1. The most common cause of intestinal obstruction is:
A. Adhesions
B. Hernia
C. Volvulus
D. Neoplasms
ANSWER KEY
2. Which of the following listed drug is given with bismuth salt in helicobacter pyroli infection:
A. Antacids
B. Antibiotics
C. Proton-pumb inhibitor
D. H2-receptor antagonists
ANSWER KEY
3. Which type of diarrhea is caused by increased production and secretion of water and electrolytes by the intestinal mucosa in to the intestinal lumen:
A. Osmotic diarrhea
B. Mixed diarrhea
C. Secretary diarrhea
D. Diarrhea disease
ANSWER KEY
4. Of the following listed insulins, which is most rapid acting;
A. Ultralente
B. NPH
C. Regular
D. Humalog
ANSWER KEY
5. Which of the following categories of laxatives act by drawing water in to the intestine by osmosis?
A. Bulk-formimg (Metamucil)
B. Faecal softeners
C. Stimulants (bisacodyl)
D. Saline agents (milk of magnesia)
ANSWER KEY
6. Celiac sprue is an example of which category of malabsorption:
A. Mucosal disorders causing generalized malabsorption
B. Post-operative malabsorption
C. Infectious diseases causing generalized malabsorption
D. Luminal problems causing malabsorption
ANSWER KEY
7. Which of the following terms is used to describe chronic liver disease in which scar tissue surrounds the portal areas:
A. Compensated cirrhosis
B. Alcoholic cirrhosis
C. Biliary cirrhosis
D. Postnecrotic cirrhosis
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8. Which of the following is a hormone secreted by posterior pituitary:
A. Somatostatin
B. Vasopressin
C. Calcitonin
D. Corticosteroids
ANSWER KEY
9. Which of the following listed drug is a proton pump inhibitor?
A. Pantoprazole
B. Ranitidine
C. Sucralfate
D. Famotidine
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10. For irrigating colostomy, the irrigation tube must be inserted to the stoma by
A. 5”
B. 2”
C. 3”
D. 4”
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11. Which of the following listed is a risk factor for colorectal cancer?
A. Age younger than 40 years
B. Low fat, low protein, high fibre diet
C. Familial polyposis
D. History of lung cancer
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12. A patient with duodenal ulcer will likely experience:
A. 2-3 hours after meals
B. Vomiting
C. Weight loss
D. Hemorrhage
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13. Which of the following terms is used to refer intestinal rumbling which accompanies diarrhoea?
A. Tenesmus
B. Borborygmus
C. Diverticulitis
D. Azotorrhoea
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14. The term used to refer to ineffectual straining at stool is:
A. Tenesmus
B. Borborygmus
C. Diverticulitis
D. Azotorrhoea
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15. Which of the following disorder is caused by excessive producing of somatotropin?
A. Adrenogenital syndrome
B. Cretinism
C. Acromegaly
D. Dwarfism
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16. Which of the following clinical features is associated with Type I diabetic mellitus?
A. Requirement for oral hypoglycaemic agents
B. Presence of islets antibodies
C. Rare ketosis
D. Obesity
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17. The faeces expelled through colostomy following sigmoid colostomy is often:
A. Fluid
B. mushy
C. semi-musy
D. solid
ANSWER KEY
18. The recommended procedure for long-term weight loss is
A. jejuno-ileal bypass
B. Roux-en-Y
C. Vertical banded gastroplasty
D. Gastric ring application
ANSWER KEY
19. The digestion of protein is facilitated by:
A. Trypsin
B. Amylase
C. Secretin
D. Lipase
ANSWER KEY
20. Of the following listed oral hypoglycaemic agents, which one exerts their primary action by stimulating the pancreas to secrete insulin?
A. Biguanides
B. Alpha glucosidase inhibitors
C. Sufonylureas
D. Thiazolidinediones
ANSWER KEY
21. Regional enteritis (Crohn’s Disease) is characterised by:
A. Transmural thickening
B. Diffuse involvement
C. Exacerbations and remissions
D. Severe diarrhoea
ANSWER KEY
22. Which of the following disorders are characterised by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex?
A. Hashimoto’s disease
B. Addison’s disease
C. Grave’s disease
D. Cushing’s diasease
ANSWER KEY
23. A condition characterised by inflammation of thyroid gland, resulting in hypothyroidism:
A. Addison’s disease
B. Hashimoto’s disease
C. Grave’s disease
D. Cushing’s diasease
ANSWER KEY
24. Trousseau’s sign is positive when:
A. The patient complains of pain in the calf when his foot is dorsiflexed (Homan’s sign)
B. A sharp tapping over the facial nerve just in front of the parotid gland and anterior to the ear causes spasm or twitching of the mouth, nose and eye. (Chvostek’s sign)
C. After making a clenched fist, the palm remains blanched when pressure is placed over the radial artery (Allen’s test)
D. Carpopedal spasm is induced by occluding the blood flow to the palm for 3 minutes and with the use of blood pressure cuff
ANSWER KEY
25. The presence of mucus and pus in the stools suggests:
A. Disorder of the colon
B. Intestinal malabsorption
C. Inflammatory colitis
D. Small bowel disease
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26. A test in which a sharp tapping over the facial nerve just in front of the parotid gland and anterior to the ear causes spasm or twitching of the mouth, nose and eye is:
A. Chvostek’s sign
B. Homan’s sign
C. Allen’s test
D. Trousseau’s sign
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27. A patient is advised to do the following diagnostic tests. Which of the test is performed last in a series?
A. Gall bladder series
B. Barium enema
C. Barium swallow
D. Oral cholecystogram
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28. What type of diet is prescribed for a patient for the evening meal who is to undergo cholecystogram the next day?
A. Low-protein
B. High-carbohydrate
C. Fat-free
D. Liquid
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29. For the first 4 to 6 weeks following colostomy, the patient should take:
A. Low-protein
B. High-carbohydrate
C. Low-calorie
D. Low-residue
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30. For the purpose of stomach decompression using nasogastric tube, which type of suction pressure and control is used?
A. Low and continous
B. High and intermittent
C. Low and intermittent
D. High and continuous
ANSWER KEY
ANSWER KEY
1. A |
2. B |
3. C |
4. D |
5. D |
6. A |
7. B |
8. B |
9. A |
10. C |
11. C |
12. B |
13. A |
14. A |
15.C |
16. B |
17. D |
18. B |
19. A |
20. C |
21. A |
22. D |
23. B |
24. D |
25. C |
26. A |
27.C |
28. C |
29. D |
30.C |
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