1. Risk factor for gastric cancer is not:

1. Helicobacter pylori infection

2. Nonsteroidal antiflammatory drugs (NSAIDS)

3. Blood group A

4. The diet rich in smoked, slated or preserved food

5. The food rich in nitrates and nitrosamines

1. Indicate true sentences:

1. Gastric cancer is an indication for biopsy and histopathological examination.

2. Each duodenal ulcer is an indication for biopsy and histopathological examination toward neoplasia.

3. There is a screening program for gastric cancer in Poland, Sweden and Norway

4. Well differentiated early gastric cancer may be treated endoscopically

5. Gastroscopy is the best diagnostic examination in case of gastric cancer suspition

6. Patiens with diagnosed precancerous diseases (lesions) in stomach should be followed with gastroscopy.

1. True 1, 4, 5, 6

2. True 1, 2, 5, 6

3. True 1, 3, 4, 6

4. True 2, 3, 5, 6

5. True 2, 3, 4 ,5

1. Cholesterol produced ,,de novo” occurs in bile and consist:

1. 10%

2. 90%

3. Bile do not contain cholesterol

4. Cholesterol percipitation takes place when its solubility is reached and its supersaturation is >1

5. True A and D

1. In patients with acute pancreatitis the main element of treatment during first day is:

1. Start of prolifilactic antibioticatherapy

2. Start of theapeutic feeding

3. Start of intensice fluid resuscitation aimed to replace fluid intraveous deficit

4. Start of treatment with analgesic drugs

5. All above answers are true

1. In patients with liver cirrosis and ascites the diagnosis of sponatenous bacterial peritonitis is based on:

1. The number of neutrophils in ascitic fluid > 500/mL, even in cases of lack of clinical symptoms and signs of negative bacterial culture.

2. The number neutrophils is ascitic fluid ≥ 250/mL and positive bacterial culture.

3. Negative bacterial culture, the number of neutrophils is ascetic fluid ≥ 250/mL and presence of clinical symptoms and signs

4. None of above is true

5. All above answers are true

1. To confirm the presence of infected pancreatic necrosis FNA should be preformed:

1. Under ultrasound guidance

2. Under dynamic contrast enhaced computer tomography (CE-CT)

3. Under contrast enhanced ultrasound (CE-USG) guidance

4. A and B are true

5. B and C are true

1. The first choice antibiotics in treatment of acute cholangitis are:

1. Rifamycin

2. Cephalosporins lll-generations

3. Probiotics

4. Makrolides

5. Echinokandines

1. The risk factors of fungal infection of pancreatic necrosis during pancreatitis is:

1. A treatment with many antibiotics

2. Prolonged antibiotics treatment

3. Long Stay of central venous catheter

4. Hospitalization in intensive care unit (ICU)

5. All above answers are true.

1. The following are used in pharmacological treatment of variceal bleeding

1. Somatostantin

2. Terlipressin

3. Antibiotics

4. A, B and C are true

5. Only A is true

1. Hepato-renal syndrome should be suspected when the following are noted:

1. Creatinine concetration > 1,5 mg/dL or creatinine clearance <40 ml/min

2. Plasma Na concentrations <130mmol/L and execretion Na with urine <10 mmol/L

3. Diuresis <500 ml, proteinuria, heamturia no obstructive nephropathy on ultrasound.

4. A and B are true

5. B and C are true

1. The main purpose for measurement of CA 19-9 concetration is:

1. The exclusion of benign enlarement of pancreatic head

2. Early diagnosis of cancer recurrence after pancreatic cancer resection

3. The prognosis of the effect of chemotherapy in pancreatic cancer

4. The possibility for diagnosis of jaundice causes

5. Specific monitoring (follow-up) of the course of pancreatic diseases

1. Thermal no-contact endoscopic methods of treatment of GI tract bleeding are:

1. Laser fotocoagulation and multipolar coagulation

2. Laser fotocoagulation and argon plasma coagulation (APC)

3. Argon plasma coagulation (APC) and multipolar coagulation

4. Multipolar coagulation and heat probe

5. Heat probe and argon plasma coagulation (APC)

1. Risk factors for pancreatic cancer are:

1. Breast cancer, small cell lung cancer.

2. Familial adenomatous polyposis (FAP), pancreatic cyst

3. Chronic pancreatitis, gastric cancer, lung cancer

4. Peutz-Jeghers syndrome, hereditary pancreatitis

1. The pancreatic FNA biopsy during differential diganosis of focal pancreatic lesion.

1. Always help to exclude pancreatic cancer

2. Help to confirm benign charactere of this lesion

3. Is necessary before pancreatic resection

4. Should be always preformed before PET

5. Helps to confirm the diagnosis pancreatic cancer

1. The inflammatory lesions in ulcerative colitis:

1. The involvement of the colon is contionous and spreads proximally

2. Involve only the distal part of the ileum

3. Digestive tract involvement is segmental

4. Involve transmurally all large bowel membrane

5. Fistulas and skin disorders coexist

1. The first choice treatment of ulcerative colitis is:

1. Immunosuppressants

2. Systemic and topical glucocorticoids

3. Mesalazine and its derivatives

4. Symptomatic treatment

5. Antibiotics or. metronidazole

1. The etiological factor of primary hepatic cancer is not:

1. Chronic hepatitis type C, B, D.

2. Hemochromatosis

3. Primary biliary cirrosis (PBC)

4. Treatment with anabolic hormones, estrogens

5. Multiple hepatic cysts

1. The most frequent liver metastatic cancer is:

1. Colon adenocarcinoma

2. Lung planoepithelial cancer

3. Melanoma

4. Lymphoma

5. Neuroendocrine tumor

1. The most frequent clinical sign/symptom of upper GI-tract bleeding is:

1. Abdominal pain

2. Melena

3. Hematemesis

4. Bloody stools

5. Fresh blood emesis

1. Which sentence about liver hemangioma is false:

1. Haemangioma occurs more often in woman

2. Nearly 99% of benign hepatic tumoar are Haemangiomas

3. Haemangioma rarely occurs in liver cirrosis and hepatic steatosis

4. The pregnancy and estroigens affect Haemangiomas

5. The treatment of choice is surgical treatment

1. The most important part of irritable bowel syndrome treatment (IBS) in each case is:

1. Restriction diet

2. Probiotics

3. Good relationship between patient and doctor

4. High dose of antidepressive durgs

5. Anti-emetic drugs

1. Monitoring of severe attach of ulcerative colitis treatment include:

1. Frequent physical examniation

2. Measurement of ”vital signs” 4 times per day or more often

3. Number and type of stools

4. Laboratory tests every 24-48 hours

5. All above criteria

1. The risk factors of post-infectious irritable bowel syndrom includes (PI-IBS) are:

1. Female gender

2. Stress before infection

3. High level of somatization

4. Genotyp with low secretion of anti-inflammatory cytokines

5. All of the above

1. The following may be a cause of constipation

1. Colon cancer

2. Low-fiber-diet

3. Parkinsons disease

4. Hypothyrodism

5. All of the above

1. In case of functional constipation the following sentence is false.

1. Functional constipation is the most frequent type of primary constipation

2. Functional constipation diagnosis is based on Rome lll criteria

3. Low-fiber diet is beneficial in the treatment of functional constipation

4. The changes in nutritional habits and the increase in physical activity are effective in the treatment of functional constipation

5. None of the above

1. The risk factors of pseudomembranous colitis are:

1. AntiBioticotherapy

2. Long hospitalization, hospitalization in Intensive care Unit.

3. Immunosupressive treatment

4. Shock

5. All of the above

1. Mechanism or causes of irrtable bowel syndroms (IBS) are:

1. Visceral hypersensitivity and motor disorders

2. Disturbed brain-gut axis and role of 5-hydroksytryptamine (serotonin)

3. Role of infection and an inflammation and chaged bacterial flora

4. Environmental factors, psychological and emotional stress and genetic factors.

5. All of the above

1. Risk factors for colorectal cancer are:

1. Irritable bowel syndrome (IBS)

2. A low-fiber diet

3. Diet low in red meat

4. Long-term treament with aspirin

5. Long-term treatment with clopidogrel

1. What age should colon cancer screening start?

1. 32

2. 40

3. 45

4. ≥ 50

5. Depending on clinical symptoms

1. Test for stool occult blood

1. Needs sample of blood

2. Can not be preformed at home

3. Is a screening method for colon cancer

4. All of the above

5. None of the above