Quiz: EXAM 2022 — AUA MCQ

Grade 2 esophagitis on endoscopy is defined by :

A erythema extending circumferentially in the mucosa. B Any ulceration C Linear ulcerations with friable granulation tissue D Circumferential loss of epithelium,

primary treatment of a Zenker’s diverticulum is:

A Reassurance and dietary changes. B Open resection Of the diverticulum C ervical myotomy with resection Of large diverticulum. D Esophagectomy

which of the following is one Of the five principles of antireflux surg

A fundoplication should used. B The posterior wall of the fundoplication should be sutured to the crura to maintain the inferior fixation Of the esophagus C fundoplication should restore the lower esophageal sphincter pressure to twice that Of the resting gastric pressure, D At least 5 cm of intra-abdominal esophagus should be created

Which of the following Statements esophageal anatomy is

A The esophagus has a poor blood Supply, which is segmental in distribution and for the high incidence or anastomotic leakage, B The esophageal serosa consists of a thin layer of fibro-areolar tissue C The esophagus has two muscle layers, an Outer, longitudinal One and an Inner. circular one, which is striated in the upper third and smooth in the distal two thirds. D injury to the recurrent laryngeal nerve in vocal cord dysfunction but does not affect Swallowing

which of the following statement(s) is/are correct With regard to pyloric Obstruction secondary to ulceration ?

A Pyloric obstruction is by Hypochloremic Hyponatremic Alkalosis B Pyloric Obstruction is suggested by Hypokalemic Alkalosis C Approximately 80% Of patients with benign gastric outlet obstruction obtain permanent relief Of Symptoms by endoscopically-diruted balloon dilatation, D The lifetime risk of pyloric obstruction in peptic ulcer patients is

the left gastroepiploic artery arises from:

A The left gastric artery. B The splenic artery. C The right hepatic artery D The gastro•ducdenal artery.

Laparoscopic indicated for gallstones in which of the following conditions

A Cirrhosis B Prior upper abdominal surgery C Suspected carcinoma of tho gallbladder D Obesity

A 9•years old child comes to the emergency With ligament upper gastro-lntestlnal blooding . the hemorrhage is most likely be the result of :

A Esophageal varices B Mallory. Weiss syndrome C Gastritis D gastric ulcer

in the management of echinococcal cyst

A Large cyst should treated by percutaneous aspiration Of its contents B Medical treatment With albendazole usually preempts the need for surgical drainage C Negative serologic testos suggest that the Cyst is chronic and Inactive, and that no treatment is indicated D Leakage Of cyst fluid puts the patient at risk for anaphylactic reaction

which statement concerning cholangitis' is correct ?

A the most common infecting organism is aureus. B The diagnosis is suggested by the Charcot triad C coly cystostomy is the procedure of in patients. D Surgery is indicated once the Of cholangitis is made

A 23 year old man is presented with a 3 history of bloody diarrhea underwent Colonoscopy that showed extensive inflammatory changes consistent with Ulcerative colitis was started on oral mesalazinc but he is still passing around three stools a day. What is the most appropriate Of action?

A Oral prednisolone B Stop Oral mesalazinc and Start Oral prednisolone C Add oral methotrexate D oral azathioprine

. A 25 year old man is investigated for weight loss and diarrhea. A colonic biopsy showed Inflammatory infiltrate from the mucosa to the muscularis propria with numerous non granulomata were noted What is the most likely diagnosis?

A Crohn's disease B colonic carcinoma C Laxative abuse D Ulcerative colitis

Autoimmune hepatitis is most associated with elevated levels of which one of the following

A IoE B IgA C IGD D IGG

Which Of the following not a mucosal Small-Intestine

A Crohn disease B Lymphangiectasia C Mastocytes D d

Which Of the following not a mucosal Small-Intestine

A Crohn disease B Lymphangiectasia C Mastocytes D d

all Of the followings are features Of Acute pancreatitis EXCEPT

A Alcohol abuse and gallstones account for 20% cases of acute pancreatitis In the United States B Diagnosis of acute pancreatitis Is mad. primarily through clinical and detection of elevated serum contentions of amylase and lipase C The most important determinant ot patient outcome in acute pancreatitis is the presence of pancreatic necrosis. D prophylactic antibiotic therapiin patients with acute pancreatitis should be limited to these patients with necrotizing pancreatitis.

The patient with GERD may With Atypical symptoms except:

A Angina-like pain with without heartburn B Acid-related recurrent attacks Of nocturnal cough C dysphagia D Hoarseness Of halitosis sore tongue

The patient With Intrahepatic CHOLESISTITIS may with the following manifestations EXCEPT

A Jaundice B Itching C Fever D Diarrhea

As a consequence of severe liver damage , hepatic amino acid handling is deranged . In this situation, plasma levels of which Of the following are likely to be lower than normal?

A Ammonia B Ammonium C Alanine D urea

Thoi typical features Of acute {fulminant) hepatic failure : EXCEPT

A Onset within 8 week of the initial illness B hepatosplenomegaly and ascites C encephalopathy and hepaticus. D Nausea, vomiting and renal failure

the features of hepatic cirrhosis include: EXCEPT

A small shrunken over. B painful splenomegaly C peripheral blood macrocytosis D Central cyanosis.

In the management Of ascites to haptic cirrhosis :

A The dietary sodium intake should be restricted t0140 mmol/day. B Paracentesis and parenteral albumin replacement improve the survival C The daily calorie intake should restricted D the protein Intake should .t least 40Wday unless encephalopathy is suspected

prevention Of recurrent bleeding is achievable using: EXCEPT

A somatostatin B adrenoceptor antagonist a-blocker) treatment. C Variceal banding D Sclerotherapy

WhiCh Of the following term is to beneficial bacteria

A Antibiotic B Probiotic C Antiseptic D Antiviral

Regarding the liver. flowing are true. EXCEPT'.

A Bare area lies on its posterior surface B Caudate lobe Superior boundary Of epiploic foramen C Left lobe of the liver is divided into quadrate and caudate D Inferior surface of loft loin is related to the stomach

0ne 0f the following is not primary tumors of the livor

A Hepatocellular Carcinoma B Cholangiocarcin C Hepatoblastoma D Warthin tumor

In the inflammatory bowel diseases the following Immunosuppressives are

A azathioprine B methotrexate C mercaptopurine D A+B+C

the most common cause recurrent pain in abdomen pain in children

A renal stones B familial mediatrrian fever C intestinal parasites D inflammatory bowel disease

painful oral ulcers include

A monilial B traumatic ulcer. of broken tooth C Herpetic gingivostomatitis D all Of the above

a one year old presented to the emergency with severe colic associated with vomiting and bleeding rectum PR examination reveals amass and on the finger on the withdrawal. What is the most likely diagnosis :

A pyloric stenosis B gastro enteritis C volvulus D intussusception

one month old boy is brought to emergency room with his mother Who stato that ho 1520joctilo vomiting for the several days with . show sate that he vomits every time she feeds him and his vomit bilious on examination the Infant is mildly dehydrated and there is palpable movable mass at the right upper quadrant : The most likely diagnosis Is

A Duodenal atresia B intussusception C pyloric stenosis D Hirsch sprung disease

You are asked to review a 23 year old man who has been admitted with an exacerbation of Crohn's disease. Despite prednisolone and mesalazine therapy for the past 3 weeks he is still passing 5 watery stools per day. He has lost a considerable amount of weight during this period. On examination he is apyrexial, haemodynamically stable and his abdomen is soft and nontender. What is the most appropriate next step?

A Metronidazole B Infliximab C Methotrexate D Azathioprine

55-year-old male from Egypt with history Of HBV presents with Jaundice and right upper quadrant abdominal pain. CT Of the abdomen reveals a 3-cm enhancing mass in the left hepatic lobe. His serum alpha fetoprotein level is 420 ng/ml„ What is the appropriate management?

A sorafenib B radiofrequency ablation C TACE D Supportive

All Of the following is true of Crohn's disease except

A Crohn's disease rarely affects rectum B Crohn's disease can be complicated by fistula formation. C fecal calprotectin can be to exclude functional cause of diarrhea D characterized by crypt abcess

Which Of the following is false Of Primary sclerosing cholangitis?

A Occurs in males, B Is a risk factor for $101angiocarcinoma C Occurs in 50% patients with crohn's disease D Has ben treated with acid

58 year old female complain of anorexia and abdominal pain. Ultrasound was done showing hypoechoic focal lesions about 7cm 115 x6cm then AFP was done > then triphasic CT was ordered to confirm diagnosis that showed early arterial enhancement and late venous washout. How you can manage this patient?

A ) Liver transplantation B treatment C Radiofrequency ablation D TACE

The following are not a cause of non-infectious diarrhea

A Microscopic Colitis. B Celiac Sprue C Pancreatic Insufficiency D Clostridium difficil

the most common primary esophageal motility disorder

A Achalasia B Segmental esophageal spasm. C Diffuse esophageal spasm D Nutcracker" esophagus

which Of the following is secreted by gastric chief cells ?

A somatostatin B gastrin C pepsinogen D histamine

the most accurate diagnosis test for Zollinger Ellison syndrome is

A Fasting serum gastrin B Computed tomography scan. C Endoscopy D Secretin stimulation test,

which blood group is associated with an increased risk of gastric cancer ?

A a B b C ab D o

which of the following statements regarding the etiology Of obstructive jaundice is true ?

A A markedly elevated SGOT an SGPT are usually associatedwith ot*tructive jaundice, B When extra-hepatic biliary obstruction is suspected, the first tests should be endoscopic (EUS) C A Klatskin tumor will result in extra-hepatic ductal dilationonly D Carcinoma cf the head of the can cause deep epigastric or back pain in as many as 80% Of patients

which of the following statements most accurately describes the current therapy for pyogenic hepatic

A Antibiotics alone are adequate for the treatment of most B All patients require open surgical drainage for optima! manage C Optimal treatment involves treatment of not only the abscess but the underlying source as well D Percutaneous drainage is more successful for multiple lesions than for solitary one

which Of the following are indications for cholecystectomy ?

A The PRESENCE of gall stones in a patient with intermittent episodes of right side upper quadrant pain B The presence of gallstones in an asymptomatic patient. C The presence of symptomatic gallstones in a patient with angina pectoris D The presence of asymptomatic gallstones in a patient Who has insulin-dependent diabetes

Standard supportive measures for patients with mild pancreatitis include the following

A Intra-venous fluid and electrolyte therapy B With-holding of analgesics to allow serial abdominal examinations C Octreotide therapy D Naso-gastric

the islets Of Langerhans contain four major endocrine cell types that secrete which or the following hormones

A Insulin. somatostatin, glucagon. secretin B Insulin. somatostatin, cholecystokinin, pancreatic polypeptide. C Insulin, somatostatin, glucagon, pancreatic polypeptide. D Insulin, secretin, glLngon, cholecystokinin

the most appropriate test to confirm a clinical diagnosis of early chronic pancreatitis is which of the following ?

A Serum amylase determination B Calculation of urinary clearance C T&surement of para-amino acid absorption D Endoscopic Cholangio-pancreatcvaphy

when serum sodium is 152 mEqlL, the patient is Discribed to be

A Isonatremic B Hypernatremia C Hyponatremic D Dehydrated

AIl of The Following are consecunces Of Cholestasis except :

A Defeciency of VIT A,D and k B Dark colored stools C Fat Mal absorbtion D Intense Puntis

The Incubation Period Of Hepatits B is

A 2-6 days B 2-6 weeks C 2-6 months D None of the Above

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