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Gastrointestinal Diseases

মোট প্রশ্ন২৫এই পাতা২৪প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Gastrointestinal Diseases

PrepBank · পাতা ১ / ১ · ১–২৪ / ২৫

১.
Floor of bacillary ulcer formed by -
  1. ক
    ক) Submucous coat
  2. খ
    খ) muscularis mucosa
  3. গ
    গ) muscle coat
  4. ঘ
    ঘ) Peritoneum
ব্যাখ্যা
Submucosal coat forms floor of bacillary ulcer
২.
IBS -
  1. ক
    Acute relapsing pain,bloating
  2. খ
    Psychological stress interplay a role
  3. গ
    Common age group is above 50 years
  4. ঘ
    Related to menopause of women
ব্যাখ্যা
Explanation :
IBS is characterized by chronic,relapsing,abdominal pain,bloating,and changes in bowel habits.
Peak prevalence 20-40 years
Related to menstruation of a women
৩.
Most common complications of peptic ulcer disease -
  1. ক
    Bledding
  2. খ
    Perforation
  3. গ
    Obstruction
  4. ঘ
    Neoplasm
ব্যাখ্যা
Explanation :
Complications of peptic ulcer disease -
Bleeding (15-20%) 
Perforation (5%)
Obstruction (2%)
৪.
Barrett’s oesophagus is a pre-malignant condition of which of the following part of GIT?
  1. ক
    ক) Stomach
  2. খ
    খ) Oesophagus
  3. গ
    গ) Colon
  4. ঘ
    ঘ) Dueodenum
ব্যাখ্যা
Explanation: Barrett’s oesophagus is a pre-malignant condition, in which the normal squamous lining of the lower oesophagus is replaced by columnar mucosa
৫.
Which of the following is the microscopic finding of gastric adenocarcinoma?
  1. ক
    ক) Columnar metaplasia
  2. খ
    খ) Histiocytic infiltration
  3. গ
    গ) Giant cell granulomas
  4. ঘ
    ঘ) Signet ring cells
৬.
Neoplastic polyp of gastrointestinal tract-
  1. ক
    ক) Hyperplastic polyp
  2. খ
    খ) hematomas polyp
  3. গ
    গ) tubular adenomas
  4. ঘ
    ঘ) inflammatory polyp
ব্যাখ্যা
Others are not Neoplastic
৭.
Which of the following is the most common type of gastric malignancy?
  1. ক
    ক) Adenocarcinoma
  2. খ
    খ) Squamous
  3. গ
    গ) Transitional
  4. ঘ
    ঘ) Anaplastic
ব্যাখ্যা
Explanation: Adenocarcinoma is the most common malignancy of the stomach, comprising more than 90% of all gastric cancers
৮.
Morphological pictures of peptic ulcer-
  1. ক
    ক) Superficial thin layer of granulation tissue
  2. খ
    খ) base of inflammatory tissue
  3. গ
    গ) Superficial layer of necrotic debris
  4. ঘ
    ঘ) Erosion of mucosal surface
ব্যাখ্যা
Superficial layer of necrotic debris is morphological pictures of peptic ulcer
৯.
Most common site of pancreatic cancer
  1. ক
    ক) head
  2. খ
    খ) Body
  3. গ
    গ) Tail
  4. ঘ
    ঘ) entire gland
ব্যাখ্যা
No explanation added.
১০.
Gastric ulcer most commonly occurs in which of the following site?
  1. ক
    ক) Body of stomach
  2. খ
    খ) Greater Curvature
  3. গ
    গ) Lesser curvature
  4. ঘ
    ঘ) Funus of Stomach
ব্যাখ্যা
Explanation: 90% of gastric ulcers are situated on the lesser curve within the antrum or at the junction between body and antral mucosa
১১.
Diet does not reduce risk for colorectal carcinoma -
  1. ক
    Red meat
  2. খ
    Calcium
  3. গ
    Folic acid
  4. ঘ
    Omega 3 fatty acid
ব্যাখ্যা
Explanation -
Diatary factors reduce risk for colorectal carcinoma -
Folic acid
Fibers
Calcium
Omega 3 fatty acid
১২.
Crohn's disease causes-
  1. ক
    ক) Diffuse continuous ulcer
  2. খ
    খ) Superficial ulcer
  3. গ
    গ) Deep & linear ulcer
  4. ঘ
    ঘ) Submucosal ulcer
ব্যাখ্যা
Crohn’s disease causes deep & linear ulcer
১৩.
H.pylori associated gastritis -
  1. ক
    Location : Gastric body
  2. খ
    Gastrin secretion increased
  3. গ
    Sequelae is pernicious anaemia
  4. ঘ
    Acid production increased to slightly decreased
ব্যাখ্যা
Explanation :
H.pylori associated gastritis -
Inflammatory infiltrate - Neutrophil, plasma cell
Location - Antrum
Acid production - Increased to slightly decreased 
Gastrin - Normal to drcreased
Sequelae - Peptic ulcer,Adenocarcinoma,MALToma
১৪.
Clinical features of Achalasia excludes
  1. ক
    ক) Dysphagia for solids and liquids
  2. খ
    খ) Low LES pressure on esophageal Manometry
  3. গ
    গ) 'Bird-beak' sign on barium swallow study
  4. ঘ
    ঘ) Increased risk for esophageal squamous cell carcinoma
ব্যাখ্যা

Clinical features of Achalasia:
• Dysphagia for solids and liquids
• Putrid breath
• High LES pressure on esophageal manometry
• 'Bird-beak' sign on barium swallow study
• Increased risk for esophageal squamous cell carcinoma

১৫.
Common carcinoma occurs in gall bladder-
  1. ক
    ক) Adenocarcinoma
  2. খ
    খ) Small cell carcinoma
  3. গ
    গ) Transitional cell carcinoma
  4. ঘ
    ঘ) squamous cell carcinoma
ব্যাখ্যা
Adenocarcinoma is common carcinoma of gallbladder
১৬.
Most common differential diagnosis of acute upper abdominal pain -
  1. ক
    Peptic ulcer disease
  2. খ
    Acute pancreatitis
  3. গ
    Acute cholecystitis
  4. ঘ
    Acute anterior MI
ব্যাখ্যা
Explanation :
Common D/D in acute upper abdominal pain :
Peptic ulcer disease ( most common)
Acute pancreatitis 
Acute cholecystitis 
Acute inferior MI
Diabetic ketoacidosis . 
১৭.
Most gastric adenocarcinoma involves
  1. ক
    ক) Antrum
  2. খ
    খ) Cardia
  3. গ
    গ) Pylorus
  4. ঘ
    ঘ) Body
ব্যাখ্যা
• Most gastric adenocarcinomas involve the gastric antrum; the lesser curvature is involved more often than the greater curvature.
১৮.
Causes of malena -
  1. ক
    Ulcerative colitis
  2. খ
    Gastric erosion
  3. গ
    Crohns disease
  4. ঘ
    Salminella infection
ব্যাখ্যা
Explanation :
Gastric ulcer
Ruptures oesophageal varices
Carcinoma of stomach
Ruptured oesophageal varices
১৯.
Which of the following is the most common GIT carcinoma?
  1. ক
    ক) Ca oesophagus
  2. খ
    খ) Ca rectum
  3. গ
    গ) Ca colon
  4. ঘ
    ঘ) Ca stomach
ব্যাখ্যা
Explanation: Adenocarcinoma of the colon is the most common malignancy of the GI tract and is a major cause of morbidity and mortality worldwide
২০.
Most important risk factor for esophageal adenocarcinoma-
  1. ক
    ক) Achalasia cardia
  2. খ
    খ) Mallory Weiss tear
  3. গ
    গ) Barrett's oesophegus
  4. ঘ
    ঘ) Oesophegeal fistula
ব্যাখ্যা
Barrett’s oesophagus is most important risk factor for oesophageal adenocarcinoma
২১.
Crohns disease -
  1. ক
    Affect colon only
  2. খ
    Skip lesion
  3. গ
    Diffuse
  4. ঘ
    Limited to mucosa
ব্যাখ্যা
Explanation :
Crohns disease -
Bowel region : Ileum + colon
Distribution : Skip lesion
Stricture present
Transmural inflammation 
Lymphoid reaction : Marked
২২.
Alarming feature of IBS -
  1. ক
    20-30 years onset
  2. খ
    Weight gain
  3. গ
    Rectal bleeding
  4. ঘ
    Assiciated menopausal transition
ব্যাখ্যা
Explanation -
Alarming features of IBS -
Age >50 years,Male gender
Wright loss
Nocturnal symptoms 
Family history of colon carcinoma
Anaemia
Rectal bleeding
২৩.
Most common cause of hematemesis -
  1. ক
    Laceration
  2. খ
    Esophageal perforation
  3. গ
    Varices
  4. ঘ
    Barrett esophagus
ব্যাখ্যা
Explanation :
Esophageal causes of hematemesis -
Laceration( Mallory weiss syndrome) 
Esophageal perforation
Varices ( cirrhosis)  most common
Chemical esophagitis
Esophageal ulcer
২৪.
Factor associated with peptic ulcer disease -
  1. ক
    Smoking
  2. খ
    Gastroesophageal reflux
  3. গ
    Tape worm infection
  4. ঘ
    Progesterone only pill
ব্যাখ্যা
Explanation :
Factors associated with PUD -
H.pylori
OCP
Smoking
Alcohol
Drugs - NSAID
Psychological