1. The most common cause of intestinal obstruction is:ANSWER KEY
A. Adhesions
B. Hernia
C. Volvulus
D. Neoplasms
2. Which of the following listed drug is given with bismuth salt in helicobacter pyroli infection:
ANSWER KEY
A. Antacids
B. Antibiotics
C. Proton-pumb inhibitor
D. H2-receptor antagonists
3. Which type of diarrhoea is caused by increased production and secretion of water and electrolytes by the intestinal mucosa in to the intestinal lumen:ANSWER KEY
A. Osmotic diarroea
B. Mixed diarrhoea
C. Secretary diarroea
D. Diarrheal disease
4. Of the following listed insulins, which is most rapid acting;ANSWER KEY
A. Ultralente
B. NPH
C. Regular
D. Humalog
5. Which of the following categories of laxatives act by drawing water in to the intestine by osmosis?ANSWER KEY
A. Bulk-formimg (Metamucil)
B. Faecal softeners
C. Stimulants (bisacodyl)
D. Saline agents (milk of magnesia)
6. Celiac sprue is an example of which category of malabsorption:ANSWER KEY
A. Mucosal disorders causing generalized malabsorption
B. Post-operative malabsorption
C. Infectious diseases causing generalized malabsorption
D. Luminal problems causing malabsorption
7. Which of the following terms is used to describe chronic liver disease in which scar tissue surrounds the portal areas:ANSWER KEY
A. Compensated cirrhosis
B. Alcoholic cirrhosis
C. Biliary cirrhosis
D. Postnecrotic cirrhosis
8. Which of the following is a hormone secreted by posterior pituitary:ANSWER KEY
A. Somatostatin
B. Vasopressin
C. Calcitonin
D. Corticosteroids
9. Which of the following listed drug is a proton pump inhibitor:ANSWER KEY
A. Pantoprazole
B. Ranitidine
C. Sucralfate
D. Famotidine
10. For irrigating colostomy, the irrigation tube must be inserted to the stoma by:ANSWER KEY
A. 5”
B. 2”
C. 3”
D. 4”
11. Which of the following listed is a risk factor for colorectal cancer:ANSWER KEY
A. Age younger than 40 years
B. Low fat, low protein, high fibre diet
C. Familial polyposis
D. History of lung cancer
12. A patient with duodenal ulcer will likely experience:ANSWER KEY
A. 2-3 hours after meals
B. Vomiting
C. Weight loss
D. Hemorrhage
13. Which of the following terms is used to refer intestinal rumbling which accompanies diarrhoea:ANSWER KEY
A. Tenesmus
B. Borborygmus
C. Diverticulitis
D. Azotorrhoea
14. The term used to refer to ineffectual straining at stool is:ANSWER KEY
A. Tenesmus
B. Borborygmus
C. Diverticulitis
D. Azotorrhoea
15. Which of the following disorder is caused by excessive producing of somatotropin:ANSWER KEY
A. Adrenogenital syndrome
B. Cretinism
C. Acromegaly
D. Dwarfism
16. Which of the following clinical features is associated with Type I diabetic mellitus: ANSWER KEY
A. Requirement for oral hypoglycaemic agents
B. Presence of islets antibodies
C. Rare ketosis
D. Obesity
17. The faeces expelled through colostomy following sigmoid colostomy is often:ANSWER KEY
A. Fluid
B. mushy
C. semi-musy
D. solid
18. The recommended procedure for long-term weight loss is:ANSWER KEY
A. jejuno-ileal bypass
B. Roux-en-Y
C. Vertical banded gastroplasty
D. Gastric ring application
19. The digestion of protein is facilitated by:
A. Trypsin
B. Amylase
C. Secretin
D. Lipase
20. Of the following listed oral hypoglycaemic agents, which one exerts their primary action by stimulating the pancreas to secrete insulin?ANSWER KEY
A. Biguanides
B. Alpha glucosidase inhibitors
C. Sufonylureas
D. Thiazolidinediones
21. Regional enteritis (Crohn’s Disease) is characterised by:ANSWER KEY
A. Transmural thickening
B. Diffuse involvement
C. Exacerbations and remissions
D. Severe diarrhoea
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:ANSWER KEY
A. Hashimoto’s disease
B. Addison’s disease
C. Grave’s disease
D. Cushing’s diasease
23. A condition characterised by inflammation of thyroid gland, resulting in hypothyroidism:
ANSWER KEY
A. Addison’s disease
B. Hashimoto’s disease
C. Grave’s disease
D. Cushing’s diasease
24. Trousseau’s sign is positive when: ANSWER KEY
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
25. The presence of mucus and pus in the stools suggests:ANSWER KEY
A. Disorder of the colon
B. Intestinal malabsorption
C. Inflammatory colitis
D. Small bowel disease
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:ANSWER KEY
A. Chvostek’s sign
B. Homan’s sign
C. Allen’s test
D. Trousseau’s sign
27. A patient is advised to do the following diagnostic tests. Which of the test is performed last in a series:ANSWER KEY
A. Gall bladder series
B. Barium enema
C. Barium swallow
D. Oral cholecystogram
28. What type of diet is prescribed for a patient for the evening meal who is to undergo cholecystogram the next day: ANSWER KEY
A. Low-protein
B. High-carbohydrate
C. Fat-free
D. Liquid
29. For the first 4 to 6 weeks following colostomy, the patient should take:ANSWER KEY
A. Low-protein
B. High-carbohydrate
C. Low-calorie
D. Low-residue
30. For the purpose of stomach decompression using nasogastric tube, which type of suction pressure and control is used?ANSWER KEY
A. Low and continous
B. High and intermittent
C. Low and intermittent
D. High and continuous
31. A patient admitted with dehydration can have the following finding during the assessment:
ANSWER KEY
A. Bradycardia
B. Changes in mental status
C. Bilateral crackles in the lungs
D. Elevated blood pressure
32. A patient who is taking dicyclomine hydrochloride for irritable bowel syndrome should take the medicine :ANSWER KEY
A. with food and mealtimes
B. after the meals
C. early morning and before going to bed
D. 30 minutes before each meal
33. Pain associated with acute pancreatitis has which of the following characteristic: ANSWER KEY
A. Pain in lower abdomen radiating to groin
B. Pain around stomach radiating to back
C. Pain around abdomen radiating to lower middle abdomen
D. Pain in lower abdomen radiating to hip
34. Dumbing syndrome following subtotal gastrectomy has the following symptoms:ANSWER KEY
A. Hiccoughs and diarrhoea
B. Fatigue and abdominal pain
C. Constipation and fever
D. Diaphoresis and diarrhoea
35. Which of the following instructions is appropriate for a patient who has undergone gastrectomy to prevent dumping syndrome? ANSWER KEY
A. Increase fluid intake particularly at mealtime
B. Maintain high-carbohydrate diet
C. Maintain low-Fowler’s position if possible
D. Ambulate for at least following meals
36. Which of the following listed characteristics is an early sign of portal hypertension? ANSWER KEY
A. Flat neck veins
B. Hypotension
C. Weak pulse
D. Crackles on auscultation of the lungs
37.
Which of the following is an early sign of hepatic encephalopathy in a patient with cirrhosis of the liver: ANSWER KEY
A. Restlessness
B. Asterixis
C. Decreased serum amonia levels
D. Complaints of fatigue
38. Oral administration of neomycin is indicated in patients with portal systemic encephalopathy for: ANSWER KEY
A. Prevent infection
b. Destroy normal bacteria found in the bowel
C. Prevent restlessness in the patient
D. Prevent fluid retention and ascitis
39. Lactulose is prescribed for patients with hepatic encephalopathy to:ANSWER KEY
A. to increase red blood count
B. to decrease the serum amonia level
C. to increase the protein level
D. to decrease the white blood cell count
40. Hyperglycemia in hyperglycemic hyperosmolar non-ketotic syndrome results from:ANSWER KEY
A. increased use of glucose
B. Overproduction of glucose
C. increased production of glucose
D. increased osmotic movement of water
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 |
31. B |
32.D |
33. B |
34. D |
35. C |
36. D |
37. B |
38. B |
39. B |
40. |
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