/10 1809 Path-Méd Preparation (Dr. Sann Channa) 1 / 10 1) ) A patient of 55 years old comes to see you for symptoms of dyspepsia. Anamnesis and clinical examination revealed that he lost 5 kg for the past 2 months and his father died of gastric cancer so you have to know whether the patient was infected by H. Pylori. Which of the following tests would you think is the most appropriate? a. . H. pylori in saliva b. . H. pylori stool test c. . Gastroscopy + histology d. . H. pylori serology e. . Gastroscopy + rapid urease breath test 2 / 10 2) 10) A patient of 45 years old comes to see you for symptom of irritable bowel syndrome about 2 months. He has rectal bleeding one to two times weekly.Which investigation is the most likely diagnostic? a. Gastroscopy b. Colonoscopy c. . Abdominal scanner d. Anuscopy e. . Abdominal ultrasound 3 / 10 3) 5) In case of dyspepsia, we have to find some alarm features (“Red flags”), which is suggestive of gastric malignancy. Which one among the following propositions is the most appropriate? a. . Long history of pain b. . Severity of pain c. . Sleep disturbance d. . Age > 50 years with new-onset dyspepsia e. . Symptom not response to treatment 4 / 10 4) 1) For patients with diagnosis as dyspepsia, they may have many symptoms. Which of the following symptoms is the most likely encountered? a. . Upper abdominal fullness b. Constipation c. Dysphagia d. Diarrhea e. Hematemesis 5 / 10 5) 7) The co-factors of irritable bowel syndrome can be related to: a. . Peptic ulcer b. Colitis c. . Dietary factors d. . Serious infection e. . H. Pylori infection 6 / 10 6) 9) In people who meet the IBS diagnostic criteria, the following investigations are recommended. Which of the following para-clinic exam is the most likely recommended as minima? a. . Colonoscopy b. . Abdominal scanner c. Lipasemia d. . Abdominal ultrasound e. . Full blood count (FBC or CBC) 7 / 10 7) 2) For the patient you consult for dyspepsia, you have to do anamnesis and clinical examination to find the causes. Which of the following etiology that is the most likely play a role? a. Alcohol b. Insomnia c. . H. pylori Infection d. Smoking e. . Intestinal parasite 8 / 10 8) 4) Rome III diagnostic criteria are used to diagnose functional dyspepsia. Which one of the following propositions is based for Rome criteria? a. . Early response to treatment b. . Severity of symptom c. . Blood test d. . Abdominal ultrasound e. . Clinical criteria 9 / 10 9) 8) In patients with irritable bowel syndrome, symptom for which we have to look in the alarm features. Which of the following propositions is the most likely? a. . Unremitting or Nocturnal symptoms b. . Age > 50 years with long onset of symptoms c. . Intentional weight loss d. . Past history of parasitic infection e. . Severity of symptom 10 / 10 10) 3) Some drugs can cause dyspepsia. So during your anamnesis for patient with dyspepsia, you have to think of some drug name. What medication is the most likely responsible? a. Amitriptyline b. . Aspirin, NSAIDs, c. Steroid d. Metronidazole e. Paracetamole Your score isThe average score is 90% Facebook 0% Restart quiz Any comments? Send feedback