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Gastroenterology and Surgery Flashcards

7 cards from real AMC MCQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with coeliac disease should avoid which dietary component?

    Answer: Gluten

    Coeliac disease is an immune reaction to gluten, requiring lifelong gluten-free diet.

  2. Which antibody is most specific for coeliac disease?

    Answer: Anti-tissue transglutaminase (anti-tTG) IgA

    Anti-tTG IgA is the most sensitive and specific serological test for coeliac disease.

  3. A patient presents with a tender, irreducible inguinal hernia with overlying erythema and vomiting. What is the immediate concern?

    Answer: Strangulation

    An irreducible, tender hernia with systemic signs suggests strangulation requiring urgent surgery.

  4. Which is the most common type of gallstone in Western populations?

    Answer: Cholesterol stones

    Cholesterol stones are the most common gallstone type in Western countries.

  5. A patient with ulcerative colitis develops abdominal distension, fever, and a colon diameter over 6 cm. What is this complication?

    Answer: Toxic megacolon

    Toxic megacolon is a life-threatening colonic dilatation complicating severe colitis.

  6. Which liver function pattern best indicates obstructive (cholestatic) jaundice?

    Answer: Markedly raised ALP and GGT with milder transaminase rise

    Cholestasis produces disproportionately elevated ALP and GGT relative to transaminases.

  7. A 25-year-old presents with recurrent right upper quadrant pain after fatty meals and a positive sonographic Murphy's sign. What is the diagnosis?

    Answer: Acute cholecystitis

    Postprandial RUQ pain with a positive sonographic Murphy's sign indicates acute cholecystitis.