quiz on gastroenterology

1. QUIZ ON
GASTROENTEROLOGY
2 3 . 0 9 . 1 9
DEPT OF MEDICAL SURGICAL NURSING
CON, AFMC

2. • QUIZ MASTERS : Capt Bibechana Thapa
: Capt Heena Kumari
• Time keeper : Maj Dhanya Nair
• Score keeper : Lt Col Shilpi Das

3. RULES OF THE QUIZ
• Total 04 rounds
• 1st round – Passing round
• 2nd round – Use your noodles
• 3rd round – Flag round
• 4th Round – Gone in 60 seconds
• Rules specific to each round will be explained before the
respective rounds
• Decision of the quiz master will be considered final

4. ALL THE BEST

5. 1ST ROUND
PASSING ROUND

6. RULES
• Direct question carries 10 points.
• Time limit is 30 secs
• Unattempted or wrongly answered questions will be passed
to other teams
• Passed question carries 05 points and time given is 15 secs
• No negative marking

7. QUESTION 01
1. Ulcerative colitis is most closely related to
a. Pancreatitis
b. Rectal bleeding
c. Crohn’s disease
d. Acid reflux

8. ANSWER 01
c. Crohn’s disease

9. QUESTION 02
2. Celiac disease is caused by reaction to
a. Gluten
b. Sucrose
c. Dairy
d. Fat

10. ANSWER 02
a. Gluten

11. QUESTION 03
3. What is the function of appendix?
a. Part of immune system and produces antibodies
b. Regulates intestinal temperature
c. Balances bodily organs
d. No function

12. ANSWER 03
a. Part of immune system and
produces antibodies

13. QUESTION 04
4. Gastric atony can occur in
a. Motor neuron disease
b. Diabetes insipidus
c. Diabetes Mellitus
d. Marfan’s syndrome

14. ANSWER 04
c. Diabetes Mellitus

15. QUESTION 05
5. Chronic use of which of these medications can potentially
lead to Vit B 12 deficiency ?
a. Ranitidine
b. Omeprazole
c. Sulfasalazine
d. Cholestyramine

16. ANSWER 05
b. Omeprazole
• Chronic PPIs can potentially impair Vit B 12 absorption by causing
small intestine bacterial overgrowth or decreased gastric acid/
pepsin secretion

17. QUESTION 06
6. Which of the following terms refers to an indigestible food
ingredient that selectively promotes the growth of bacteria in the
digestive tract in a way that benefits the host?
a. Probiotic
b. Prebiotic
c. Synbiotic
d. Pharmabiotic

18. ANSWER 06
b. Prebiotic
• Probiotic contains live microorganisms
• Synbiotic - Mixture of pre and probiotic
• Pharmabiotic – any biological product that is obtained from the
human microbiota & has biological activity

19. QUESTION 07
• What are the components of H pylori kit?
a. PPI+ Amoxycillin+Clarithromycin
b. PPI+ Amoxycillin+ Tinidazole
c. H2 receptor antagonist+ Amoxycillin+Clarithromycin
d. H2 receptor antagonist + Amoxycillin+ Tinidazole

20. ANSWER 07
a. PPI+ Amoxycillin+Clarithromycin

21. QUESTION 08
8. Which of the following peptides suppresses glucagon secretion,
delays gastric emptying and induces satiety?
a. Leptin
b. Amylin
c. Motilin
d. Serotonin

22. ANSWER 08
b. Amylin
• Leptin induces satiety but does not delay gastric emptying or
glucagon secretion
• Amylin is a peptide synthesised by the B cells of the Pancreas
• Motilin stimulates gastric emptying
• Serotonin plays no role in satiety or glucagon secretion but is
helpful for gut motility

23. AUDIENCE QUESTION
• What are the constituents of Probiotic?

24. ANSWER
• Lactobaccilus acidophillus
• Bifidobacterium strains
• Saccharomyces boulardi
• Fructo-oligosaccharides

25. SCORES
HOUSES POINTS
EMERALD
AMBER
SAPPHIRE
RUBY

26. 2ND ROUND
USE YOUR NOODLES

27. RULES
• Each question carries 10 points.
• Time limit is 30 secs
• Questions cannot be passed to other teams
• No negative marking

28. QUESTION 01
1. A 46 years old man, Mr Rohit complains of having 06 episodes of
loose watery stools since morning without any history of nausea
or vomiting. What is the provisional diagnosis?
a. Gastritis
b. Enteritis
c. Gastroenteritis
d. Dysentery

29. ANSWER 01
b. Enteritis
• Nausea & vomiting – Gastritis
• Loose stools- Enteritis
• Both – Gastroenteritis
• Loose stools with blood- Dysentery

30. QUESTION 02
• A 55 year old man complains of chronic heart burn and has been
on chronic PPI therapy. What is the most likely finding in upper GI
endoscopy?
a. Hyperplastic polyp
b. Fundic gland polyp
c. Gastric inlet patch
d. Inflammatory gastric polyp

31. ANSWER 02
b. Fundic gland polyp
• They are benign growths that are associated with chronic PPI
therapy. They carry a negligible malignant potential & are
considered incidental finding on routine upper GI endoscopy

32. QUESTION 03
3. Mrs ‘X’ in her 3rd trimester of pregnancy presented with complaints of
abdominal pain, distension and cardiovascular collapse and her condition
has further complicated by hepatic rupture. Identify the condition
a. Viral hepatitis
b. Cholestasis of pregnancy
c. HELLP Syndrome
d. Autoimmune hepatitis

33. ANSWER 03
c. HELLP syndrome
• Other conditions are not associated with hepatic rupture during
pregnancy.

34. QUESTION 04
4. A 71 year old man presents with acute abdominal pain. CT Scan
reveals air in the peritoneal space and is diagnosed with bowel
perforation. Which of the following is the least likely location of
bowel perforation?
a. Jejunum
b. Caecum
c. Ascending colon
d. Transverse colon

35. ANSWER 04
c. Ascending colon
• As ascending colon is the only retroperitoneal organ among the
above, its perforation leads to the presence of retroperitoneal air
not peritoneal air.

36. QUESTION 05
• This condition is one of the most common cause of death in
developing countries and also the 2nd most cause of infant death
(1st being malnutrition).
• The name of this condition arises from a Greek word meaning
‘flowing through’
• What is the condition?

37. ANSWER 05
• Diarrhea

38. QUESTION 06
• ‘X’ got the Nobel prize for physiology and medicine for his work on
digestion
• Conditioned reflex is one of his most popular work
• Name ‘X’

39. ANSWER 06
• Ivan Petrovich Pavlov

40. QUESTION 07
• He was a famous fast bowler who was suffering from diabetes
during his career
• Presently he is a prominent cricket commentator and critic
• Who is he?

41. ANSWER 07
• Wasim Akram

42. QUESTION 08
• One of the modes of transmission of this disease is by kissing.
• Many tennis players including Roger Federer had this disease.
• The disease is thereby named kissing disease
• What is the other name of kissing disease and which
microorganism causes this?

43. ANSWER 08
• Infectious mono – nucleosis
• Epstein-Barr virus

44. AUDIENCE QUESTION
• Dr ‘X’ was convinced that a certain bacteria caused stomach
ulcers.
• Since it was illegal to test his theory on humans, he drank the
bacteria himself, developed ulcers within days & treated himself
• He then went on to win a nobel prize for his work.
• Name the microorganism
• Who is this great personality?

45. ANSWER
• Helicobacter pylori
• Dr Barry Marshall

46. SCORES
HOUSES POINTS
EMERALD
AMBER
SAPPHIRE
RUBY

47. FLAG ROUND

48. RULES
• After the quiz master has completed reading the question, the teams
can raise their flags
• The team who raises the flag first will get to attempt the answer
• Each question carries 10 points
• Questions cannot be passed
• 05 negative points for wrong answer

49. QUESTION 01
• This is an endoscopic view of a stomach
• It occurs in GAVE(Gastric Antral Vascular Ectasia) disease
• What is this finding called?

50. ANSWER 01
• Watermelon stomach

51. QUESTION 02
• What is this sign called?

52. ANSWER 02
• Spider angioma

53. QUESTION 03
• This picture depicts Birds
beak appearance
• In which condition is it
seen?

54. ANSWER 03
• Esophageal achalasia
• Failure of smooth muscle
fibres to relax which can
cause lower esophageal
sphincter to remain closed.

55. QUESTION 04

56. ANSWER 04
• Intussusception in intestinal obstruction

57. QUESTION 05
5. Identify this condition

58. ANSWER 05
• Trichobezoar
• Intestinal obstruction

59. QUESTION 06
• Identify the sign
• In which condition does this occur?

60. ANSWER 06
• Cullen’s sign
• Pancreatitis

61. QUESTION 07
• Identify the procedure

62. ANSWER 07
• Bilroth II
Gastojejunostomy is done in Bilroth II

63. QUESTION 08
• Identify this tube
• What it is used for?

64. ANSWER 08
• Sengstaken-Blakemore tube
• It is a medical device used to stop or slow bleeding from the
esophagus and stomach i.e. in gastric and esophageal varices

65. AUDIENCE QUESTION
•

66. ANSWER
• John F Kennedy, Kurt Cobain, Darren Fletcher
• They all had Inflammatory Bowel Disease

67. SCORES
HOUSES POINTS
EMERALD
AMBER
SAPPHIRE
RUBY

68. GONE IN 60 SECONDS

69. RULES
• Each team will get to attempt 10 questions
• Time limit is 60 seconds
• If you do not know the answer, you can pass and attempt later
• Wrongly answered questions cannot be attempted again
• Each question carries 10 points
• No negative marking

70. ALL THE BEST

71. TEAM 01
1. What is the full form of ERCP
2. Grey Turner’s sign is an indication of ________
3. Hepatocellular carcinoma can be prevented by vaccine. True or False
4. Normal value of HDL is ______mg/dl
5. Barrett’s esophagus is a complication of_________
6. Length of duodenum is _______cm
7. Abnormal dilatation of the esophageal & gastric veins is known as______
8. What is the normal portal venous pressure?
9. A pulsating periumbilical mass indicates _________
10. Painless, white, raised lesions on the lateral aspect of the tongue is known
as _________

72. TEAM 01 ANSWERS
1. ERCP – Endoscopic Retrograde Cholangio-Pancreatography
2. Grey Turner’s sign is an indication of Pancreatitis
3. Hepatocellular carcinoma can be prevented by vaccine. True
4. Normal value of HDL is 40-59mg/dl
5. Barrett’s esophagus is a complication of GERD
6. Length of duodenum is 28-35 cms
7. Abnormal dilatation of the esophageal & gastric veins is known as varices
8. The portal venous pressure is 5-10 mm Hg
9. Pulsating periumbilical mass indicates Abdominal aortic aneurysms
10. Painless, white, raised lesions on the lateral aspect of the tongue is known
as Oral Hairy Leukoplakia

73. TEAM 02
1. What is the full form of GGT
2. Rovsing’s sign is elicited in ________
3. In Peptic Ulcer, pain occurs immediately after meals. True or False
4. Normal value of Uric acid is ______mg/dl
5. Dumping syndrome is a complication of ________
6. Length of the esophagus is __________ cms
7. Rapid urease breath test is done to detect_____
8. pH of the gastric mucosa is _________
9. Brownish yellow rings seen in the eyes in Wilson’s disease is known
as________
10. One of the complication of alcohol abuse in which inflammatory,
degenerative changes of the brain takes place is ________

74. TEAM 02 ANSWERS
1. GGT – Gamma Glutamyl Transferase
2. Rovsing’s sign is elicited in Appendicitis
3. In Peptic Ulcer, pain occurs immediately after meals. True
4. Normal value of Uric acid is 2.4-6.0 mg/dl
5. Dumping syndrome is a complication of Gastric surgeries
6. Length of the esophagus is 25cms
7. Rapid urease breath test is done to detect Helicobacter pylori
8. pH of the gastric mucosa is 1.5-3.5
9. Brownish yellow rings in the eyes in Wilson’s disease is known as Kayser
Fleisher rings
10. One of the complication of alcohol abuse in which inflammatory,
degenerative changes of the brain takes place is Wernike’s encephalopathy

75. TEAM 03
1. What is the full form of TIPS
2. Murphy’s sign is an indication of ________
3. Rifaximin is the antibiotic used in Hepatic encephalopathy. True or False
4. Normal value of Serum Amylase is ______IU/L
5. Portal hypertension is a complication of __________
6. Length of pancreas is ______inches
7. Loud rumbling gurgling sounds heard on auscultation of the abdomen is known
as ___________
8. A condition where a patient is unable to defecate even though he has a strong
urge to defecate is known as______
9. Significant weight loss means weight loss of ________
10. Tear in the mucus membrane or inner lining where the esophagus meets the
stomach is known as _________

76. TEAM 03 ANSWERS
1. TIPS- Transjugular Intrahepatic Porto Systemic Shunt
2. Murphy’s sign is an indication of Cholelithiasis
3. Rifaximin is the antibiotic used in Hepatic encephalopathy. True
4. Normal value of Serum Amylase is 23-85 IU/L
5. Portal hypertension is a complication of Liver Cirrhosis
6. Length of pancreas is 06 inches
7. Loud rumbling gurgling sounds heard on auscultation of the abdomen is
known as Borborygmi sounds
8. A condition where a patient is unable to defecate even though he has a
strong urge to defecate is known as Tenesmus
9. Significant weight loss means weight loss of more than 5% of body weight
within 06 months
10. Tear in the mucus membrane or inner lining where the esophagus meets the
stomach is known as Mallory Weiss tear

77. TEAM 04
1. What is the full form of UDCA
2. Shifting dullness is seen in ________
3. Sequence of abdominal examination is Inspection, Palpation, Percussion
and Auscultation. True or False
4. Normal value of Albumin ______ g/dl
5. Gastric Outlet Obstruction is a complication of ___________
6. Weight of liver in a normal adult is _________kg
7. Painful ulceration of the oral mucosa is known as__________
8. Surgical intervention done in Whipple’s procedure is known as _____
9. Which vitamin is deficient in chronic gastritis?
10. Musty, sweet odor of the patient’s breath is known as __________

78. TEAM 04 ANSWERS
1. UDCA- UrsoDeoxyCholic Acid
2. Shifting dullness is seen in Ascites
3. Sequence of abdominal examination is Inspection, Palpation, Percussion
and Auscultation. False
4. Normal value of Albumin is 3.5-4.5 g /dl
5. Gastric Outlet Obstruction is a complication of Peptic ulcer disease
6. Weight of liver in a normal adult is 1.2- 1.5 kg
7. Painful ulceration of the oral mucosa is known as Aphthous ulcer
8. Surgical intervention done in Whipple’s procedure is known as
Pancreaticoduodenectomy
9. Vit B12 is deficient in chronic gastritis
10. Musty, sweet odour of the patient’s breath is known as Fetor hepaticus

79. AUDIENCE QUESTION
• Castell’s sign is an indication of which condition?
• How do you elicit the sign?

80. ANSWER
• Splenomegaly
• How to elicit?
– Percuss in the lowest left
intercostal space in the anterior
axillary line
– Usually at the 8th or 9th intercostal
space
– This space should remain resonant
during full inspiration
– Dullness on full inspiration
indicates Splenomegaly

81. FINAL SCORES
HOUSES POINTS
EMERALD
AMBER
SAPPHIRE
RUBY

82. THANKYOU

83. WILL MEET YOU NEXT
WITH