Lên đầu trang Q39: hệ thống các biến chứng của bệnh viêm ruột mà có xu hướng xảy ra trong thời gian tái phát bệnh hoạt động bao gồm tất cả các sau, ngoại trừ: a-loét miệng. B-Episcleritis. c-mủ da hoại thư. d-huyết khối tĩnh mạch sâu. | c- Daily bowel motions more than twice a day d- ESR more than 30 mm hr. e- Serum albumin less than 30 g L Q39 Systemic complications of inflammatory bowel disease that tend to occur during an active relapse include all of the followings except a- Mouth ulceration. b- Episcleritis. c- Pyoderma gangrenosum. d- Deep venous thrombosis. e- Sacroiliitis. Q40 Management of inflammatory bowel disease all of the followings are true except a- Salphasalazine side effects are usually dose dependent and reversible. b- Specific nutritional therapy in Crohn s disease can be very effective but it is expensive and poorly tolerated by most patients. c- The most important indication for surgery is the impairment of the quality of life including schooling occupation social and family life. d- Colectomy should be done when the diameter of the transverse colon in an acute attack exceeds 6 cm as this indicates impending perforation. e- Total colectomy is rarely curative in ulcerative colitis. Q41 Irritable bowel syndrome all of the followings are true except a- Diarrhea predominant type should be differentiated from microscopic colitis lactose intolerance and bile salt diarrhea. b- The commonest presentation is abdominal pain. c- 1 of cases only will meet criteria of a psychiatric disease. d- Reassurance of the patient has a very important aspect in the management. e- Amitriptylin may be used in selected patient. Q42 Indicators of malignancy in adenomatous polyps all of the followings are true except a- The presence of dysplastic changes on histology. b- The presence of multiple polyps. c- Large size polyps of more than 2 cm. d- The presence of a villous architecture on histology. e- The presence of metaplastic polyps. Q43 Familial adenomatous polyposis FAP all of the followings are true except a- It is has been shown to be due to a germ line mutation in the APC gene on chromosome 5. b- 50 of cases have adenomatous polyps in the stomach and 90 in the duodenum. c- Congenital hypertrophy .
