46 - medicine mcqs - 41 to 46

Question 41. The following gastrointestinal diseases are associated with the renal conditions listed:


(a) Crohn's disease and renal amyloidosis.
True False TRUE

(b) Hepatitis B and glomerulonephritis.
True False TRUE

(c) Gastric ulcer and nephrotic syndrome.
True False FALSE

(d) Pancreatic neuroendocrine tumours and polycystic kidney disease. FALSE
True False

(e) liver cysts and glomerulosclerosis.
True False FALSE



Question 42. The following is true of villous atrophy in the small intestine:


(a) If due to coeliac disease, it should recover completely on a gluten-free diet.
True False TRUE/ BUT WHEN LYMPHOMA COMPLICATES IN LATER STAGES,IT MAY NOT

(b) It can be caused by tuberculosis.
True False --FALSE /ESPCIALLY FOCAL--AND DIFFUSE INFILTRATION AND MAY BE SECONDARY TO SECONDARY BACTERIAL COLONISATION WITH STENOSING LESION

(c) It can be associated with Giardi gamblia.
True False TRUE

(d) It can be associated with Tropheryma whippelei.
True False TRUE

(e) When associated with bacteria, it may cause a rise in serum folate.
True False TRUE- DUE TO BACTERIAL PRODUCTION



Question 43. The following SKIN conditions are associated with the named GI diseases:


(a) Dermatitis herpetiformis with coeliac disease.
True False TRUE

(b) Pruritus with primary biliary cirrhosis.
True False TRUE

(c) Pyoderma gangrenosum with gastric carcinoma.
True False TRUE

(d) pemphigoid with pancreatitis.
True False TRUE

(e) Erythema nodosum with Crohn's disease.
True False TRUE



Question 44. The following statements are true in relation to vomiting:


(a) Vomiting occurring 12 hours after a suspicious meal is indicative of SALMONELLA poisoning.
True False FALSE

(b) Vomiting in association with headache is a feature of migraine.
True False TRUE/BUT RULE OUT MENINGITIS AND SOL

(c) Vomiting associated with weight loss can be indicative of malignant disease. TRUE/ESP GI MALIGNANCY BUT R/O GOO FIRST SECONDARY TO ACID PEPTIC DISEASE
True False

(d) Vomiting usually precedes the pain of biliary colic.
True False FALSE

(e) Vomiting can be a feature of myocardial infarction.
True False TRUE



Question 45. Scleroderma can produce the gastrointestinal complications listed:


(a) Diarrhoea due to bacterial overgrowth.
True False TRUE

(b) Constipation due to gut hypomotility.
True False TRUE

(c) Diarrhoea which is unresponsive to a gluten-free diet. TRUE
True False

(d) Gastric ulcer due to chronic gastritis.
True False TRUE/ AND GERD AND DUODENAL REFLUX

(e) Dysphagia due to abnormal peristalsis in the oesophagus.
True False TRUE



Question 46. Chronic pancreatitis:


(a) Is a cause of diabetes mellitus.
True False TRUE/SECONDARY DM

(b) Can result from alcohol ingestion in moderate amounts.
True False TRUE

(c) May be hereditary in a minority of cases.
True False TRUE

(d) Can be diagnosed by a raised serum amylase.
True False

(e) Is a cause of pancreas divisum.
True False FALSE/PANCREATIC DIVISUM CAUSES PANCREATITIS