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Gastroenterology: Clinical Vignettes MCQs

Waraq Clinical Review: Gastroenterology · USMLE - Step III · 12 practice questions

1. A dysphagia with a bird-beak appearance on barium swallow suggests:

  1. ADiffuse spasm
  2. BGORD
  3. COesophageal cancer
  4. DAchalasia
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D. Achalasia The lower oesophageal sphincter fails to relax.

2. A positive Murphy sign suggests:

  1. ACholangitis
  2. BAcute cholecystitis
  3. CPancreatitis
  4. DAppendicitis
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B. Acute cholecystitis Pain on inspiration during palpation of the right upper quadrant.

3. First-line treatment for GORD is:

  1. AA proton pump inhibitor
  2. BSurgery
  3. CSteroids
  4. DAntibiotics
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A. A proton pump inhibitor Lifestyle advice also helps.

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