Free PreviewSample Gastroenterology & Hepatology questions
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Sample MCQ 1Which finding in a patient with acute upper GI bleeding most strongly indicates the need for urgent resuscitation before endoscopy?
A. Hemodynamic instability
B. Mild isolated dyspepsia
C. Normal hemoglobin on one early sample
D. History of constipation
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Correct Answer: Option AAirway, breathing and circulation stabilization take priority over diagnostic endoscopy in an unstable bleeding patient.
Sample MCQ 2A patient with painless jaundice, weight loss and a palpable nontender gallbladder most likely has obstruction from which condition?
A. Pancreatic head malignancy
B. Acute viral hepatitis
C. Peptic ulcer disease
D. Irritable bowel syndrome
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Correct Answer: Option ACourvoisier sign with painless obstructive jaundice suggests malignant distal biliary obstruction, classically from pancreatic head cancer.
Sample MCQ 3A cirrhotic patient develops rising creatinine without shock, nephrotoxic drugs or structural kidney disease. Which syndrome should be considered?
A. Hepatorenal syndrome
B. Acute glomerulonephritis
C. Diabetic ketoacidosis
D. Renal artery stenosis only
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Correct Answer: Option AHepatorenal syndrome is functional kidney failure in advanced liver disease after other causes of acute kidney injury are excluded.
Sample MCQ 4A patient with suspected celiac disease is eating gluten. What is the preferred initial serologic test in most adults?
A. IgA tissue transglutaminase with total IgA
B. ANA only
C. p-ANCA only
D. Serum gastrin
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Correct Answer: Option AIgA tissue transglutaminase is the usual first serologic test, accompanied by total IgA to identify IgA deficiency.
Sample MCQ 5A 45-year-old man has iron overload, diabetes, bronze skin and cardiomyopathy. Which genetic disorder is most likely?
A. Hereditary hemochromatosis
B. Wilson disease
C. Alpha-1 antitrypsin deficiency
D. Gilbert syndrome
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Correct Answer: Option AHereditary hemochromatosis causes systemic iron deposition affecting liver, pancreas, skin, heart and joints.