Stomach And Duodenum Multiple-Choice Question And Answers

Stomach And Duodenum Multiple-Choice Question And Answers

Question 1. Regarding duodenum following are true:

1. Lined by mucus-secreting columnar epithelium
2. Brunner’s glands are present
3. Duodenum can produce cholecystokinin
4. Duodenum will not secrete secretin

Answer: 4. Duodenum will not secrete secretin

Question 2. Following are true regarding blood supply of the stomach except:

1. The fundus is supplied by left gastric artery
2. Left gastric artery is a branch of coeliac axis
3. Right gastroepiploic artery runs along greater curvature of the stomach
4. The gastroduodenal artery is a branch of hepatic artery

Answer: 1. The fundus is supplied by left gastric artery

Question 3. Duodenal ulcer commonly occurs in which part of duodenum?

1. First part
2. Second part
3. Third part
4. Fourth part

Answer: 1. First part

Question 4. Following are true for Helicobacter pylori bacteria except:

1. It is spiral-shaped
2. It hydrolyses urea
3. It can produce cytotoxins
4. Mostly, it is associated with type A gastritis

Answer: 4. Mostly, it is associated with type A gastritis

Question 5. Following are true for duodenal ulcer except:

1. It occurs in the first part of the duodenum
2. It may be associated with type B gastritis
3. Smoking may precipitate development of ulcer
4. It can erode branches of left gastric artery and result in massive bleeding

Answer: 4. It can erode branches of left gastric artery and result in massive bleeding

Question 6. Following are true for malignancy in a gastric ulcer except:

1. It occurs rarely
2. Occurs in the lesser curvature of the stomach
3. It produces a notch in barium studies
4. Converging rugosity is lost

Answer: 3. It produces a notch in barium studies

Question 7. Most important cause of duodenal stump leakage after Billroth 2 gastrectomy is:

1. Efferent loop obstruction
2. Oedema of the stump
3. Kinking of the afferent loop
4. Fat necrosis

Answer: 3. Kinking of the afferent loop

Question 8. About truncal vagotomy which one of the following is not correct?

1. Decreases acid secretion
2. Decreases parasympathetic activity
3. Increases gallstones
4. Increases constipation

Answer: 4. Increases constipation

Question 9. More accurate investigation for the diagnosis of the perforated duodenal ulcer is:

1. Ultrasound of the abdomen
2. Plain X-ray abdomen erect position
3. Plain X-ray chest
4. CT imaging

Answer: 4. CT imaging

Question 10. Treatment of the perforated duodenal ulcer include following except:

1. Suturing the ulcer in transverse direction
2. Truncal vagotomy
3. Peritoneal toilet
4. Omental patch

Answer: 2. Truncal vagotomy

Question 11. The most common site of bleeding from peptic ulcer is:

1. Lesser curvature of the stomach
2. Greater curvature of the stomach
3. First part of the duodenum
4. Fundus of the stomach

Answer: 3. First part of the duodenum

Question 12. Following are true with Dieulafoy’s lesion except:

1. It is an arteriovenous malformation
2. It is one of the causes of occult bleeding
3. Local excision is the choice of treatment
4. The site is fundus of the stomach

Answer: 4. The site is fundus of the stomach

Question 13. Which one of the following is the complication of gastrojejunostomy?

1. Gallstones
2. Duodenal blow out
3. Intussusception
4. Diarrhoea

Answer: 3. Intussusception

Question 14. Following are complications of vagotomy except:

1. Diarrhoea
2. Gallstones
3. Achlorhydria
4. Carcinoma stomach

Answer: 4. Carcinoma stomach

Question 15. Hypochloraemic alkalosis in pyloric stenosis is treated by:

1. Normal saline
2. Ringer lactate
3. Isotonic saline with potassium
4. Double strength saline

Answer: 3. Isotonic saline with potassium

Question 16. H. pylori is an important factor for carcinoma stomach in which region?

1. Distal
2. Proximal
3. Body
4. Gastro-oesophageal junction

Answer: 1. Distal

Question 17. Which one of the following is not a risk factor for proximal carcinoma stomach?

1. Chronic gastric ulcer
2. H. pylori-induced gastritis
3. Pernicious anaemia
4. Obesity

Answer: 2. H. pylori-induced gastritis

Question 18. Which one of the following is not a feature of early gastric cancer?

1. Confined to mucosa
2. Confined to mucosa and submucosa
3. Confined to mucosa with lymph nodes
4. Involving muscularis

Answer: 4. Involving muscularis

Question 19. Following are features of gastrointestinal stromal tumours (GISTs) of the stomach except:

1. Stomach is the most common site of GIST
2. More than 5 cm size tumour is considered to have malignant potential
3. Wedge excision is the treatment of choice for small lesions
4. Always do lymphadenectomy with wedge excision

Answer: 4. Always do lymphadenectomy with wedge excision

Question 20. Which one of the following features is false for gastrointestinal stromal tumour (GIST)?

1. It is arising from mesenchymal tissue
2. Associated with tyrosine kinase C-kit oncogene
3. They are sensitive to tyrosine kinase antagonist imatinib
4. Lymph node spread is very common

Answer: 4. Lymph node spread is very common

Question 21. All are true for hormone ghrelin except:

1. Produced by gastric antrum
2. It is a hunger hormone
3. It stimulates growth hormone
4. It is produced by oxyntic glands

Answer: 1. Produced by gastric antrum

Question 22. About Roux-en-Y gastric bypass following are true except:

1. It is the most common procedure done now
2. It prevents bile reflux
3. It allows endoscopic examination of gastric fundus
4. Obilteration of Peterson’s space is also a part of the procedure

Answer: 3. It allows endoscopic examination of gastric fundus