Midterm Flashcards

1
Q

Hypertrophic chronic gastritis is characterized by __________

A. mucosal atrophy
B. heart burn
C. atrophy of parietal cells
D. diarrhea

A

B. Heartburn

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2
Q

Which of the following etiological factors could cause multiple focal damage of the stomach in chronic gastritis?

A. aspirin
B. spasm of the pyloric sphincter
C. Eating too much fatty food
D. decreased production of insulin

A

A. aspirin

NSAIDS

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3
Q

Mucosal metaplasia in the lower esophagus develops in which disease?

A. Mallory-Weiss syndrome
B. Barrett esophagus
C. achalasia
D. chronic gastritis

A

B. Barrett esophagus

or…

D. chronic gastritis

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4
Q

What is the most common cause of Mallory-Weiss Syndome?

A. achalasia
B. hiatal hernia
C. alcoholism
D. regular intake of NSAIDS

A

C. alcoholism

mallory weiss is tearing of the esophageal jxn

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5
Q

Hepatitis E virus causes ______

A. acute hepatitis with cholangitis
B. only chronic hepatitis
C. both acute and chronic hepatitis with cholangitis
D. only liver cancer

A

A. Hepatitis with cholangitis

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6
Q

Chronic gastritis results from ________:

A. protozoa infection
B. food poisoning
C. coccus infection
D. bacillus infection

A

Bacillus infection

H. Pylori

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7
Q

What is a complication of GERD?

A. esophageal cancer
B. dilation of upper part of esophagus
C. Zenker’s diverticulum
D. traction diverticulum

A

A. esophageal cancer

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8
Q

Which of the following is the early clinical manifestation of stomach carcinoma?

A. weight loss
B. bleeding
C. loss of appetite, especially for meat
D. signs of anemia

A

C. loss of appetite, especially for meat

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9
Q

Pyloric stenosis is ________:

A. narrowing of the lower esophageal canal
B. narrowing of the cardiac part of the stomach
C. narrowing of the pylorus
D. narrowing of the pyloric sphincter

A

C. Narrowing of the pylorus

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10
Q

Which is a typical manifestation of pyloric stenosis?

A. severe worsening vomiting with undigested food
B. severe worsening vomiting with partially digested food
C. severe worsening vomiting during first feeding of baby
D. vomiting with blood

A

B. severe worsening vomiting with partially digested food

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11
Q

What is NOT correct for diffuse stomach carcinoma?

A. risk factor undefined
B. is a flat tumour
C. has a long latent period
D. is not associated with chronic gastritis

A

C. Has a long latent period

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12
Q

Pain in achalasia radiates to ______

A. neck and arms
B. left scapula
C. Right t5- T9
D. paraumbilical area

A

A. neck and arms

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13
Q

What is associated with hepatocyte destruction?

A. Increased production of albumin
B. Increased production of globulins
C. decreased production of clotting factors
D. decreased prothrombin time

A

C. decreased production of clotting factors

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14
Q

What the mucosal cells of the duodenal wall produce?

A. Secretin
B. Gastrin
C. Trypsin
D. Elastase

A

B gastrin

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15
Q

Which of the following is a benign mesenchymal tumour?

A. Stomach polyp
B. leather bottle stomach
C. leiomyoma
D. cystic tumour

A

C. leiomyoma

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16
Q

Acute gastritis is characterized by _______.

A. Constipation and sudden acute pain in right flank
B. Pain with radiation to left flank
C. Jaundice with fever
D. vomiting, nausea, fever, chills

A

D. vomiting, nausea, fever, chills

17
Q

Peptic ulcer could only develop in _____

A. mouth
B. sigmoid colon
C. jejenum
D. esophagus

A

D. esophagus

stomach, duodenum, esophagus

18
Q

ALT is presented in ____

A. skeletal muscles
B. pancreas
C. bone
D. all of the above

A

A. skeletal muscles

19
Q

X-ray sign typical for perforation of peptic ulcer is _______

A. ulcer crater
B. bird’s beak
C. free air bubble under diaphragm
D. hourglass sign

A

A. ulcer crater

20
Q

Which of the following is a complication of benign tumours of the stomach?

A. bleeding
B. rupture
C. production of insulin
D. increased appetite

A

A. bleeding

21
Q

Linitis plastica is ________

A. flat advanced gastric carcinoma
B. exophytic carcinoma
C. excavated deeply erosive carcinoma
D. benign tumor of the stomach

A

A. flat advanced gastric carcinoma

22
Q

Iron is absorbed in ________

A. stomach
B. terminal ileum
C. duodenum
D. jejenum

A

C. duodenum

or

D. jejenum

23
Q

When lipase breaks down fat to fatty acid and glycerol

A. after emulsification of fat
B. before emulsification of fat
C. without participation of bile
D. together with amylase

A

A. after emulsification of fat

24
Q

Which is an early manifestation of liver cirrhosis?

A. ascites
B. “caput medusae”
C. abnormal bleeding
D. telangiectasia

A

D. telangiectasia

25
Q

Which is NOT a primary liver cancer?

A. adenocarcinoma
B. hepatoma
C. angiosarcoma
D. cholangiocarcinoma

A

A. adenocarcinoma

26
Q

Increased alpha-fetoprotein is found in all of the below diseases except _______:

A. hepatoma
B. cancer of testicles
C. metastatic cancer to the liver
D. leiomyoma

A

D. leiomyoma