I n t e r n a L medicine questions Bank

One of the following is least likely feature of hemochromatosis:

1. 
   Fulminant liver failure
   
2. 
   Psuedogout
   
3. 
   Diabetes
   
4. 
   Bronze skin
   
5. 
   Hepatocellular carcinoma
   

All the following are subclinical presentations of celiac disease, except:

1. 
   Mood changes
   
2. 
   Iron def c. B12 dfe
   

4. 
   Unexplained elevation of liver enzymes
   
5. 
   Recurrent abdominal pain
   

Ans: C (Mild to moderate anemia is present in 50% of cases. Folate deficiency is common, often causing macrocytosis. B12 deficiency is rare. Iron deficiency due to malabsorption of iron and increased loss of desquamated cells is common).

38. 
    All of the following are associated with rapid progression of chronic hepatitis C to cirrhosis, except:
    
    1. 
       Acquiring the infection at older age b. Female sex
       

3. 
   Alcohol use
   
4. 
   HIV co-infeciton
   
5. 
   HBV co-infection Ans: Female sex (akeed)
   

38. 
    The most common complication after ERCP: answer: b
    

45. 
    All of the following are initial management strategies in aptients with upper GI bleeding, except:
    
    1. 
       Somatostatitn b. Bleeding scan
       

3. 
   Esophagogastroduodensoscoyp
   
4. 
   Acid suppressing medicaiton
   
5. 
   Gastric lavage Answer: b
   

45. 
    Wilson’s disease should be considered in all of the following medical scenarios, except:
    
    1. 
       Abnormal liver enzymes and non-immune hemolytic anemia
       
    2. 
       Exaggerated high bilirubin level and depressed alkaline phosphtaea c. Decreases serum ceruloplasmis
       

4. 
   Elderly patient with neuropsychiatric problem
   
5. 
   Fuliminat liver failure with low uric acid
   

45.