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Gastro Rotation Test

The document presents a series of questions and answers related to gastroenterology, covering diagnoses, causes of diseases, and management steps for various gastrointestinal conditions. Key topics include peptic ulcer disease, liver injury markers, pancreatitis, Crohn's disease, GI bleeding management, and hepatitis infections. The answers highlight important clinical knowledge for medical professionals in the field.

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areejsaeedkhokhar
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3 views4 pages

Gastro Rotation Test

The document presents a series of questions and answers related to gastroenterology, covering diagnoses, causes of diseases, and management steps for various gastrointestinal conditions. Key topics include peptic ulcer disease, liver injury markers, pancreatitis, Crohn's disease, GI bleeding management, and hepatitis infections. The answers highlight important clinical knowledge for medical professionals in the field.

Uploaded by

areejsaeedkhokhar
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Gastro End of Rotation Test

Q1. A 45-year-old presents with epigastric pain relieved by meals. Most likely
diagnosis?
A. Gastric ulcer
B. Duodenal ulcer
C. GERD
D. Pancreatitis

Answer: B. Duodenal ulcer

Q2. Most common cause of peptic ulcer disease worldwide?


A. NSAIDs
B. Alcohol
C. H. pylori
D. Smoking

Answer: C. H. pylori

Q3. A patient with hematemesis is stabilized. Next best step?


A. Immediate surgery
B. IV antibiotics
C. Upper GI endoscopy
D. Colonoscopy

Answer: C. Upper GI endoscopy

Q4. Most sensitive marker of hepatocellular injury:


A. ALP
B. ALT
C. Bilirubin
D. Albumin

Answer: B. ALT

Q5. AST:ALT ratio >2 is classically seen in:


A. Viral hepatitis
B. Alcoholic liver disease
C. NAFLD
D. Autoimmune hepatitis

Answer: B. Alcoholic liver disease

Q6. Most common cause of cirrhosis worldwide:


A. Alcohol
B. Hepatitis B & C
C. NAFLD
D. Drugs

Answer: B. Hepatitis B & C

Q7. Conjugated hyperbilirubinemia suggests:


A. Hemolysis
B. Gilbert syndrome
C. Obstructive or hepatocellular disease
D. Physiological jaundice

Answer: C

Q8. Pale stools and dark urine indicate:


A. Hemolytic jaundice
B. Obstructive jaundice
C. Pre-hepatic jaundice
D. Physiologic jaundice

Answer: B

Q9. Most common cause of acute pancreatitis:


A. Alcohol
B. Gallstones
C. Trauma
D. Drugs

Answer: B. Gallstones

Q10. Best initial test for suspected pancreatitis:


A. Serum amylase/lipase
B. CT scan
C. MRI
D. Ultrasound

Answer: A

Q11. Cullen’s sign indicates:


A. Liver failure
B. Pancreatitis
C. Peritonitis
D. GI bleed

Answer: B

Q12. Crohn’s disease commonly affects:


A. Rectum only
B. Entire colon
C. Terminal ileum
D. Stomach

Answer: C

Q13. Continuous lesions are seen in:


A. Crohn’s disease
B. Ulcerative colitis
C. IBS
D. Celiac disease

Answer: B

Q14. Skip lesions are characteristic of:


A. UC
B. Crohn’s disease
C. IBS
D. Diverticulosis

Answer: B

Q15. Most common cause of upper GI bleed:


A. Varices
B. Gastritis
C. Peptic ulcer disease
D. Mallory-Weiss tear

Answer: C

Q16. First step in GI bleeding management:


A. Endoscopy
B. IV fluids
C. Blood transfusion
D. Surgery

Answer: B. IV fluids (ABC stabilization)

Q17. Most important precipitating factor of hepatic encephalopathy:


A. Low protein diet
B. Infection
C. Exercise
D. Vitamins

Answer: B

Q18. Drug of choice in hepatic encephalopathy:


A. Omeprazole
B. Lactulose
C. Metformin
D. Propranolol

Answer: B

Q19. Marker for Hepatitis B infection:


A. Anti-HCV
B. HBsAg
C. Anti-HAV
D. IgM

Answer: B

Q20. Celiac disease is associated with:


A. Gluten intolerance
B. Lactose intolerance
C. Fat intolerance
D. Protein intolerance

Answer: A

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