S4 GIT FALL 21-22

Formative Exam
iRAT & tRAT
Wednesday 23/2/2022

1. The following statements about the gall bladder are

true, except:
a. It lies to the left of the quadrate lobe of the liver.
b. Its fundus is opposite to the right 9th costal
cartilage.
c. Is supplied by the right phrenic nerve.
d. Is related to the first part of the duodenum.
e. Is a derivative of foregut.
2. Control of intestinal secretion is mainly through:
a. gastrin hormone.
b. local stimuli.
c. conditioned reflexes.
d. unconditioned reflexes.
e. somatostatin hormone.
3. The main site of food absorption is:
a. small intestine
b. stomach.
c. rectum.
d. large intestine.
e. descending colon.
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4. The fundic gland:
a. Is a branched alveolar gland
b. Is narrow, straight and long
c. Is perpendicular to each other
d. Its duct occupies ½ the corium
e. Is mainly formed of mucous cells
5. Brunners glands are present in submucosa of:
a. Duodenum
b. Jeujenum
c. Iluem
d. Appendix
e. Rectum

6. Paneth cells are:

a. Enteroendocrine cells.
b. Pepsin secreting cells
c. Mucous secreting cells.
d. Present in intestinal villi.
e. Hydrochloric acid secreting

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7. Ulcerative colitis:
a. Carries a risk of colonic cancer
b. Can be treated with a LOFFLEX diet
c. Can be caused by small intestinal bacterial
overgrowth
d. Can be caused by milk intolerance
e. Can be caused by viruses

8. Which of the following drugs used in treatment of IBD

by suppression of immunity?
a. Amino salicylates (5-ASA)
b. Infliximab
c. Certolizumab
d. Natalizumab
e. 6- Mercaptopurine

9. Natalizumab act by which of the following

mechanism?
a. Anti-inflammatory
b. Immune system suppressors
c. Anti-tumor necrosis factor
d. Anti-integrin
e. Anti-diarrheal medications

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10. A 40-year-old man has had malabsorption with 5 kg
weight loss for the past year associated with diarrhea,
bloating, and fatigue. He also has iron deficiency
anemia. Biopsies of the duodenum reveal villous
broadening with dense lymphoid infiltrate.
Which of the following therapies is most likely to be
useful for this man?
a. Gluten-free diet
b. Corticosteroids
c. Antibiotics
d. Segmental duodenal resection
e. Antacids
11. Iodine is required for the formation of:
a. Vitamin B12
b. Thyroxine
c. Insulin
d. Calcitonin
e. Vitamin C
12. One of the following statements is true in the
transamination of amino acids:
a. Ammonia is neither consumed nor produced
b. Requires retinal
c. The amino group acceptor is α-amino acid
d. All amino acid can undergo transamination
e. Valine is transaminated to the corresponding α-keto
acid
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