GI Malignancies

Question 1

Nodular tumors arising at the bifurcation of the common bile duct
A. Charcot tumor
B. Klatskin tumor
C. Virchow tumor
D. Cuorvoisier tumor

Answer 1

B

Question 2

Organisms associated with the development of cholangiocarcinoma
A. Opistorchis
B. Schistosomiasis
C. H. pylori
D. Ascaris

Answer 2

A

Question 3

TRUE about colon cancer
A. Lesions in the ascending colon commonly present with constipation
B. Tumors arising from the descending colon would usually present with abdominal cramping and
obstruction
C. Iron deficiency anemia in a menstruating healthy young woman warrants colonoscopy
D. Symptoms do not vary with the anatomic location of the tumor

Answer 3

B

Question 4

Most common symptom of esophageal cancer
A. Weight loss
B. Hematemesis
C. Dysphagia
D. Odynophagia

Answer 4

C

Question 5

Risk factors for gastric adenocarcinoma EXCEPT
A. Smoking
B. Nitrates
C. H. pylori infection
D. Blood type O

Answer 5

D

Question 6

The most frequent extranodal site of lymphoma
A. Duodenum
B. Lung
C. Stomach
D. Liver

Answer 6

C

Question 7

Which form of gastric carcinoma has a poorer prognosis upon discovery?
A. Fungating type
B. Ulcerating type
C. Linitis plastica type
D. They all have similar prognosis

Answer 7

C

Question 8

The more reliable criterion in determinin whether a gastric ulcer is malignant or not
A. Presence of tumor metastasis to adjacent lymph node
B. Biopsy of ulcer for histopathologic evaluation
C. Non-healing ulcer despite adequate treatment
D. Ulcer borders are markedly prominent

Answer 8

B

Question 9

In the colon and rectum, an intramucosal carcinoma that shows no demonstrable vascular
and lymphatic invasion, and whose morphology is not the poorly differentiated type will have
A. Zero metastatic potential
B. 25% metastatic potential
C. 50% metastatic potential
D. 75% metastatic potential

Answer 9

A

Question 10

Type of gastric adenocarcinoma characterized by cohesive neoplastic cells that form glandlike tubular structures
A. Diffuse
B. Linitis plastica
C. Squamous
D. Intestinal

Answer 10

D

Question 11

Organism associated with the development of gastric carcinoma
A. Schistosoma sp.
B. Clonorchis sinensis
C. Rotavirus
D. Helicobacter pylori

Answer 11

D

Question 12

Which of the following is the most common tumor among infants and children?
A. Wilms’ tumor
B. Hepatoblastoma
C. Teratoma
D. Adenoma

Answer 12

A

Question 13

The most feared complication of intestinal goblet cell metaplasia of the esophagus is
A. Peptic ulcer and perforation
B. Barrett’s esophagus
C. Adenocarcinoma
D. Reflux esophagitis

Answer 13

C

Question 14

The most common malignant tumor of the proximal 2/3 of the esophagus is
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Leiomyosarcoma
D. GIST

Answer 14

B

Question 15

Gastrointestinal carcinoma metastatic to the ovary
A. Virchow’s
B. Sister Mary Joseph nodule
C. Grey Turner sign
D. Krukenberg tumor

Answer 15

D

Question 16

Age at which screening colonoscopy may be advised for an asymptomatic without high-risk
factors
A. 45
B. 50
C. 55
D. 60

Answer 16

B

Question 17

Gastrointestinal polyposis syndrome with rare malignant potential to the GI tract
A. Lynch
B. FAP
C. Gardner’s / Gradner’s
D. Peutz-Jeghers

Answer 17

D

Question 18

Most common physical sign in hepatocellular carcinoma
A. Ascites
B. Hepatomegaly
C. Jaundice
D. RUQ tenderness

Answer 18

B