SEMINAR 5- Diseases of the digestive system

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SEMINAR 5- Diseases of the digestive system

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1. For portal hypertension syndrome, all of these symptoms are characteristic except one:

1 point

A. splenomegaly

B. ascites

C. esophageal varices

D. tenesmus

E. hemorrhoidal bleeding

Варіант 6

2. What syndrome is not characteristic of cirrhosis of the liver?

1 point

A. asthenic syndrome

B. portal hypertension

C. mesenchymal- inflammatory

D. hemorrhagic

E. cytolytic

3. A patient with cirrhosis worsened. Drowsiness appeared, confused consciousness, jaundice intensified, the liver decreased in size, a sweetish smell from the mouth. After some time, the patient lost consciousness, Kussmaul's breathing, areflexia. What complication did the patient develop?

1 point

A. cholestasis

B. hepatic coma

C. gastrointestinal bleeding

D. portal hypertension

E. hepatorenal syndrome

Варіант 6

4. Name a complication that is not typical for cirrhosis of the liver?

1 point

A. portal hypertension

B. hepatic coma

C. cholecystitis

D. hepatic cancer

E. all right

5. The most common cause of hepatic coma in patients with cirrhosis is:

1 point

A. esophageal variceal bleeding

B. thiazide diuretic

C. barbiturates

D. cholestasis

E. erosive gastritis

6. Which of the following symptoms are characteristic of portal hypertension syndrome?

1 point

A. splenomegaly

B. bleeding esophageal varices

C. ascites

D. all right

E. all wrong

Does bilirubin contain in urine with mechanical (subhepatic) jaundice:

1 point

A. contains only conjugated (direct) bilirubin

B. contains only unconjugated (indirect) bilirubin

C. contains both fractions of bilirubin

D. all wrong

8. Which of the following indicators is most characteristic of cytolysis syndrome in liver pathology?

1 point

A. Elevated alkaline phosphatase

B. Elevated transaminases

C. Elevated phospholipids

D. Elevated lactate dehydrogenase

E. Hyperbilirubinemia

9. For post-hepatic (post-liver) jaundice, all changes are characteristic, except:

1 point

A. Elevated total bilirubin

B. Elevated conjugated bilirubin

C. Bilirubin in urine - negative reaction

D. urobilinogen in urine - negative reaction

E. stercobilin in feces - negative reaction

10. An increase in the serum Ig M content and the appearance of autoantibodies to mitochondrial components in patients with jaundice and hepatosplenomegaly indicate:

1 point

A. autoimmune hepatitis

B. primary biliary cholangitis

C. viral hepatitis

D. alcoholic liver disease

E. drug-induced hepatitis

11. The etiological factors of chronic pancreatitis are:

1 point

A. gallstone disease

B. alcohol use disorder

C. portal hypertension

D. fasting

E. obstruction in ductus pancreaticus Wirsungi

Варіант 6

12. The cause of ulcerative colitis is:

1 point

A. hypersensitivity

B. bacterial infection

C. immune disorders

D. vascular abnormalities

E. all wrong

13. With ulcerative colitis, the intestine is most often affected:

1 point

A. ascending colon

B. segmented intestine

C. descending colon

D. cecum (blind intestine)

E. rectum

14. The main symptom of ulcerative colitis is:

1 point

A. astriction (coprostasis)

B. steatorrhea

C. rectal bleeding

D. acholic stool

E. intestinal carbohydrate dyspepsia

15. Normal range of blood bilirubin:

1 point

A. 0,10-0,68 mcmol/l

B. 8,55-20,52 mcmol/l

C. 2,50-8,33 mcmol/l

D. 3,64-6,76 mcmol/l

E. 7,62-162,88 mcmol/l

16. Which of the following syndromes occurs in chronic enteritis?

1 point

A. night pain in epigastrium

B. vomiting eaten food

C. malabsorption

D. astriction (coprostasis)

E. all right

Варіант 6

17. Gastric dyspepsia includes everything except:

1 point

A. abdominal fullness (bloating)

B. all wrong

C. aerophagia (air swallowing)

D. meteorism (tympanites)

E. decreased appetite, nausea, vomiting

18. Pathognomonic signs of gastric bleeding

1 point

A. pallor, weakness

B. headache, dizziness

C. tachycardia, lowering blood pressure

D. coffee ground vomitus, black tarry stools

E. all wrong

19. What is the most reliable symptom of duodenal ulcer?

1 point

A. gastric discomfort

B. epigastric burning

C. epigastric pain and association with food intake

D. regurgitation

E. аstriction (coprostasis)

20. Pain with peptic ulcer disease is characterized by all signs, except:

1 point

A. periodicity

B. seasonality

C. constancy

D. typical localization

E. food connection

21. With gastric ulcer, the pain is localized

1 point

A. in the left hypochondriac region

B. in the left iliac region

C. in the right iliac region

D. in the epigastric region

E. in the suprapubic region

22. Prevention of exacerbations of chronic gastritis is

1 point

A. normalization of body weight

B. elimination of hypodynamia

C. cold water treatment

D. balanced diet

E. all right

23. To reduce gastric secretion in the treatment of peptic ulcer we use

1 point

A. vitamins

B. enzymes

C. motor controls

D. proton pump inhibitors

E. all wrong

24. The main cause of gastric ulcer is:

1 point

A. hypothermia, overwork

B. Helicobacter pylori infection

C. physical overload, hypothermia

D. viral infection, hypothermia

E. Candida fungi

Варіант 6

25. What is the nature of pain in duodenal ulcer?

1 point

A. dull pressing pain in epigastrium, worse when eating

B. cramping pain in the right hypochondrium with radiation to the right shoulder

C. persistent dull pain in the lower parts of the epigastrium, not associated with food intake

D. epigastric pain that occurs on an empty stomach and 2 to 3 hours after eating

E. epigastric pain 30 minutes after eating

Варіант 6

26. What irradiation of pain is characteristic for chronic cholecystitis?

1 point

A. in the right shoulder, shoulder blade, clavicle

B. in the right leg

C. in the left half of the chest

D. in the spine

E. to the right iliac region

Варіант 6

27. For a patient with chronic cholecystitis in the phase of remission, the following symptoms are most characteristic:

1 point

A. pain in the right hypochondrium

B. heartburn

C. poor tolerance to fatty foods

D. burping air

E. bloating

28. Which of the following research methods can more accurately diagnose chronic gastritis?

1 point

A. interview

B. palpation of the abdomen

C. the study of the secretory function of the stomach

D. X-ray examination of the stomach

E. Fibrogastroscopy with biopsy

29. The position lying on the stomach or in the knee-elbow position is occupied by patients with one of the diseases:

1 point

A. acute appendicitis

B. kidney stone disease

C. pancreas cancer

D. biliary colic

E. stomach ulcer

30. For pancreatic diseases, the most characteristic:

1 point

A. liquid black stool

B. light-colored feces

C. “shiny” with drops of fat, poorly washable stool

D. black formed stool

E. acholic, hard stool

Варіант 6

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