Best Of Five Mcqs For The Gastroenterology Sce Pdf -

A) Repeat upper endoscopy with duodenal biopsies B) CT colonography C) Capsule endoscopy D) Meckel’s scan E) Faecal immunochemical test (FIT) Answer & Explanation Answer: C – Capsule endoscopy Obscure GI bleeding/iron deficiency with normal bidirectional endoscopy – capsule endoscopy to visualise small bowel (angiodysplasia, tumours, Crohn’s). CT colonography for colon, not small bowel. FIT is for lower GI screening. A 55-year-old woman with primary biliary cholangitis (PBC) is on ursodeoxycholic acid (UDCA). After 12 months, alkaline phosphatase remains 2.5× upper limit of normal. What is the most appropriate additional therapy?

A) Repeat duodenal biopsy B) Capsule endoscopy C) HLA-DQ2/DQ8 genotyping D) Colonoscopy with ileal intubation E) Faecal calprotectin Answer & Explanation Answer: A – Repeat duodenal biopsy Persistent symptoms despite gluten-free diet for 6 months warrants repeat biopsy to check for ongoing villous atrophy (non-responsive coeliac disease). Capsule endoscopy may be for refractory type II coeliac disease but is not first-line. HLA genotyping is for diagnosis, not persistence. A 45-year-old man with a 3-day history of severe epigastric pain, nausea, and vomiting. Serum amylase is 1100 U/L. CT abdomen shows pancreatic necrosis involving 50% of the gland. He develops fever, hypotension, and worsening abdominal pain on day 8. What is the most appropriate next step? best of five mcqs for the gastroenterology sce pdf

A) Acute tubular necrosis B) Hepatocellular carcinoma C) Spontaneous bacterial peritonitis D) Hepatorenal syndrome (HRS-AKI) E) Post-renal acute kidney injury Answer & Explanation Answer: D – Hepatorenal syndrome (HRS-AKI) Urine Na A 35-year-old woman with colicky right upper quadrant pain. Ultrasound shows multiple gallbladder polyps, the largest being 12 mm. What is the most appropriate management? A) Repeat upper endoscopy with duodenal biopsies B)