Upper GI Bleeding Quiz

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Test your UGIB knowledge.

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Sakshi C

India

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Upper GI Bleeding Quiz


Froggy Jumps Upper GI Bleeding QuizOnline version Test your UGIB knowledge. by Sakshi C 1 Q1. A 45-year-old male, chronic alcoholic, presents with jaundice, ascites, and coffee-ground vomitus. BP = 90/50 mmHg, PR = 110/min. What is the most likely cause of his bleeding? a A. Mallory-Weiss tear b C. Esophageal varices c B. Gastric erosions 2 Q2. A 32-year-old alcoholic female presents with multiple episodes of retching followed by hematemesis with streaks of bright red blood. Endoscopy shows a linear mucosal tear near GE junction. Which is the most likely diagnosis? a B. Mallory-Weiss tear b C. Peptic ulcer bleed c A. Gastric varices 3 Q3. Which of the following is the most common cause of upper GI bleeding? a B. Variceal bleeding b D. Mallory-Weiss tear c A. Peptic ulcer disease 4 Q4. A 70-year-old hypertensive and diabetic woman presents with melena, fatigue, and dyspnea. PR = 110/min, BP = 100/60 mmHg. JVP is raised and pedal edema is present. Which of the following is the most useful first investigation? a D. Angiography b B. Upper GI endoscopy c A. Colonoscopy 5 Q5. Which of the following is NOT a risk factor for bleeding peptic ulcer? a A. H. pylori infection b D. Portal hypertension c B. NSAID use 6 Q6. The Modified Forrest classification is used to grade: a D. Stages of liver cirrhosis b A. Severity of anemia in GIB c B. Endoscopic appearance of bleeding ulcers 7 Q7. A patient presents with hematemesis and is hemodynamically unstable. Hemoglobin is 12 g/dL at presentation. What is the best explanation? a D. Patient has chronic anemia masked by acute bleeding b B. Hemoglobin takes up to 72 h to fall after acute blood loss c A. Lab error in Hb measurement 8 Q8. In acute UGIB, blood transfusion is recommended when Hb drops below: a D. 9 g/dL b B. 7 g/dL c A. 6 g/dL 9 Q9. A cirrhotic patient with hematemesis should be started before endoscopy on which of the following? a C. Vitamin K + blood transfusion b A. Octreotide + antibiotics c B. Proton pump inhibitors only 10 Q10. A patient presents with hematochezia and shock. What is the first diagnostic test to rule out UGIB as a cause? a B. Upper GI endoscopy b A. Colonoscopy c D. Sigmoidoscopy 11 Q11. Which of the following is TRUE regarding melena? a C. Suggests brisk lower GI bleed b A. Indicates bleeding is always from lower GI tract c B. Can persist for 3–5 days after bleed stops 12 Q12. Which drug combination constitutes endoscopic dual therapy for peptic ulcer bleed? a A. Adrenaline injection + heater probe/clip b B. PPI infusion + octreotide c D. Tranexamic acid + vasopressin 13 Q13. Which of the following is the most common cause of LGIB in elderly patients (>70 years)? a B. Vascular ectasia b D. Ischemic colitis c A. Carcinoma colon 14 Q14. A 65-year-old patient presents with massive painless hematochezia. Colonoscopy reveals multiple diverticula. What is the expected natural course of diverticular bleeding? a B. Spontaneous resolution in 80–90% b C. Progresses to chronic anemia c A. Rarely resolves, always requires surgery

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Upper GI Bleeding Quiz

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Upper GI Bleeding QuizOnline version

by Sakshi C

Q1. A 45-year-old male, chronic alcoholic, presents with jaundice, ascites, and coffee-ground vomitus. BP = 90/50 mmHg, PR = 110/min. What is the most likely cause of his bleeding?

Q2. A 32-year-old alcoholic female presents with multiple episodes of retching followed by hematemesis with streaks of bright red blood. Endoscopy shows a linear mucosal tear near GE junction. Which is the most likely diagnosis?

Q3. Which of the following is the most common cause of upper GI bleeding?

Q4. A 70-year-old hypertensive and diabetic woman presents with melena, fatigue, and dyspnea. PR = 110/min, BP = 100/60 mmHg. JVP is raised and pedal edema is present. Which of the following is the most useful first investigation?

Q5. Which of the following is NOT a risk factor for bleeding peptic ulcer?

Q6. The Modified Forrest classification is used to grade:

Q7. A patient presents with hematemesis and is hemodynamically unstable. Hemoglobin is 12 g/dL at presentation. What is the best explanation?

Q8. In acute UGIB, blood transfusion is recommended when Hb drops below:

Q9. A cirrhotic patient with hematemesis should be started before endoscopy on which of the following?

Q10. A patient presents with hematochezia and shock. What is the first diagnostic test to rule out UGIB as a cause?

Q11. Which of the following is TRUE regarding melena?

Q12. Which drug combination constitutes endoscopic dual therapy for peptic ulcer bleed?

Q13. Which of the following is the most common cause of LGIB in elderly patients (>70 years)?

Q14. A 65-year-old patient presents with massive painless hematochezia. Colonoscopy reveals multiple diverticula. What is the expected natural course of diverticular bleeding?