Topic 4 - TEST Digestive.

Question 1

Manifestations of liver failure may include which of the following?

Answer 1

Increased serum bilirubin, hypercortisolism, decreased serum albumin, gynecomastia.

Question 2

Which of the following does NOT cause chronic gastritis:

Answer 2

A. Autoimmune responses against parietal cells.

B. Helicobacter pylori infection.

C. Disorders of the pyloric sphincter allowing duodenal contents to re-enter the stomach.

D. Long term high protein diets.

D = Correct

Question 3

How does CTZ cause vomiting?

Answer 3

Toxins in the CSF or blood will stimulate CTZ receptors causing a vomiting response.

Question 4

Oesophageal diverticulum is described best by?

Answer 4

It is an outpouching of the oesophageal wall through the muscularis layer.

Question 5

Which mechanism causes intrahepatic biliary disease in primary sclerosing cholangitis?

Answer 5

Chronic inflammation of hepatic bile ducts.

Question 6

Achalasia is a disorder caused by?

Answer 6

Lower oesophageal sphincter fails to relax upon swallowing.

Question 7

What is NOT a complication of peritonitis?

Answer 7

Diarrhoea

Question 8

An inflammatory bowel disease that remains confined to the mucosal surface of the colon and rectum is?

Answer 8

Ulcerative colitis.

Question 9

A 28-year-old man presents with complaints of diarrhea, fecal urgency, and weight loss. His stool is light-colored and malodorous, and it tends to float and be difficult to flush. He has also noted tender, red bumps on his shins and complains of pain and stiffness in his elbows and knees. Sigmoidoscopy reveals discontinuous, granulomatous lesions; no blood is detected in his stool. His diagnosis is?

Answer 9

Crohn disease

Question 10

Which of the hepatitis-causing viruses have a DNA genome?

Answer 10

Hep B.