Hx And Ex Of GIT

Question 1

Q: Which of the following causes pain radiating to the back?

• Pancreatic disease.
• Penetrating peptic ulcer.
• Diaphragmatic irritation.
• Esophageal reflux.

Answer 1

A and B

Question 2

Esophageal reflux pain most probably radiates to?

• The Shoulders.
• The Throat.
• The Back.
• The Epigastrium.

Answer 2

The throat

Question 3

A patient comes to the ER CO/ steady epigastric pain that is relieved by sitting-up and leaning forward. It is also associated w/ vomiting. This is typical for?

• PUD.
• Pancreatic disease.
• Biliary obstruction.
• Renal colic.

Answer 3

Peptic ulcer disease

Question 4

Hyperpigmented macules around the mouth and buccal mucosa + Hamartomas in the small bowel and colon.

Answer 4

Peutz-Jeghers syndrome

Question 5

Multiple small telangiectasias at the lips and tongue + arteriovenous malformations.

Answer 5

Hereditary hemorrhagic telangiectasia (Rendu Osler Weber syndrome)

Question 6

Vesicles on the hand + alcoholic liver disease or hepatitis C.

Answer 6

Porphyria cutanea tarda

Question 7

Palmar erythema causes

Answer 7

CLD - RA - Thyrotoxicosis - Polycythemia - Pregnancy

Question 8

Dupuytren’s contracture is associated with?

Answer 8

Alcoholism

Question 9

A patient comes to the ER with Petechiae. He is a chronic alcoholic. What is the probable cause of his petechiae?

Answer 9

BM depression = Thrombocytopenia

Question 10

A patient reports vomiting of clear gastric contents then the vomiting of blood. This is called?

Answer 10

Mallory-Wiess tear “occurs with repeated vomiting”

Question 11

Spider naevi causes

Answer 11

Liver cirrhosis due to alcohol, viral hepatitis and 2nd to 5th months of pregnancy

Question 12

Bitot’s spots are due to

Answer 12

Severe vitamin A deficiency

Question 13

Brownish green rings at the periphery of the cornea.

Answer 13

Kayser-Fleischer rings “due to excess copper”

Question 14

Copper storage disease that causes cirrhosis and neurological disturbances.

Answer 14

Wilson’s disease

Question 15

Which GI disease may presents iritis?

Answer 15

IBD

Question 16

Xanthelasmata is common in patients with

Answer 16

Primary biliary cirrhosis

Question 17

Periorbital purpura is a characteristic sign of

Answer 17

Amyloidosis (because of factor X deficiency)

Question 18

Usually following proctosigmoidoscopy

Answer 18

Periorbital purpura (black eye syndrome)

Question 19

Parotidomegaly is associated with

Answer 19

Alcoholism

Question 20

Asterixis causes

Answer 20

Liver failure - hypoglycemia - hypokalemia - hypomagnesemia - barbiturate intoxication

Question 21

What causes platelet dysfunction in chronic liver disease?

Answer 21

1- BM depression.

2- Splenomegaly secondary to portal hypertension.

Question 22

Yellow keratinized areas on the sclera usually caused as a result of severe vitamin A deficiency

Answer 22

Bitot’s spots

Question 23

Xanthelasmata causes

Answer 23

High serum cholesterol - cholestasis - PBC

Question 24

Parotid gland enlargement can cause

Answer 24

Facial nerve palsy

Question 25

Black tongue can be caused by

Answer 25

Accumulation of keratin

Question 26

The classic triad of conjunctivitis + urethritis + arthritis

Answer 26

Reiter’s syndrome

Question 27

Virchow’s node + gastric carcinoma =

Answer 27

Troisier’s sign

Question 28

A drug used for cirrhotic patient and commonly cause gynecomastia

Answer 28

Spironolactone

Question 29

The normal span of the liver should be less than?

Answer 29

13 cm

Question 30

Causes of a normal but palpable liver

Answer 30

Emphysema - asthma - subdiaphragmatic collection - riedl’s is lobe

Question 31

Painless enlargement of the gallbladder due to cancer of the head of the pancreas. This sign is?

Answer 31

Curvoisier’s sign

Question 32

RUQ pain aggravated by inspiration. This sign is?

Answer 32

Murphy’s sign