GIT 1

Question 1

Transmural tearing of the esophagus resulted from sever vomiting?

• Mallory Weiss tear.
• Boerhaveave syndrome.
• GERD.
• Reflux esophagitis.

Answer 1

B

“longitudinal tear = Mallory”

Question 2

Basal zone hyperplasia + elongation of the lamina propria papillae of the esophagus

Answer 2

Reflux esophagitis

Question 3

Esophageal varices lies in?

• Mucosa.
• Submucosa.
• Muscularis.
• All of the above

Answer 3

Submucosa

Question 4

Arise from Barrett’s esophagus + occurring in distal 1/3

Answer 4

Esophageal adenocarcinoma

Question 5

Arise from areas of squamous dysplasia + occuring in the middle 1/3

Answer 5

SCC

Question 6

When neutrophils are present in the mucosa of the stomach this is referred to?

Answer 6

Active gastritis

Question 7

Fovealar cells secret

Answer 7

Mucus

Question 8

Surface cells secrete

Answer 8

Bicarbonate

Question 9

The most common cause of acute gastritis

Answer 9

NSAIDs

Question 10

The most common cause of chronic gastritis

Answer 10

H. Pylori infection

Question 11

Hypergastrinemia + Achlorhydria + low serum pepsinogen are characteristics of?

Answer 11

Autoimmune gastritis

Question 12

The commonest site of PUD

Answer 12

The 1st part of the duodenum “also the lesser curvature of the stomach”

Question 13

Hallmarks of dysplasia

Answer 13

• Variation in nuclear size and shape.
• Hyperchromasia.
• Suprabasal mitoses.
• Stratification.
• Lack of maturation.

Question 14

Gastric polyps larger than ……. should be resected?

• 1 cm.
• 1.5 cm.
• 2 cm.
• 2.5 cm.

Answer 14

1.5 cm

Question 15

The most common malignancy in the stomach

Answer 15

Gastric adenocarcinoma

Question 16

Intracytoplasmic mucus vacuoles and eccentric nuclei

Answer 16

Signet ring call carcinoma

Question 17

The signet ring cell carcinoma gives the stomach wall a thickened, firm appearance called

Answer 17

Linitis plastica

Question 18

If the signet ring cell carcinoma metastasize to the ovaries they are called

Answer 18

Krukenberg tumours

Question 19

The presence of dense lymphocytic infiltrate in the lamina propria of the stomach indicates

Answer 19

MALToma

Question 20

Tumour composed of islands, trabeculae and sheets of neuroendocrine cells

Answer 20

Carcinoid tumor

Question 21

Salt and pepper appearance

Answer 21

Carcinoid tumor

Question 22

The most common mesenchymal tumour in the abdomen

Answer 22

GI stromal tumor “GIST”

Question 23

Fleshy cut appearance

Answer 23

GIST

Question 24

Typically composed of plump spindled cells may have epithelioid morphology

Answer 24

GIST

Question 25

A component of gluten which may trigger a T cell mediated immune response

Answer 25

Gliadin

Question 26

Almost all patients with coeliac disease carry

Answer 26

class 2 HLA-DQ2 or HLADQ8.

Question 27

Increased intra-epithelial lymphoctytes, crypt hyperplasia and villous atrophy.

Answer 27

Coeliac disease

Question 28

Done to confirm the diagnosis of coeliac disease

Answer 28

Serology “ IgA antibodies against tissue transglutaminase”

Question 29

The most common cause of esophagitis

Answer 29

Reflux esophagitis (GERD)

Question 30

Variceal hemorrhage treatment

Answer 30

splanchnic vasoconstriction, endoscopic sclerotherapy, balloon tamponade or variceal ligation.

Question 31

SCC of the esophagus is more common in? - Men. - Women.

Answer 31

Men

Question 32

Foveolar cells secrete? - Mucus. - Bicarbonate. - Acid. - All of the above.

Answer 32

Mucus

Question 33

Intraepithelial neutrophils + Subepithelial plasma cells + lymphoid follicles on the stomach

Answer 33

H. Pylori gastritis

Question 34

Autoimmune gastritis affects

Answer 34

The body + the fundus

Question 35

Hour glass appearance in Chronic PUD is caused by? - Bleeding. - Perforation. - Penetration. - Cicatrization.

Answer 35

D

Question 36

Adenoma of the stomach is most likely in the? - Body. - Antrum. - Fundus. - Duodenum.

Answer 36

Antrum

Question 37

Gastric adenocarcinoma is common in which part ?

Answer 37

Antrum + lesser curvature

Question 38

Linitis plastica is seen in

Answer 38

Signet ring cell carcinoma

Question 39

A tumor of the stomach composed of spindle cells

Answer 39

GIST

Question 40

From where does the biopsy is taken in celiac disease?

Answer 40

2nd part of duodenum or proximal jejunum

Question 41

Why does a patient with chronic renal failure might develop acute gastritis?

Answer 41

Uremia