Which of the gastrointestinal cancers has the highest rate of incidence and is
responsible for the highest number of deaths?
a. oesophageal
b. stomach
c. pancreatic
d. colorectal - ANSWER d
A 42-year-old female presents with abdominal discomfort, epigastric
tenderness and bleeding. Gastroscopy reveals degeneration of the gastric
mucosa in the body and fundus of the stomach. Which of the following
would most likely follow?
a. pernicious anaemia
b. osmotic diarrhoea
c. increased acid secretion
d. decreased gastrin secretion - ANSWER a
A 1-week-old female is brought to her paediatrician for abdominal distension
and unstable temperature. Physical examination reveals bradycardia and
apnoea. Tests reveal hypoxic injury to the bowel resulting in bacterial
invasion and perforation. This condition is referred to as:
a. infective enteropathy.
,b. necrotising enterocolitis.
c. mucoviscidosis.
d. ileus. - ANSWER b
A 13-month-old infant presents with: vomiting; abdominal pain; and pale,
bulky, greasy and foul-smelling stools. A possible diagnosis would be:
a. failure to thrive.
b. gluten-sensitive enteropathy.
c. gastro-oesophageal reflux.
d. meconium ileus. - ANSWER b
A 50-year-old male is experiencing reflux of chyme from the stomach. He is
diagnosed with gastro-oesophageal reflux. This condition is caused by:
a. fibrosis of the lower third of the oesophagus.
b. sympathetic nerve stimulation.
c. loss of muscle tone at the lower oesophageal sphincter.
d. reverse peristalsis of the stomach. - ANSWER c
Reflux oesophagitis is defined as:
a. an immune response to gastro-oesophageal reflux.
b. an inflammatory response to gastro-oesophageal reflux.
c. a congenital anomaly.
d. a secretory response to hiatus hernia. - ANSWER b
, A sign that a newborn infant is suffering from pyloric stenosis is:
a. diarrhoea.
b. bile regurgitation.
c. vomiting after feeding.
d. ascites. - ANSWER c
A 55-year-old male died in a motor vehicle accident. Autopsy revealed an
enlarged liver caused by fatty infiltration, testicular atrophy and mild
jaundice secondary to cirrhosis. The most likely cause of his condition is:
a. bacterial infection.
b. viral infection.
c. alcoholism.
d. drug overdose. - ANSWER c
Outbreaks of hepatitis _____ often occur in young children attending day care
centres and can be attributed to poor hand washing - ANSWER A
A 54-year-old male complains that he has been vomiting blood. Tests reveal
portal hypertension. Which of the following is the most likely cause of his
condition?
a. thrombosis in the spleen
b. cirrhosis of the liver
c. left ventricular failure
d. renal stenosis - ANSWER b
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