This document contains a reset exam for the GIT system with questions covering anatomy, pathology, physiology, microbiology, biology, pharmacology, parasitology, and histology. There are 20 multiple choice and short answer questions testing knowledge of the nerves related to the psoas major, the inferior vena cava, relations of the liver, stomach development, ulcerative colitis, peptic ulcers, cirrhosis, acute pancreatitis, saliva functions, gastric motility, gallbladder functions, identification of gram-negative bacteria, hepatitis diagnosis and prevention, Hartnup's disease, monosaccharide absorption, aminosalicylate derivatives, aprepitant, methylcellulose, Helicobacter pylor

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Faculty of Medicine- Alexandria University
Third year (IUMP) - 2nd Semester
Reset Exam
GIT System
Date:2/10/2014 Time allowed:110 minutes
Totalmarks: 65 marks All questions to be answered
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Anatomy:
Give a short account on:
1. Nerves related to psoas major and their root value. (4 marks)
2. Beginning, termination, and tributaries of inferior vena cava. (4 marks)
3. Draw a diagram showing the relations of the inferior surface of the liver. (3 marks)
4. Give a short note on the development of the stomach. Name two of its congenital anomalies.
(3 marks)
Pathology:
5. Give a short accounton :
a. The gross and microscopic picture of ulcerative colitis. (3 marks)
b. Peptic ulcer as regards: (pathogenesis, most common locations and morphology) (3 marks)
6. Enumerate the different etiologiesofcirrhosis (2 marks)
7. Mention the causes ofacute pancreatitis. (2 marks)
Physiology:
8. Four functions of saliva. (4 marks)
9. Three types of gastric motility. (3 marks)
10.Functions of gallbladder. (3 marks)
Micro:
11.A 30 yearold man has fever for 10 days without obvious cause and without
specific or localizing signs or symptoms. Blood culture grows Gram negative
nonlactose fermenting rods. (Mark 3.5)
a) What is the causative organism.
b) Enumerate biochemical reaction in order to identify this organism.
c) What are the sites is this organism most likely to be found during the carrier state.
d) Name the serological test eventually for detection of antibodies in the serum of such a patient.
12.A nurse develops clinicalsymptoms consistentwith hepatitis. She recalls sticking
herself with a needle approximately 4 months before after drawing blood from a
patient. Serologic tests forHBsAg, antibodies to HBsAg, and Hepatitis A virus
(HAV) are all negative; however, she is positive for IgM HB core antibody.
(Mark 3.5)
a) Discuss the most appropriate diagnosis of this case.
b) Prevention and control of this disease.
Bio:
Give a short note on:

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13. Hartnup's disease. (1.5 marks)
14. Absorption of monosaccharides. (1.5 marks)
Pharmacology:
15.Mention 3 Aminosalysilate derivatives with different sites of action in the gut &
specify these different sites. (1.5 mark)
16.Explain the mechanismof action& Specify one therapeutic use for eachof the
following: (2 marks)
a. Aprepitant
b. Methylcellulose
17.List 3 adverse effects ofHelicobacterpylori eradicationregimens. (1.5 mark)
Para:
18.Give reason(s) for the following: (5 marks)
a. Portal hypertension is a complication of Schistosoma mansoni infection.
b. Meat should be properly cooked before eating.
c. Cryptosporidia differ from other coccidian protozoa.
d. Myocarditis can occur in Heterophyes heterophyes infection.
a. Praziquantel can be used in the treatment of Hymenolepis nana infection.
19.Name the parasite(s)which can be diagnosedby the following techniques.
Mention the parasitic stage that canbe found in each. (2marks)
a. Anal swab
b. Entero test capsule
20.Name the parasite (s) which cancause the following: (3 marks)
a. Flask shaped ulcers in the large intestine
b. Rectal prolapse
c. Appendicitis
d. Halzoun
Histology:
21.Mention the histologicalchangesthattake place at the pyloro-duodenal junction.
(2 marks)
22.Describe the histologicalcharacteristicsofthe following:
a. Absorptive columnar cell of the small intestine (enterocyte) referring to its adaptation to
perform its function. (2 marks)
b. A section in the gall bladder. (2 marks)
GOOD LUCK