2 diabetes mellitus.
Dermatitis Herpetiform.
Down syndrome.
Thyroid diseases.
Lymphocytic and Collagenous Colitis.
Colonic diarrhea is characterized by all the following, except:
The stool may contain blood.
The pain is usually concentrate over lower abdomen.
The stool size is usually large.
The presence of occult blood in stool may indicate colorectal carcinoma.
Constitutional features are an association.
All the following are true about H. pylori infection, except:
Intrinsic factor deficiency leading to megaloplastic anaemia is common. +++
D cells that produce somatostatin decrease.
Intestinal metaplasia of gastric mucosa is recognized feature.
MALToma is a rare complication.
Antibiotic therapy is not indicated in asymptomatic infections.
Which of the following large intestine site involvement makes Crohn’s disease diagnosis is unlikely?
Caecum.
Rectum.
Sigmoid colon.
Transverse colon.
Hepatic flexure of the colon.
Which of the following procedures is least likely to reveal the site of obscure major GIT bleeding?
Mesenteric angiography.
Whole intestine barium study.
Wireless capsule endoscopy.
Enteroscopy.
Laparotomy with intraoperative endoscopy.
Which one of the following causes of acute liver diseases is likely to evolve into chronic liver disease in the future?
Acute paracetamol poisoning.
Hepatitis A viral infection.
Hepatitis E viral infection.
Non-alcoholic fatty liver disease (NAFLD).
Infectious mononucleosis hepatitis.
The following conditions are well known causes of severe acute lower GIT bleeding, except:
Diverticular disease.
Angiodysplasia.
Ischaemia.
Meckel’s diverticulum.
Ulcerative colitis.
In the absence of physiological causes; the minimal amount of weight loss that may signify an organic disease is:
3 kg in 6 months.
10 kg in 6 months.
5 kg in 6 months.
20% of body weight loss in 6 months.
5 kg in 3 months.