GI 1 & 2 SAMPLEX

One of the ff statements is not a charac of H. pylori–assoc gastritis:
a. Assoc w/ low socio-economic status
b. Presence of antibodies to H. pylori (present)
c. Adenocarcinoma is one of its sequelae
d. Increased gastric secretion

d. Increased gastric secretion

One of the ff statements is not true about autoimmune gastritis
a. Decreased gastric acid secretion
b. Patients have antibodies against their parietal cells
c. Commonly affects the antrum
d. Can be assoc w/ Graves dse

c. Commonly affects the antrum

One of the ff is not a characteristic of B rings
a. Type of schatzki ring
b. Located above the GE junction
c. Contain cardia-type mucosa
d. Circumferential; thicker tissue than an esophageal web

b. Located above the GE junction

Is Zollinger-Ellison syndrome assoc with the dev’t of adenocarcinoma of the GIT?
a. Yes
b. Occasional
c. Frequent
d. No

d. No

Px with high ICP develops ulcer due to:
a. Both (Cushing ulcer)
b. Concomitant systemic acidosis which lowers the intracellular pH of mucosal cells
c. Neither
d. Direct stimulation of vagal nuclei

a. Both (Cushing ulcer)

Exuberant reactive epithelial proliferation can mimic invasive adenocarcinoma
a. Intestinal metaplasia
b. Menetrier dse
c. Gastritis cystica
d. Cerebriform gastropathy

c. Gastritis cystica

Most common cause of diffuse atrophic gastritis
a. Menetrier dse
b. Autoimmune gastritis
c. H. pylori inf
d. Zollinger-Ellison syndrome

b. Autoimmune gastritis

Older adults are more susceptible to gastritis and the suggested factor that cause this is:
a. Reduced bicarbonate secretion
b. Both
c. Neither
d. Reduced mucin secretion

b. Both

This is the most common cause of GERD-like symptoms in children living in developed countries
a. Pill induced esophagitis
b. Fungal esophagitis
c. Herpes esophagitis
d. Eosinophilic esophagitis

d. Eosinophilic esophagitis

Most prevalent cause of esophagitis
a. Stress
b. GERD
c. Infectious agents
d. Chemical ingestion

b. GERD

The ff can be seen clinically in Crohn dse, except
a. Toxic megacolon
b. Commonly recurs after surgery
c. Perianal fistula
d. Fat malabsorption

a. Toxic megacolon

Reactive arthritis/arthritis is a complication of the ff bac enterocolitis, except:
a. Yersinia
b. Campylobacter
c. Typhoid fever
d. Shigellosis

c. Typhoid fever

The most common location of ischemic bowel disease of the colon is
a. Splenic flexure
b. Sigmoid colon
c. Rectum
d. AOTA

a. Splenic flexure

This is the most common cause of sporadic gastroenteritis in developed countries
a. Rotavirus
b. Norovirus
c. Adenovirus
d. AOTA

b. Norovirus

This is the most common cause of severe childhood disease worldwide
a. Rotavirus
b. AOTA
c. Adenovirus
d. Norovirus

a. Rotavirus

This bacterial intestinal infection is not transmitted thru oral-fecal route
a. Shigellosis
b. Cholera
c. Pseudomembranous colitis
d. Typhoid fever

c. Pseudomembranous colitis

One of the ff infectious does not produce a bloody diarrhea
a. Shigellosis
b. Typhoid fever
c. EHEC
d. ETEC

d. ETEC

Hallmark of absorption is
a. Weight loss
b. Muscle wasting
c. Steatorrhea
d. Anorexia

c. Steatorrhea

Malabsorption in Whipple dse is due to:
a. Defect in intraepithelial transport
b. Defect in lymphatic transport
c. Defect in terminal digestion
d. Defect in intraluminal digestion

b. Defect in lymphatic transport

The ff infections affect the small intestines, except:
a. Cholera
b. Whipple disease
c. Typhoid fever
d. EHEC

d. EHEC

One of the ff is not a symptom of Menetrier dse
a. Weight loss
b. Peptic ulcers
c. Hypoproteinemia

b. Peptic ulcers

Triad in achalasia, except:
a. Absence of myenteric plexus
b. Absence of esophageal peristalsis
c. Increased LES tone
d. Diarrhea

d. Diarrhea

The histologic docu for the presence of intestinal metaplasia in Barrett esophagus
a. Presence of abundant mucosal eosinophils
b. Presence of goblet cells
c. Presence of active inflammation
d. Basal zone hyperplasia

b. Presence of goblet cells

Characteristic histo feature of H. pylori infection include:
a. Neither
b. Both
c. Presence of intraepithelial neutrophils
d. Presence of subepithelial plasma cells

b. Both

Curling ulcers are most commonly located in the:
a. Pylorus
b. Duodenum
c. Esophagus
d. Stomach

b. Duodenum

One of the ff is not a charac of H. pylori-assoc gastritis:
a. Commonly affects the antrum
b. High acid production w/ hypogastrinemia
c. Pernicious anemia is a common complication
d. Presence of subepithelial plasma cells

c. Pernicious anemia is a common complication

Histo exam of a gastric tissue revealed presence of numerous pits as well as numerous parietal and chief cells. What part of the stomach was this tissue obtained?
a. Fundus
b. Cardia
c. Pylorus
d. Antrum

a. Fundus

In CMV esophageal inf, the histo feature is:
a. Neither
b. Both
c. Viral inclusions in the nucleus
d. Viral inclusions in the cytoplasm

b. Both

Common cause of chronic antral gastritis is:
a. Autoimmune
b. Chronic use of NSAIDS
c. H. pylori infection
d. Stress

c. H. pylori infection

The virulence of H. pylori is due to:
a. AOTA
b. Urease
c. Presence of flagella
d. Adhesins

b. Urease

Involves only the colon
a. Crohn’s disease
b. Both of the choices
c. None of the choices
d. Ulcerative colitis

d. Ulcerative colitis

The condition is accompanied by severe fibrosis
a. Both of the choices
b. None of the choices
c. Crohn’s disease
d. Ulcerative colitis

c. Crohn’s disease

Presence of skin lesion grossly
a. Ulcerative colitis
b. Crohn’s disease
c. None of the choices
d. Both of the choices

b. Crohn’s disease

High incidence of malignant degeneration
a. Both of the choices
b. None of the choices
c. Crohn’s disease
d. Ulcerative colitis

d. Ulcerative colitis

It is a granulomatous lesion histologically
a. Ulcerative colitis
b. Crohn’s disease
c. None of the choices
d. Both of the choices

b. Crohn’s disease

It has a genetic predisposition
a. Both choices
b. Duodenal ulcer
c. None of the choices
d. Gastric ulcer

d. Gastric ulcer

Obstruction, bleeding, rupture are possible complications
a. Gastric ulcer
b. Both choices
c. None of the choices
d. Duodenal ulcer

a. Gastric ulcer

Histologically presented as acute and chronic inflammation
a. Gastric ulcer
b. Duodenal ulcer
c. Both choices
d. None of the choices

c. Both choices

Vagal stimulation is not related to the genesis of lesion
a. Gastric ulcer
b. None of the choices
c. Duodenal ulcer
d. Both choices

a. Gastric ulcer

There is high HCl gastric secretion or content
a. None of the choices
b. Both choices
c. Duodenal ulcer
d. Gastric ulcer

c. Duodenal ulcer

Signs and symptoms are food-related and hunger
a. Gastric ulcer
b. Duodenal ulcer
c. Both choices
d. None of the choices

b. Duodenal ulcer

Associated with chronic antral gastritis
a. Duodenal ulcer
b. Both choices
c. Gastric ulcer
d. None of the choices

a. Duodenal ulcer

The mucosal defect with increased back diffusion of gastric contents
a. Duodenal ulcer
b. Gastric ulcer
c. None of the choices
d. Both choices

b. Gastric ulcer

A form of malabsorption syndrome
a. Whipple’s disease
b. All of the choices
c. Celiac sprue
d. Tropical sprue

b. All of the choices

Gluten-sensitive enteropathy
a. All of the choices
b. Celiac sprue
c. Whipple’s disease
d. Tropical sprue

b. Celiac sprue

A 1 year old boy with progressive dysphagia, nocturnal regurgitation and aspiration of undigested food
a. Achalasia
b. Acute Gastric Ulcer
c. Chronic Gastritis
d. Hirschsprung’s disease

a. Achalasia

A 30 year old male with explosive vomiting with hematemesis provoked by alcohol intake
a. Mallory-Weiss Syndrome
b. Achalasia
c. Acute Gastric ulcer
d. Megacolon

a. Mallory-Weiss Syndrome

A 40 year old female with signs and symptoms of pernicious anemia accompanied by nausea, vomiting and abdominal discomfort
a. Hirschsprung’s disease
b. Acute Gastric Ulcer
c. Mallory-Weiss Syndrome
d. Chronic Gastritis

d. Chronic Gastritis

A 50 year old female with chronic arthritis relieved by massive and prolonged use of aspirin. The patient suddenly developed massive vomiting of fresh blood.
a. Megacolon
b. Acute Gastric ulcer
c. Achalasia
d. Mallory-Weiss Syndrome

b. Acute Gastric ulcer

Newborn male with Down syndrome with failure to pass out meconium followed by obstructive constipation
a. Chronic Gastritis
b. Acute Gastric Ulcer
c. Hirschsprung’s disease
d. Mallory-Weiss Syndrome

c. Hirschsprung’s disease

A 53-year old male with a known history of Hepatitis B presented with easy fatigability and hematemesis. Endoscopy showed dilated tortuous vessels in the distal esophagus. Which BEST explains this?
a. Poor intrinsic quality of the vascular wall
b. Genetic mutations
c. Congenital vascular malformation
d. Opening of portocaval anastomosis

d. Opening of portocaval anastomosis