47 - medicine mcqs - 47 to 52

Question 47. The following is true of rectal bleeding:


(a) In the absence of haemorrhoids, it is usually due to malignant disease.
True False TRUE/ BUT DEPENDS ON AGE OF PT-R/O POLYPS AND ADENOMA AND INFLAMMATORY BOWEL DISEASE

(b) It occurs more commonly in Crohn's disease than in ulcerative colitis.
True False FALSE

(c) If it occurs in a patient with ulcerative colitis, it usually indicates that carcinoma has developed.
True False FALSE

(d) When it is due to diverticular disease, colectomy may be indicated to control it.
True False FALSE/MAY BE IN EXTENSIVE AND UNCONTROLLABLE BLEEDING

(e) It may be caused by ingestion of aspirin.
True False TRUE/ESP IN A PT WITH MASSIVE UPPER GI BLEEDING PRESENTING WITH HEMATOCHEZIA AND NO TIME FOR MALENA FORMATION



Question 48. The following are risk factors for gastric carcinoma:


(a) Pernicious anaemia.
True False TRUE

(b) Coeliac disease.
True False TRUE/ESP LYMPHOMA

(c) Partial gastrectomy.
True False TRUE/STUMP CARCINOMA

(d) Helicobacter pylori infection.
True False TRUE

(e) Ménétrière's disease.
True False TRUE



Question 49. The following statements are true:


(a) Solitary rectal ulcers are commonly associated with Crohn's disease.
True False FALSE

(b) Crypt abscesses are typical of coeliac disease.
True False FALSE

(c) Fistula formation can be a feature of Whipple's disease. FALSE
True False

(d) Anal fissure predisposes to faecal incontinence.
True False TRUE/ ESP CONSTIPATION

(e) Right iliac fossa pain is common with diverticular disease.
True False FALSE




Question 50. The following are true of hepatitis:


(a) Hepatitis B is spread via the faecal-oral route.
True False FALSE

(b) A vaccine is available for hepatitis C.
True False FALSE

(c) Incubation time for hepatitis A is approximately 2-3 weeks.
True False TRUE

(d) Hepatitis B is an RNA virus.
True False TRUE

(e) Interferon treatment is required for hepatitis E infection.
True False FALSE




Question 51. The following is a risk factor for the Budd-Chiari syndrome:


(a) Oral contraceptive pill.
True False TRUE

(b) Malignancy. TRUE/ESP RENAL CELL CA,POLYCYTHEMIA RUBRA VERA
True False

(c) Ascites. FALSE- ASCITIS IS A RESULT OF BUDD CHIARRI/ BUT ASCITIS CAN RARELY CAUSE FUNCTIONAL IVC OBSTRUCTION SYNDROMME MIMICKING BUDD CHIARRI
True False

(d) Polycythaemia rubra vera.
True False TRUE

(e) Constrictive pericarditis.
True False FALSE/ A IMPORTANT CLOSE DIFFERENTIAL DIAGNOSIS



Question 52. The following are true regarding prognostic factors for acute pancreatitis:


(a) A low pAO2 indicates a poor prognosis.
True False TRUE/ESP CONSIDER ARDS

(b) A high serum GGT has a poor prognosis.
True False TRUE/ INDICATES SECONDARY TO ALCOHOLISM ASSOCIATED WITH OTHER CO MORBIDITIES LIKE HEPATITIS AND ASPIRATION...

(c) Age of over 55 years usually has a good prognosis. FALSE/REMEMBER RANSONS CRITERIA
True False

(d) A low serum albumin indicates a poor prognosis.
True False TRUE

(e) Abnormal clotting time has a poor prognosis.
True False TRUE

please let me know the correct answers...esp the doubtfulones