OKEP 26 Jun'15

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Ulcer is caused by?

a) weakness of esophageal sphincter

b) Increased incidence of hiatal hernia

c) Chronic damage of mucosa due to acid

d) Imbalance between gastro-duodenal mucosal defense force and aggressive force

e) All of the above

Which of the following factor does not supports mucosal defense against ulcer?

a) Surface Mucus Secretion

b) Bicarbonate secretion in to mucus

c) Epithelial regenerative capacity

d) Delayed gastric emptying

e) All of the above

Gnawing/Aching/Burning pain in GI are is symptom of?

a) Ulcer

b) Respiratory infection

c) Laryngitis

d) All of the above

Which of the following is not used for diagnosis of GERD?

a) Upper endoscopy

b) Esophageal pH monitoring

c) Esophageal manometry

d) USG

e) All used for diagnosis

Which of following is not a H2 Blocker?

a) Famotidine

b) Nizatidine

c) Dexlansatidine

d) Ranitidine

e) All are H2 Blocker

Which of the following is mucus protecting agent?

a) Sucralfate

b) Misoprostol

c) Bismuth Subsalicylate

d) All of the above

10.

Which of the following will provide immediate symptomatic relief heartburn?

a) Famotidine

b) Ranitidine

c) Omeprazole

d) Esomeprazole

e) Sodium Bicarbonate

11.

Urea Breath test is Hallmark sign of?

a. Ulcer

b. Ulcer due to smoking

c. Ulcer due to NSAID

d. Ulcer due to H pylori

e. All of the above

12.

Which of the following statement is not true?

a. Discontinue NSAIDs and use Acetaminophen for pain control may prevent ulcer

b. Smoking cessation may prevent ulcer

c. Alcohol consumption enhance mucous production in GI Tract which prevent ulcer development

d. Stress reduction may prevent ulcer development

e. All of the above

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