Multiple Choice Questions (MCQ)

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Category: Prometric--->Gastroenterology
Page: 2

Question 6# Print Question

A 31-year-old man with a known history of alcoholic liver disease is reviewed following a suspected oesophageal variceal haemorrhage. He has been resuscitated and intravenous terlipressin has been given. His blood pressure is now 104/60 mmHg and his pulse is 84/min.

What is the most appropriate intervention?

A. Trans-jugular Intrahepatic Portosystemic Shunt
B. Surgical referral
C. Endoscopic variceal band ligation
D. Sengstaken-Blakemore tube
E. Endoscopic sclerotherapy

Question 7# Print Question

A 25-year-old man presents with lethargy and increased skin pigmentation. Blood test reveal deranged liver function tests and impaired glucose tolerance. Given the likely diagnosis of haemochromatosis, what is the most appropriate initial investigation strategy?

A. Transferrin saturation + ferritin
B. Haematocrit + ferritin
C. Liver biopsy with Perl's stain
D. Serum iron + ferritin
E. Serum iron + haematocrit

Question 8# Print Question

A patient with upper gastrointestinal symptoms tests positive for Helicobacter pylori following a urea breath test.

Which one of the following conditions is most strongly associated Helicobacter pylori infection?

A. Gastric adenocarcinoma
B. Gastro-oesophageal reflux disease
C. Oesophageal cancer
D. Duodenal ulceration
E. Atrophic gastritis

Question 9# Print Question

A 24-year-old man presents with rectal bleeding and pain on defecation. This has been present for the past two weeks. He has a tendency towards constipation and notices that when he wipes himself fresh blood is often on the paper. Rectal examination is limited due to pain but no external abnormalities are seen.

What is the most likely diagnosis?

A. Internal haemorrhoids
B. Anal carcinoma
C. Rectal polyp
D. Anogenital herpes
E. Anal fissure

Question 10# Print Question

A 54-year-old woman presents with jaundice shortly after being discharged from hospital. Liver function tests are reported as follows:

Which of the following antibiotics is she most likely to have received?

A. Flucloxacillin
B. Gentamicin
C. Ciprofloxacin
D. Trimethoprim
E. Ceftazidime

Category: Prometric--->Gastroenterology
Page: 2 of 5