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Gastroenterology
Part One MRCPCH
Educational Materials from MRCPCH2009 for Part 1
Number of questions: 20
Score: 100 marks
Time: 30 Minutes
MRCPCH2009 SITE
ELBABA M.A.
MRCPCH2009 Site
ELBABA M.A.
____________________________________________________________________________
mrcpch2009@gmail.com
MRCPCH2009 Site
ELBABA M.A.
____________________________________________________________________________
Q. 2 (15 Marks)
This is a list of certain diagnosis:
A. Intussusception
B. Henoch- Schonlein pupura
C. Hemolytic uremic syndrome
D. Peutz-Jeghers syndrome
E. Gardener syndrome
F. Meckels diverticulitis
G. Anal fissure
H. Ulcerative colitis
I. Proctetitis secondary to child abuse
J. Functional constipation
K. Campylobacter jejuni infection
L. Pseudo-membranous colitis
M. Ascasiasis
N. Schistosomiasis
O. Shigellosis
P. Amoebic dysentery
Choose the most likely diagnosis for each of the following scenarios:
SELECT ONE ANSWER ONLY FOR EACH QUESTION
Note: Each answer may be used more than once
1. 5 year old boy presented with painless haematochezia and intermittent left
abdominal pain. Technetium scan shows ectopic gastric tissue.
2. 5 year old boy presented with painless haematochezia and intermittent
vague diffuse abdominal pain. There was perioral and buccal
hyperpigmentation. Father died with bowel malignancy.
3. 5 year old boy presented with painful haematochezia and intermittent vague
diffuse abdominal and both ankles pain. Child has microscopic hematuria
and few urticarial rash over the lower half of the body.
Q. 3 (15 Marks)
This is a list of Medications may be used in Gastrointestinal conditions:
A. Proton pump inhibitor
B. H2 receptor blockers
C. Prokinetic agent
D. Serotonin receptor antagonist
E. Anti-tumor necrosis factor Alpha
F. 5 Aminosalicylic acid
__________________________________________________________________________
http://sites.google.com/site/mrcpch2009/
mrcpch2009@gmail.com
MRCPCH2009 Site
ELBABA M.A.
____________________________________________________________________________
G.
H.
I.
J.
K.
L.
M.
Corticosteroids
Calcineurin inhibitors
Narcotic analgesic
NSAID
Intestinal antispasmodics
Salaz
Food thickeners
__________________________________________________________________________
http://sites.google.com/site/mrcpch2009/
mrcpch2009@gmail.com
MRCPCH2009 Site
ELBABA M.A.
____________________________________________________________________________
3. After a blunt trauma, 5 year old girl presented with sever epigastric pain
with mild rigidity. All of the following should be included in the
management. EXCEPT:
A. Urgent pediatric surgery consultation for exploratory laparotomy
B. Abdominal Ultrasound / C-T Scan
C. Serum pancreatic enzymes assay
D. Close monitoring of blood pressure
E. Consider short period of Nil per oral.
4. Well recognized extra-intestinal manifestations of Crohns disease
include all of the following EXCEPT:
A. Poor vision of one or both eyes
B. Absent red reflex on fundus examination
C. Tender red nodules over the chin of the Tibia
D. Gangrenous skin lesion
E. Tender swollen ankle
5. Girl of 7 presented with vomiting of fresh blood twice today. She has
been treated for the last week with Erythromycin after diagnosis of
sinusitis. Fever has improved but vomiting is not. What is the most
likely cause of that haematemsis. : SELECT ONE
A. Stress gastric ulcer
B. Erythromycin adverse effect
C. Sandifers syndrome
D. Zollinger Ellison syndrome
E. Mallory Weiss syndrome
__________________________________________________________________________
http://sites.google.com/site/mrcpch2009/
mrcpch2009@gmail.com
MRCPCH2009 Site
ELBABA M.A.
____________________________________________________________________________
End of material
ELBABA 2011
2011
__________________________________________________________________________
http://sites.google.com/site/mrcpch2009/
mrcpch2009@gmail.com