MCQs in Gastroenterology: Mouth, Pharynx & Oesophagus © Priory Lodge Education

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Multiple Choice Questions in Gastroenterology Mouth, Pharynx and Oesophagus		Enter Your Answers Here	Check Your Answers Here

1	Mouth ulcers are more common in:	A1
1	A. Diverticular disease B. Coeliac disease C. Solitary ulcer of rectum D. Ulcerative colitis E. Crohn’s disease There may be an immune mechanism for these associations		False True False True True
2	Oral thrush is a frequent finding in:	A2
2	A. Antibiotic therapy B. Oral contraceptive use C. Diabetes mellitus D. HIV infection E. Multiple sclerosis Antibiotic therapy will permit fungal overgrowth by suppressing com-petition. Diabetes and AIDS suppress immunity.		False True False True True	True False True True False
3	Dental caries means increased likelihood of:	A3		True False True True False
3	A. Gout B. Subacute bacterial endocarditis C. Alcoholism D. Peptic ulcer E. Dysphagia The mechanisms are different. Caries will be a focus of streptococci in SBE and will make mastication difficult. Alcoholics tend to neglect them-selves		False True True False True
4	An apparently enlarged tongue occurs in:	A4
4	A. XIIth nerve palsy B. Trisomy 21 C. Hypothyroidism D. Duodenal ulcer E. Coprolalia The tongue will atrophy in XII nerve palsy and is unaffected in duodenal ulcer and coprolalia.		False True True False True	False True True False False
5	A high arched palate is seen in:	A5		False True True False False
5	A. Pseudoxanthoma elasticum B. Wegener’s granulomatosis C. Cerebrotendinous xanthomatosis D. Familial hypertriglyceridaemia E. Marfan’s syndrome The high arched palate is actually part of the diagnostic definition of Marfan’s syndrome.		False False False False True
6	The presence of labial Herpes simplex means:	A6
6	A. Very little B. A recent cold C. Shingles D. Immune deficiency E. Patient is on diclofenac Most of us will get cold sores from time to time		True False False False False
7	Crohn’s disease affects the lips:	A7
7	A. Rarely B. Sometimes C. Frequently D. Never E. Invariably Oral Crohn’s disease probably affects 1% or less of patients		True False False False False
8	Presbyoesophagus:	A8
8	A. Is a disease of young women B. Is a normal variant of ageing C. Causes oesophageal dilation with constriction rings D. May be asymptomatic E. Means the gullet is shorter This is a not uncommon finding in older patients		False True True True False
9	Parkinson’s disease causes excess dribbling:	A9
9	A. Because of increased salivation B. Because of defective swallowing C. Because patients are tremulous D. Because of festination E. Because of bradykinesia Parkinsonian patients do not produce excess saliva but are unable to swallow it		False True False False False
10	In motor neurone disease:	A10
10	A. True bulbar palsy is seen B. Pseudobulbar palsy occurs C. It is not possible to distinguish bulbar and pseudobulbar palsy D. Swallowing can be normal E. Sensory signs are uncommon		True True True True True
11	Gastro-oesophageal reflux can reliably be diagnosed by	A11
11	A. Symptoms B. Biopsy histology of the gastro-oesophageal junction C. Manometry D. 24 hour pH monitoring E. Bernstein test Though tedious to perform, 24 hour pH monitoring is the best test for gastro-oesophageal reflux symptoms. The Bernstein acid perfusion tests are unreliable, manometry is difficult to standardise and interpret, and biopsy at the gastro-oesophageal junction usually shows some changes which must be regarded as normal.		False False False True False
12	Drugs which have shown potential to improve mortality in gastrointestinal bleeding are:	A12
12	A. Propranolol B. Isosorbide dinitrate C. Ranitidine D. Somatostatin E. Terlipressin Propranolol, nitrates, somatostatin and terlipressin have all been shown to be useful in oesophageal varices. Intravenous ranitidine is useful in prevention of bleeding from stress ulcers in seriously ill patients.		True True True True True
13	With a Sengstaken tube:	A13
13	A. The gastric balloon must be inflated before the oesophageal one B. The oesophageal balloon must be inflated before the gastric one C. Both balloons should be inflated together D. The oesophageal balloon should not be inflated for more than 24 hours E. Blood should be aspirated from the oesophageal balloon The gastric balloon is the anchor which avoids displacement, which may be dangerous. Prolonged inflation of the oesophageal balloon can cause local ulceration in the oesophagus.		True False False True False
14	Chagas’ disease is caused by:	A14
14	A. Viruses B. Bacteria C. Chlamydia D. Fungi E. Protozoa This is South American trypanosomiasis.		False False False False True