Gastroenterology — MCQs

Albumin treatment along with antibiotics in the setting of spontaneous bacterial peritonitis (SBP) is indicated to prevent the development of hepatorenal syndrome, EXCEPT in which of the following situations?

A 73-year-old woman admitted with mild, spontaneously resolving upper GI hemorrhage, not requiring transfusion, had a history of significant aspirin ingestion over 4 months for rheumatoid arthritis pain. Endoscopy confirmed a duodenal ulcer, and biopsy was positive for H. pylori. What is the recommended next step in managing this duodenal ulcer?

Portal hypertension is defined as hepatic venous pressure gradient more than:

TIGAR-O classification is used for which of the following conditions?

A 60-year-old man presents with acute onset of pain in the lower abdomen, followed by repeated rectal bleeding. Examination reveals a pulse rate of 100/minute, BP 160/96 mm Hg, and localized tenderness in the left hypochondrium. Stool examination reveals only a few pus cells, and sigmoidoscopy was normal. Which one of the following is the most likely diagnosis?

Abdominal pain, fat malabsorption, and frothy stools suggest which of the following conditions?

A 65-year-old woman with a history of Hashimoto's thyroiditis presented with symptoms of malabsorption. Following evaluation, she was diagnosed with atrophic gastritis. Which of the following is NOT a feature of this patient's condition?

Which of the following endoscopic findings is suggestive of Crohn's disease in a patient with chronic diarrhea?

A 34-year-old female with a history of oral contraceptive pill (OCP) usage presented to the ER with hematemesis, severe acute RUQ abdominal pain, and a history of DVT. Physical evaluation revealed ascites and tender hepatomegaly. What is the most likely cause for these symptoms?

A 69-year-old man presents with new symptoms of confusion and sleep disturbance. His partner reports a history of cirrhosis due to chronic alcoholism, with abstinence from alcohol for the past 3 months. His medications include nadolol, furosemide, spironolactone, and lactulose. On examination, he is jaundiced. Supine blood pressure is 102/78 mm Hg, and standing blood pressure is 86/64 mm Hg with a heart rate increase from 72 to 100 beats/min. He is afebrile and has an oxygen saturation of 98% on room air. The abdomen is soft with a palpable spleen tip and no ascites. He is disoriented to place and time but moves all four limbs on command. A digital rectal examination reveals dark black stool. Which of the following is the most likely cause?