NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 127
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1. Helicobacter pylori is most commonly associated with
a. Angiosarcoma
b. MALT lymphoma
c. Squamous cell carcinoma
d. Adenocarcinoma
Answer: b. MALT lymphoma
Description:MALT lymphoma is a type of non-Hodgkin lymphoma that can develop in the stomach. It is caused by infection with Helicobacter pylori bacteria. Helicobacter pylori is a common bacteria that can infect the stomach lining. It is estimated that about 50% of the world's population is infected with H. pylori. In most people, the infection does not cause any problems. However, in some people, the infection can lead to chronic inflammation of the stomach lining, which can increase the risk of developing gastric carcinoma or MALT lymphoma. Adenocarcinoma is the most common type of gastric carcinoma. It is a type of cancer that starts in the glandular cells of the stomach lining. Squamous cell carcinoma is a type of cancer that starts in the squamous cells of the stomach lining. Angiosarcoma is a rare type of cancer that starts in the blood vessels of the stomach lining.
2. From the following option which is the most common site for stomach cancer:
a. Greater curvature
b. Fundus
c. Antrum
d. Cardia
Answer: c. Antrum
Description:MALT lymphoma is a type of non-Hodgkin lymphoma that can develop in the stomach. It is caused by infection with Helicobacter pylori bacteria. Helicobacter pylori is a common bacteria that can infect the stomach lining. It is estimated that about 50% of the world's population is infected with H. pylori. In most people, the infection does not cause any problems. However, in some people, the infection can lead to chronic inflammation of the stomach lining, which can increase the risk of developing gastric carcinoma or MALT lymphoma. Adenocarcinoma is the most common type of gastric carcinoma. It is a type of cancer that starts in the glandular cells of the stomach lining. Squamous cell carcinoma is a type of cancer that starts in the squamous cells of the stomach lining. Angiosarcoma is a rare type of cancer that starts in the blood vessels of the stomach lining.
3. What is the most common site for gastrointestinal stromal tumor?
d. Colon
a. Liver
c. Stomach
b. Duodenum
Answer: c. Stomach
Description:Gastrointestinal stromal tumors (GISTs) are the most common type of mesenchymal tumor of the gastrointestinal tract. They are typically found in the stomach, but can also occur in the small intestine, colon, and esophagus. GISTs are thought to arise from interstitial cells of Cajal, which are specialized cells that control the movement of food through the digestive tract. GISTs are often slow-growing tumors, but they can be aggressive and metastasize to other parts of the body. The symptoms of GISTs can vary depending on the size and location of the tumor. Some common symptoms include: Abdominal pain Weight loss Nausea and vomiting Blood in the stool Anemia If you experience any of these symptoms, it is important to see a doctor right away. Early diagnosis and treatment of GISTs is important, as it can improve the chances of survival. The other options are not as common as the stomach for GISTs. Liver, duodenum, and colon are not as common as stomach for GISTs.
4. Which of the following is not the early assessment findings of the gastric cancer?
a. Epigastric pain
b. Indigestion
c. Vomiting
d. Abdominal discomfort
Answer: c. Vomiting
Description:Vomiting is not typically considered one of the early assessment findings of gastric cancer. The early symptoms and assessment findings of gastric cancer may include: a. Indigestion b. Epigastric pain (pain in the upper middle part of the abdomen) d. Abdominal discomfort It's important to note that the symptoms of gastric cancer can vary, and not everyone will experience the same signs. Additionally, these symptoms can also be caused by other less serious conditions. If someone is experiencing persistent or concerning symptoms, they should seek medical evaluation for a proper diagnosis and appropriate management.
5. Which of the following manifestation is found commonly in patient with advanced stage of gastric cancer and lens likely in early stages of cancer?
a. Blood in stool
b. Heartburn
c. Loss of appetite
d. Bloated feeling after meal
Answer: a. Blood in stool
Description:Symptoms in the early stages of stomach cancer: • Indigestion and stomach discomfort • A bloated feeling after meal • Mild nausea • Heartburn (epigastric pain) • Loss of appetite Symptoms in more advanced stages of stomach cancer: • Blood in the stool • Vomiting • Jaundice • Ascites • Dysphagia • Stomach pain
6. Following the gastrectomy, the drainage from the nasogastric tube appears bloody. What is the appropriate nursing responsibility in this scenario?
a. Change the position of the client
b. It is a normal findings
c. Assess the surgical site for any infection
d. Inform the physician immediately
Answer: b. It is a normal findings
Description:It is a normal finding. After a gastrectomy, it is common for the drainage from the nasogastric tube to appear bloody. This is because the stomach has been removed, and the blood vessels that were supplying the stomach are now draining into the nasogastric tube. The bloody drainage will usually clear up within a few days. If the drainage from the nasogastric tube is bright red or continuous, or if the patient is also experiencing other symptoms such as fever or pain, it is important to inform the physician immediately. These symptoms could indicate a more serious problem, such as a bleeding ulcer or a blood clot. Changing the patient's position or assessing the surgical site for infection are not appropriate interventions in this case. The bloody drainage is a normal finding and will usually clear up on its own.
7. Which vitamin deficiency is seen in after gastrectomy for gastric cancer?
d. Vitamin B1
a. Vitamin A
c. Vitamin B12
b. Vitamin B6
Answer: c. Vitamin B12
Description:The stomach is the only site of secretion of intrinsic factor. Following total gastrectomy, the human would be excepted to have trouble in the absorption of vitamin B12 due to absence of intrinsic factor and evenly develops vitamins B12 deficiency.
8. Approximately, how long NPO should be maintained after gastrectomy surgery?
a. 1 to 4 days
b. 1 to 3 days
c. 2 to 5 days
d. 0 to 1 day
Answer: b. 1 to 3 days
Description:NPO stands for "Nil Per Os" or "Nothing By Mouth," which means no oral intake of food or liquids. After gastrectomy surgery (removal of all or part of the stomach), patients are often kept NPO for a period of time to allow the gastrointestinal tract to heal and recover from the surgery. The duration of NPO status may vary depending on the patient's condition, the extent of the surgery, and the surgeon's preference. In general, after gastrectomy surgery, patients are kept NPO for about 1 to 3 days, during which they receive intravenous (IV) fluids and medications. After this initial period, the healthcare team will gradually introduce clear liquids, and then progress to a regular diet based on the patient's tolerance and recovery. It's important to note that the management of post-operative care can vary based on individual patient factors, so specific instructions should always be followed as provided by the healthcare team.
9. The most common cause of hepatocellular carcinoma (HCC) in India is:
a. Hepatitis B infection
b. Alcohol abuse
c. HIV infection
d. Hepatitis C infection
Answer: a. Hepatitis B infection
Description:Hepatitis B is a virus that can infect the liver. It is a major cause of liver cancer, especially in developing countries like India. Hepatitis C infection is another major cause of liver cancer. However, it is less common than hepatitis B in India. Alcohol abuse is also a risk factor for liver cancer, but it is not as common as hepatitis B or hepatitis C. HIV infection is not a major cause of liver cancer. However, people with HIV are more likely to develop liver cancer if they also have hepatitis B or hepatitis C. The risk of developing liver cancer from hepatitis B infection is about 20%. The risk of developing liver cancer from hepatitis C infection is about 10%. The risk of developing liver cancer from alcohol abuse is about 5%. If you are at risk of developing liver cancer, it is important to get regular checkups with your doctor. Early detection and treatment of liver cancer can improve the chances of survival.
10. Hepatitis-B infection is associated with which of the following malignancy?
a. Gastric cancer.
b. Esophageal cancer
c. Hepatocellular cancer
d. Burkitt’s lymphoma
Answer: c. Hepatocellular cancer
Description:Hepatitis B virus (HBV) infection is a known risk factor for the development of hepatocellular carcinoma, which is the most common type of primary liver cancer. Chronic HBV infection can lead to liver inflammation (chronic hepatitis), which, over time, can progress to liver cirrhosis and increase the risk of developing hepatocellular carcinoma. It is important to note that not all individuals with chronic HBV infection will develop liver cancer, but the infection does increase the risk significantly. Options a, b, and d (Burkitt's lymphoma, esophageal cancer, and gastric cancer) are not directly associated with hepatitis B infection. These types of cancer have different risk factors and etiologies. Burkitt's lymphoma is associated with the Epstein-Barr virus, while esophageal cancer is often linked to factors such as smoking, alcohol consumption, and gastroesophageal reflux disease (GERD). Gastric cancer can be associated with Helicobacter pylori infection, among other factors.
11. Occupational exposure to which of the following material is one of the risk factors for angiosarcoma of liver?
a. Sugarcane
b. Benzene
c. Asbestos
d. Vinyl chloride
Answer: d. Vinyl chloride
Description:. Vinyl chloride is a colorless, odorless gas that is used to make plastics. It is a known carcinogen, and occupational exposure to vinyl chloride has been linked to an increased risk of angiosarcoma of the liver. Angiosarcoma is a rare type of cancer that starts in the blood vessels of the liver. It is a very aggressive cancer, and it is often fatal. Other risk factors for angiosarcoma of the liver include: Exposure to radiation: Radiation therapy can increase the risk of angiosarcoma of the liver. Inherited genetic mutations: Some people have inherited genetic mutations that increase their risk of angiosarcoma of the liver. If you are at risk of developing angiosarcoma of the liver, it is important to get regular checkups with your doctor. Early detection and treatment can improve the chances of survival.
12. Which of the following virus is responsible for the cause of hepatocellular carcinoma?
a. Rota virus
b. Hepatitis B
c. Varicella zoster virus
d. Herpes simplex virus
Answer: b. Hepatitis B
Description:Hepatitis B virus (HBV) is one of the major viruses responsible for causing hepatocellular carcinoma (HCC), which is the most common type of primary liver cancer. Chronic infection with HBV can lead to liver inflammation (chronic hepatitis), liver cirrhosis, and an increased risk of developing HCC over time. Options a, c, and d (rotavirus, herpes simplex virus, and varicella-zoster virus) are not associated with the development of hepatocellular carcinoma. Rotavirus is a common cause of gastroenteritis in children; herpes simplex virus can cause oral or genital herpes; and varicella-zoster virus is responsible for chickenpox and shingles. These viruses do not have a direct link to hepatocellular carcinoma.
13. The best diagnostic measure for liver tumor is:
a. CT scan
b. PET scan
c. MRI
d. X ray
Answer: c. MRI
Description:The diagnostic efficacy of MRI in the diagnosis of small hepatocellular carcinoma (HCC) is better than that of CT scan screening. When CT screening is not sufficient to accurately determine liver tumor lesions, MRI can provide a more precise imaging basis.
14. The malignant condition which is associated with liver cirrhosis?
a. Adenocarcinoma
b. Hepatocellular carcinoma
c. Hemangioma
d. Squamous cell carcinoma
Answer: b. Hepatocellular carcinoma
Description:Hepatocellular carcinoma is the malignant condition that is associated with liver cirrhosis. Liver cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism. When cirrhosis occurs, liver function is impaired, and the liver tissue becomes scarred and nodular. Cirrhosis is considered a significant risk factor for the development of hepatocellular carcinoma (HCC). Options a, c, and d (squamous cell carcinoma, adenocarcinoma, and hemangioma) are not directly associated with liver cirrhosis. Squamous cell carcinoma and adenocarcinoma are types of cancers that can occur in various organs, but they are not specifically linked to liver cirrhosis. Hemangiomas are benign tumors and not associated with cirrhosis or liver cancer.
15. Exposure to the drug aflatoxin may cause?
c. Hemangioma
b. Lung fibrosis
a. Stomach cancer
d. Hepatocellular carcinoma
Answer: d. Hepatocellular carcinoma
Description:Dietary exposure to aflatoxins is among the major risk factors of hepatocellular carcinoma (HCC). Aflatoxin B1, which is a genotoxic hepatocarcinogen, which presumptively cause cancer by inducing DNA adducts leading to genetic changes in target liver cells.
16. Which is the most common type of liver cancer?
a. Hepatocellular carcinoma
b. None of the above.
c. Cholangiocarcinoma
d. Hepatoblastoma
Answer: c. Cholangiocarcinoma
Description:HCC is the most common type of liver cancer, accounting for about 80% of all cases. It is a type of cancer that starts in the liver cells. Other types of liver cancer include: Cholangiocarcinoma: This is a type of cancer that starts in the bile ducts. Hepatoblastoma: This is a rare type of cancer that starts in the liver cells in children. Angiosarcoma: This is a rare type of cancer that starts in the blood vessels of the liver. HCC is often caused by chronic liver disease, such as hepatitis B or hepatitis C infection. It can also be caused by alcohol abuse, obesity, and diabetes. If you are at risk of developing liver cancer, it is important to get regular checkups with your doctor. Early detection and treatment can improve the chances of survival.
17. Which of the following is not the risk factor of liver cancer?
a. Hepatitis B infection
b. Exposure to aflatoxins
c. Age of below 20.
d. Excessive alcohol consumption
Answer: c. Age of below 20.
Description:Age below 20 is not a risk factor for liver cancer. In fact, liver cancer (hepatocellular carcinoma) is more commonly associated with older age, and the risk increases with advancing age. The other options are indeed risk factors for liver cancer: a. Excessive alcohol consumption: Chronic and heavy alcohol consumption can lead to liver damage and cirrhosis, which increases the risk of liver cancer. b. Hepatitis B infection: Chronic hepatitis B infection is a well-known risk factor for liver cancer. The virus can cause long-term liver inflammation and increase the likelihood of developing hepatocellular carcinoma. d. Exposure to aflatoxins: Aflatoxins are toxins produced by certain types of mold, commonly found in improperly stored food items, such as grains, nuts, and legumes. Chronic exposure to aflatoxins is a significant risk factor for liver cancer. It's important to note that liver cancer can have multiple risk factors, and individuals may have a higher risk if they have more than one risk factor. Regular medical check-ups, lifestyle modifications, and preventive measures can help reduce the risk of liver cancer.
18. What is the confirmatory test for liver cancer?
a. X ray
b. MRI scan
c. Liver biopsy
d. CT scan
Answer: c. Liver biopsy
Description:A biopsy means removing a sample of cells or tissue and looing at it under a microscope. The only clear way to tell the difference between a malignant or benign growth is to examine it by removing a sample of tissue and reviewing it under a microscope. There is no single imaging technique (CI,MRI, USG, etc. that will correctly identify all hepatocellular carcinoma.
19. The presence of high levels of alpha feto protein (AFP) is seen in which of the following cancer?
a. Prostate cancer
b. Liver cancer
c. Pancreatic cancer
d. Breast cancer
Answer: b. Liver cancer
Description:AFP is produced whenever liver cells are regenerating. With chronic liver diseases, such as hepatitis and cirrhosis, AFP may be chronically elevated. Very high concentrations of AFP may be produced by certain tumors. High levels of AFP can be a sign of liver cancer of cancer of the ovaries or testicles. High AFP levels don’t always mean cancer, and normal levels don’t always rule out cancer.
20. Which of the following type of liver cancer spreads more rapidly?
a. Hemangiosarcoma
b. Hepatocellular cancer.
c. Squamous cell carcinoma.
d. Adenocarcinoma
Answer: a. Hemangiosarcoma
Description:Hemangiosarcoma is a rare type of liver cancer that starts in the blood vessels of the liver. It is a very aggressive cancer, and it often spreads quickly to other parts of the body. Other types of liver cancer, such as hepatocellular carcinoma (HCC) and cholangiocarcinoma, can also spread quickly. However, hemangiosarcoma is the most likely to spread rapidly. The symptoms of hemangiosarcoma can vary depending on the size and location of the tumor. Some common symptoms include: Abdominal pain Weight loss Nausea and vomiting Blood in the stool Anemia If you experience any of these symptoms, it is important to see a doctor right away. Early diagnosis and treatment of hemangiosarcoma is important, as it can improve the chances of survival. The other options are not as likely to spread rapidly as hemangiosarcoma. Adenocarcinoma is a type of cancer that starts in the glandular cells of the liver. Squamous cell carcinoma is a type of cancer that starts in the squamous cells of the liver. These types of cancer can spread, but they are not as likely to spread as quickly as hemangiosarcoma.
21. Risk factor of colonic cancer includes all; EXCEPT:
a. Intake of red meat
b. Altered intestinal bacterial flora
c. High-intake of refined carbohydrate
d. Intake of high-fiber diet.
Answer: d. Intake of high-fiber diet.
Description:High-fiber diet is actually a protective factor against colorectal cancer. It helps to keep the bowels healthy and regular, which can help to prevent the development of polyps, which can sometimes turn into cancer. The other options are all risk factors for colorectal cancer. Altered intestinal bacterial flora can lead to the production of carcinogens, which can damage the DNA of cells in the colon. High-intake of refined carbohydrates can lead to weight gain, which is a risk factor for colorectal cancer. Intake of red meat has been linked to an increased risk of colorectal cancer, especially when it is cooked at high temperatures. If you are concerned about your risk of colorectal cancer, it is important to talk to your doctor. There are a number of things you can do to reduce your risk, such as eating a healthy diet, exercising regularly, and getting regular screening tests.
22. Constipation and early obstructive symptoms are the typical clinical presentation of:
a. Both a and b
b. Left sided colonic cancer.
c. Right-sided colonic cancer
d. None of the above.
Answer: b. Left sided colonic cancer.
Description:Constipation and early obstructive symptoms are typical clinical presentations commonly associated with left-sided colonic cancer. The left side of the colon includes the descending colon and sigmoid colon. When cancer develops in this region, it can cause partial obstruction of the colon, leading to symptoms such as constipation, changes in bowel habits, and abdominal discomfort. On the other hand, right-sided colonic cancer (ascending colon) may present with different symptoms such as anemia, weight loss, and vague abdominal pain. This is because the right side of the colon has a wider lumen, allowing for the passage of stool even in the presence of a tumor, which may delay the detection of right-sided colonic cancer and lead to more subtle symptoms. So, while constipation and early obstructive symptoms are associated with left-sided colonic cancer (option b), right-sided colonic cancer (option a) typically presents with different clinical features. Option c (Both a and b) is incorrect because constipation and early obstructive symptoms are not characteristic of right-sided colonic cancer. Option d (None of the above) is also incorrect as left-sided colonic cancer (option b) does match the given clinical presentation.
23. Earliest symptoms of colorectal cancer is:
a. Blood in the stools.
b. Change in the bowel habit
c. Flatulence
d. Steatorrhea.
Answer: b. Change in the bowel habit
Description:Colorectal cancer is a type of cancer that starts in the colon or rectum. The earliest symptoms of colorectal cancer can be subtle and may not be noticeable at first. However, as the cancer grows, it can cause more noticeable symptoms, such as: Change in bowel habit: This could mean having diarrhea, constipation, or a change in the consistency of your stool. Blood in the stool: This could be bright red or dark red, and it may be mixed in with the stool or seen on the toilet paper. Rectal bleeding: This is bleeding from the rectum, and it may be bright red or dark red. A lump in the abdomen: This is a hard lump that you can feel in your abdomen. Unexplained weight loss: This is weight loss that you cannot explain, and it may be due to the cancer or to the cancer treatments. If you experience any of these symptoms, it is important to see a doctor right away. Early diagnosis and treatment of colorectal cancer is important, as it can improve the chances of survival. The other options are not as common as change in bowel habit in the earliest stages of colorectal cancer. Flatulence is a normal bodily function, and steatorrhea is a condition that causes fatty stools. Blood in the stool is a more common symptom of colorectal cancer, but it is not usually the earliest symptom.
24. Which of the following is one of the risk factors associated with colorectal cancer?
a. Low intake of dietary fiber
b. Low intake of red meat
c. Irritable bowel syndrome
d. Aspirin therapy.
Answer: a. Low intake of dietary fiber
Description:One of the risk factors associated with colorectal cancer is a low intake of dietary fiber. Diets low in fiber, particularly from fruits, vegetables, and whole grains, have been linked to an increased risk of developing colorectal cancer. The other options are not necessarily considered risk factors for colorectal cancer: b. Low intake of red meat: While high consumption of processed and red meats has been associated with an increased risk of colorectal cancer, low intake of red meat is not a risk factor in itself. c. Irritable bowel syndrome (IBS): IBS is a functional gastrointestinal disorder and not directly linked to an increased risk of colorectal cancer. d. Aspirin therapy: Regular aspirin therapy has been shown to have some protective effects against colorectal cancer in certain individuals with specific medical conditions. However, it is not a universally recognized risk factor for the disease. It's important to note that colorectal cancer risk is influenced by multiple factors, including age, family history, personal medical history, lifestyle choices, and diet. Regular screenings and a healthy lifestyle, including a balanced diet rich in fiber, can help reduce the risk of colorectal cancer.
25. Risk factor associated with colorectal cancer include:
a. Low intake of red meat
b. Low intake of dietary fiber
c. Low intake of aspirin.
d. Irritable bowel syndrome
Answer: b. Low intake of dietary fiber
Description:Low intake of dietary fiber: Diets low in fiber, particularly from fruits, vegetables, and whole grains, have been linked to an increased risk of developing colorectal cancer. Other risk factors for colorectal cancer include: Age: The risk of colorectal cancer increases with age, with most cases occurring in people over 50. Family history: Individuals with a family history of colorectal cancer or certain hereditary conditions (such as Lynch syndrome or familial adenomatous polyposis) have a higher risk. Personal medical history: A history of colorectal polyps or inflammatory bowel disease (such as ulcerative colitis or Crohn's disease) can increase the risk. Diet high in processed and red meat: Consuming large amounts of processed and red meats has been associated with a higher risk. Sedentary lifestyle: Lack of physical activity and leading a sedentary lifestyle are risk factors. Obesity: Being overweight or obese increases the risk of colorectal cancer. Smoking and alcohol consumption: Both smoking and heavy alcohol consumption are associated with a higher risk. Type 2 diabetes: People with type 2 diabetes have an increased risk of colorectal cancer. Racial and ethnic background: African Americans and Ashkenazi Jews have a higher risk compared to other populations. It's important to be aware of these risk factors and take steps to reduce the modifiable ones. Regular screenings, a healthy lifestyle, and a balanced diet can contribute to the prevention and early detection of colorectal cancer.
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