Multiple Choice Questions (MCQ)

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Category: Prometric--->Gastroenterology
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Question 1# Print Question

A 54-year-old female presents with fatigue and xerostomia. Bloods tests reveal the following:

What is the most likely diagnosis?

A. Systemic lupus erythematous
B. Infectious mononucleosis
C. Primary biliary cirrhosis
D. Autoimmune hepatitis
E. Primary Sjogren's syndrome

Question 2# Print Question

Which one of the following is the most likely presentation of Staphylococcus aureus food poisoning?

A. Tenesmus
B. Watery diarrhoea
C. Dysentery
D. Severe vomiting
E. Presentation 24-48 hours after eating affected food

Question 3# Print Question

Which one of the following is most suggestive of Wilson's disease?

A. Reduced hepatic copper concentration
B. Reduced 24hr urinary copper excretion
C. Increased skin pigmentation
D. Reduced serum caeruloplasmin
E. Reduced serum copper

Question 4# Print Question

A 54-year-old man with a long history of heartburn has an endoscopy to investigate his symptoms. A biopsy is taken from an abnormal area of mucosa in the lower oesophagus and reported as follows: Non-dysplastic columnar-lined oesophagus.

What is the most suitable management?

A. Reassure and discharge
B. Fundoplication
C. Laser ablation
D. Ivor-Lewis oesophagectomy
E. High-dose proton pump inhibitor and follow-up

Question 5# Print Question

A 46-year-old man is being investigated for indigestion. Jejunal biopsy shows deposition of macrophages containing PAS-positive granules.

What is the most likely diagnosis?

A. Bacterial overgrowth
B. Coeliac disease
C. Tropical sprue
D. Whipple's disease
E. Small bowel lymphoma

Category: Prometric--->Gastroenterology
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