Term 2 CPC 5
10 Questions
| Total Attempts: 57
Questions and Answers
- 1.
A 32 year-old man was admitted 7 months after the acute onset of severe diarrhoea. He later underwent colonic resection. The microphotograph below shows the histological features. What is the most likely diagnosis?- A.
Crohns disease
- B.
Intestinal Perforation
- C.
Ulcerative colitis
- D.
Irritable bowel syndrome
- E.
Inflammatory bowel disease
- 2.
Below is the line diagram of microscopic appearance of a bowel disease. The features shown are characteristic of which of the following conditions?
- A.
Intestinal Perforation
- B.
Crohns disease
- C.
Ulcerative colitis
- D.
Irritable bowel syndrome
- E.
Inflammatory bowel disease
- 3.
Below is the image of gross specimen resected from a patient with chronic diarrhoea and arthritis. What is the most likely diagnosis?
- A.
Inflammatory bowel disease
- B.
Crohns disease
- C.
Intestinal Perforation
- D.
Ulcerative colitis
- E.
Membranous enterocolitis
- 4.
The below image is the resected colon from a 56 year-old male presented with chronic constipation and recent hematochezia of two weeks duration. What is the most likely diagnosis?
- A.
Meckles diverticulum
- B.
Ulcerative colitis
- C.
Crohns disease
- D.
Diverticulitis
- E.
Familial polyposis
- 5.
A mother brings her 3 month-old boy to emergency presenting with progressive abdominal distension, poor feeding and difficulty in passing stool. A contrast radiograph is shown. What is the most likely diagnosis?
- A.
Hirschprung disease
- B.
Meconium plug syndrome
- C.
Anorectal malformation
- D.
Cystic Fibrosis associated with meconium ileus
- E.
Hypoganglionosis
- 6.
An 80 year-old male presents with six weeks history of diarrhoea with weight loss. He does not have a history of rectal bleeding or mucous discharge. About 8 weeks before admission he had been treated for a chest infection by his GP with broad spectrum antibiotics. He had flexible sigmoidoscopy showing the following picture. What is the most likely diagnosis?
- A.
Ulcerative colitis
- B.
Crohn's disease
- C.
Pseudomembranous colitis
- D.
Bacterial overgrowth syndrome
- E.
Irritable bowel syndrome
- 7.
A 27 year-old female complains of long standing symptoms of diarrhoea, flatulence, weight loss and fatigue. On Endoscopy the small intestine mucosa appears flat. Biopsy demonatrates diffuse enteritis with marked atrophy of villi. The surface epithelium shows loss of microvilus brush border and increased number of intraepithelial lymphocytes. What is the most likely diagnosis?
- A.
Crohn's disease
- B.
Whipple's disease
- C.
Ulcerative colitis
- D.
Celiac disease
- E.
Irritable bowel syndrome
- 8.An 8 month-old previously healthy infant girl develops a watery diarrhoea that lasts for 1 week. The infant has a mild fever during the illness but has no abdominal pain or swelling. On physical examination, her temperature is 37 degrees celsius. A stool sample is negative for occult blood, ova or parasites. Her parents are told to give her plenty of fluids, and she recovers fully. Which of the following organisms is most likely to produce these findings?
- A.
Campylobacter jejuni
- B.
Cryptosporidium parvum
- C.
Norwalk virus
- D.
Rotavirus
- E.
Vibrio cholerae
- 9.
A 68 year-old woman presented with a long history of cholelithiasis and chronic cholecystitis. One week before her last hospital admission, the patient developed jaundice with a markedly increased conjugated bilirubin in the serum. The gallbladder was removed. A microscopic section of the gallbladder is shown in the following image. The findings are consistent with which of the following?
- A.
Gangrenous cholecystitis
- B.
Cholesterolosis
- C.
Adenocarcinoma of the gallbladder
- D.
Squamous cell carcinoma of the gallbladder
- E.
Chronic Cholecystitis
- 10.
A 53 year-old woman complains of acute bloody diarrhoea and severe abdominal pain. She was recently treated with broad-spectrum antibiotics for community-acquired pneumonia. A FBC shows a WBC count of 24,000/µL. The patient subsequently develops septic shock and dies. A portion of her colon, shown in the below image, is shown at autopsy. These findings are typical of which of the following gastrointestinal diseases?
- A.
Crohn’s disease
- B.
Diverticulitis
- C.
Ischaemic colitis
- D.
Pseudomembranous colitis
- E.
Ulcerative colitis
.jpg "A mother brings her 3 month-old boy to emergency presenting with progressive abdominal distension, poor feeding and difficulty in passing stool. A contrast radiograph is shown. What is the most likely diagnosis?")
.jpg "A 27 year-old female complains of long standing symptoms of diarrhoea, flatulence, weight loss and fatigue. On Endoscopy the small intestine mucosa appears flat. Biopsy demonatrates diffuse enteritis with marked atrophy of villi. The surface epithelium shows loss of microvilus brush border and increased number of intraepithelial lymphocytes. What is the most likely diagnosis?")
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