AMC MCQ Gastroenterology and Surgery 2

Question 1

A 55-year-old man presents with painless progressive obstructive jaundice, weight loss, and a palpable non-tender gallbladder. What is the most likely diagnosis?

Accepted Answer

Carcinoma of the head of the pancreas

Answer

Acute cholecystitis

Answer

Gallstone in the cystic duct

Answer

Hepatitis A

Question 2

Which serum marker is most useful for monitoring pancreatic adenocarcinoma?

Accepted Answer

CA 19-9

Answer

AFP

Answer

CEA

Answer

CA-125

Question 3

A patient with severe acute pancreatitis develops a fall in serum calcium. What is the mechanism?

Accepted Answer

Saponification of calcium by released fatty acids

Answer

Increased parathyroid hormone

Answer

Renal calcium wasting

Answer

Vitamin D toxicity

Question 4

Which scoring system uses CRP and is commonly applied to assess acute pancreatitis severity at 48 hours?

Accepted Answer

Glasgow (Imrie) criteria

Answer

Child-Pugh score

Answer

Alvarado score

Answer

Rockall score

Question 5

A 70-year-old presents with sudden severe abdominal pain out of proportion to examination findings and atrial fibrillation. What is the most likely diagnosis?

Accepted Answer

Acute mesenteric ischaemia

Answer

Acute appendicitis

Answer

Diverticulitis

Answer

Peptic ulcer

Question 6

Which is the most appropriate initial imaging for suspected acute cholecystitis?

Accepted Answer

Abdominal ultrasound

Answer

Plain abdominal X-ray

Answer

MRI abdomen

Answer

Barium swallow

Question 7

A patient with cirrhosis develops confusion, asterixis, and elevated ammonia. What is the first-line treatment?

Accepted Answer

Lactulose

Answer

Neomycin alone

Answer

Intravenous albumin

Answer

Spironolactone