2013 final Flashcards
A 38-year-old male presented with a 6-month history of heartburn and epigastric pain aggravated especially after eating spicy food and on lying down. He doesn’t have dysphagia, odynophagia, or weight loss. Barium swallow X-ray was performed. Which of the following is the next step in his management?
A. Upper GI endoscopy
B. Therapeutic trials of acid suppression
B. Therapeutic trials of acid suppression
A 60-year-old patient presented with changes in bowel movements and bleeding per rectum. Barium enema showed apple core appearance of the colon. What is the diagnosis?
A. Colon cancer
B. Ulcerativecolitis
C. Toxic mega colon
A. Colon cancer
Choose the group of lymph nodes responsible for the lymphatic drainage of the following parts of the tongue:
Apex of the tongue.
A. Submental lymph nodes B. Submandibular lymph nodes C. Inferior deep cervical lymph nodes D. Superior deep cervical lymph nodes E. Superficial cervical lymph nodes F. Retropharyngeal lymph nodes
A. Submental lymph nodes
Choose the group of lymph nodes responsible for the lymphatic drainage of the following parts of the tongue:
Lateral 2/3 of the tongue.
A. Submental lymph nodes B. Submandibular lymph nodes C. Inferior deep cervical lymph nodes D. Superior deep cervical lymph nodes E. Superficial cervical lymph nodes F. Retropharyngeal lymph nodes
B. Submandibular lymph nodes
Choose the most appropriate structure:
A structure supplied by both right and left branches of the portal vein.
A. Right portal lobe B. Right anatomical lobe C. Left portal lobe D. Left anatomical lobe E. Quadrate lobe F. Caudate lobe G. Porta hepatis
F. Caudate lobe
Choose the most appropriate structure:
The gallbladder is located on the right side of this structure.
A. Right portal lobe B. Right anatomical lobe C. Left portal lobe D. Left anatomical lobe E. Quadrate lobe F. Caudate lobe G. Porta hepatis
E. Quadrate lobe
Which of the following nerves carries taste sensation from the anterior 2/3 of the tongue?
Chorda tympani
Which of the following nerves carries preganglionic parasympathetic fibers to the submandibular gland?
Chorda tympani
What can be the source of bleeding from the anterior wall of the epiploic foramen during reduction of herniation of the intestinal loops through epipolic foramen into the lesser sac?
A. Inferior vena cava
B. Portal vein
B. Portal vein
Through which peritoneal recess would an abscess from burst appendix reach the subphrenic space?
Paracolic gutter
In which peritoneal recess would peritoneal fluid accumulate in a female in supine position?
Hepatorenal pouch
Note: In erect position, the most dependent part of the peritoneal cavity in females is Douglas pouch (recto-uterine pouch)
Which of the following is responsible for the parasympathetic innervation of the hindgut?
Pelvic splanchnic nerves
Which of the following differentiates the pancreas from the parotid gland histologically?
Centroacinar cells are found in the pancreas but there is no striated ducts
Which point confers the first and maximal resistance during insertion of a nasogastric tube?
Pharyngoesophageal junction
Which of the following structures is traversed by the transpyloric plane?
Duodojejunal junction
Which of the following is the characteristic feature of the ileum?
Peyer’s patches
Which of the following structures is present in the vestibule of the oral cavity?
A. Submandibular duct
B. Sublingual duct
C. Parotid duct
D. Lingual tonsils
C. Parotid duct
Backflow of blood through which veins is responsible for caput medusa in chronic liver disease?
A. Paraumbilical veins
B. Short gastric veins
C. Left gastric vein
A. Paraumbilical veins
Which of the following muscles plays the most important role in maintaining anal continence?
A. Internal anal sphincter
B. Puborectalis
B. Puborectalis
Which of the following is true about RAS in the gallbladder?
Their presence is abnormal and indicates an increased risk of gallstones & cholecystitis
Which of the following is true about Sjögren syndrome?
Infiltration by lymphoplasmacytic cells
Which analyte is responsible for fetor hepaticus and hepatic encephalopathy in chronic liver disease?
Ammonia
choose the most appropriate causative agent of the following histopathological findings:
Spindle cells surrounded by slit-like vascular spaces and hyaline globules.
A. EBV B. HIV C. HHV-8 D. HPV E. HSV-1 F. HSV-2
C. HHV-8
Note: The question describes “Kaposi Sarcoma”. It is seen in patients with HIV because they are prone to infections but the “causative agent” is HHV-8
choose the most appropriate causative agent of the following histopathological findings:
An immunocompromised patient presented with a white patch on his tongue with hairy
projections that showed balloon cells histologically.
A. EBV B. HIV C. HHV-8 D. HPV E. HSV-1 F. HSV-2
A. EBV
Note: The question describes hairy leukoplakia, which is seen in HIV patients; however, the causative agent is EBV not HIV.
A well-defined solid tumor in the liver histologically showed uniform-looking hepatocytes and no bile ducts. What is the diagnosis?
Hepatic adenoma
What characterizes liver cirrhosis histologically?
Bridging fibrosis and regenerating hepatocyte nodules
An oral blistering lesion histologically showed splitting of the epidermis caused by anti- Desmoglin 3 antibodies. What is the diagnosis?
Pemphigus vulgaris