Pathologie-Méd Preparation (Pr. Ung Chakravuth)

1637

Path-Méd Preparation (Pr. Ung Chakravuth)

1 / 9

Which is incorrect regarding inflammatory bowel disease?

a. Patients with Crohn’s disease are more at risk of colorectal cancer than UC patients.

b. The risk of developing ulcerative colitis is higher in non-smokers than smokers.

c. Cobblestone appearance on bowel wall is more characteristic of Crohn disease

d. Effectiveness of colonoscopic surveillance in detecting colorectal cancer is controversial in IBD.

e. Toxic megacolon occurs in Crohn’s and ulcerative colitis.

2 / 9

Which is INCORRECT regarding Ulcerative Colitis?

a. Loperamide and other antidiarrhoeal agents should be avoided as they increase the risk of toxic megacolon.

b. Toxic megacolon is usually treated conservatively unless the bowel is wider than 6 cm or the patient severely ill.

c. In severe disease there is usually hypoalbuminemia and mildly deranged LFT’s.

d. Affects men more than woman

e. Mild disease affects 60% of patients and consists of less than 4 bowel motions per day, with the disease limited to rectum in 80%.

3 / 9

Excision rather than bypass is preferred for surgical treatment of small intestinal Crohn’s because:

a. Excision is safer.

b. Excision cures the patient of Crohn’s disease but bypass does not.

c. The risk of small intestine cancer is reduced.

d. Fewer early complications appear with excision.

e. Bypass does not relieve symptoms.

4 / 9

Which is true of the complications of Crohn’s disease?

a. Perianal complications occur in 50% of patients.

b. The majority of patients will not require surgery throughout their illness.

c. GI bleeding is common and often life-threatening

d. Toxic megacolon occurs in 6% but almost never perforates.

e. There is no increased risk of neoplasm of GI tract unlike UC.

5 / 9

All the following investigations may be needed to stage gastric adenocarcinoma except one:

a. EUS

b. Bone scan

c. Staging CT

d. Exploratory laparotomy

e. Laparoscopy

6 / 9

Which is not an extra-abdominal manifestation of inflammatory bowel disease?

a. Thromboembolic disease

b. Ankylosing spondylitis

c. Sacroiliitis

d. Episcleritis

e. Erythema marginatum

7 / 9

Which is incorrect regarding management of Crohn’s Disease?

a. Loperamide can be used to control diarrhoea.

b. Metronidazole has a role in long-term treatment of perianal disease postoperatively to prevent relapse.

c. Mesalamine (pentasa) has fewer side effects than sulphasalazine.

d. Corticosteroids have a proven role in maintenance therapy to prevent relapse.

e. Azathioprine has been used in severe cases.

8 / 9

Parmi les assertions suivantes, quelle est celle qui s’applique aux lésions anopérinéales de la maladie de Crohn?

a. Les ulcérations, les suppurations et les sténoses en sont les trois types de lésions élémentaires

b. Les marisques sont de constatations banales et doivent être négligées lors d’une exploration clinique

c. La classification de Cardiff en permet l’évaluation des conséquences fonctionnelles et symptomatiques

d. Elles concernent moins de 20% des malades de Crohn

e. Le TDM pelvien est l’exploration morphologique complémentaire de référence des lésions anopérinéales de Crohn

9 / 9

All the following are the risk factors for gastric cancer except one:

a. Smoking

b. Pernicious anaemia

c. Alcohol abuse

d. Helicobacter pylori infection

e. Atrophic gastritis

Your score is

The average score is 86%

Any comments?