Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Haemorrhoids C. Pancreatitis D. Gastro-esophageal reflux disease 2 / 50 2. Chronic gastritis may be characterised by all except: A. Haematemesis B. Incessant vomiting C. Gastric polyp D. Anorexia 3 / 50 3. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Vagotomy with pyloroplasty C. Gastroenterostomy D. Three-quarter gastric resection 4 / 50 4. All of the following may be associated with hypoglobulinaemia except: A. AIDS B. Severe combined immunodeficiency C. Chronic lymphatic leukaemia D. Multiple myeloma 5 / 50 5. Intestinal lymphangiectasia is characterised by all except: A. Malabsorption B. Low level of transferrin and ceruloplasmin C. Hypoproteinaemia and oedema D. Lymphocytosis 6 / 50 6. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Erythema marginatum C. Aphthous stomatitis D. Pyoderma gangrenosum 7 / 50 7. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Hyperchloraemia C. Hyperkalaemia D. Acidosis 8 / 50 8. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Campylobacter C. Clostridium perfringens D. Shigella 9 / 50 9. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Blood should remain at least 4 hours within the gut C. Offensive in odour D. Black tarry semisolid stool 10 / 50 10. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. The temperature is usually normal or slightly elevated C. Meckel's diverticulitis is one of the close differential diagnosis D. Anorexia is rare 11 / 50 11. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. HIDA scan B. CT scan C. ERCP D. Ultrasonography 12 / 50 12. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. MRI scan of liver B. Pulmonary angiography C. Contrast-enhanced echocardiography D. CT scan of liver 13 / 50 13. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Feeding of a standard mea B. Calcium infusion test C. Histamine injection test D. Secretin injection test 14 / 50 14. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Arthritis C. Sclerosing cholangitis D. Uveitis 15 / 50 15. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Hyperthyroidism C. Diabetes mellitus D. Imipramine 16 / 50 16. All are examples of APUDomas except: A. Phaeochromocytoma B. Hepatoma C. Medullary carcinoma of thyroid gland D. Melanoma 17 / 50 17. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Reye's syndrome C. Dubin-Johnson syndrome D. Gilbert's syndrome 18 / 50 18. Weil’s disease is associated with: A. Leucopenia with lymphocytosis B. Severe muscle pain C. Absence of renal involvement D. Jaundice in all 19 / 50 19. Peritonitis may be complicated by all except: A. Acute lung injury B. Pelvic abscess C. Haemorrhagic pancreatitis D. Renal failure 20 / 50 20. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Mucinous carcinoma D. Cystadenocarcinoma 21 / 50 21. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Hepatic vein thrombosis B. Superior vena caval obstruction C. Portal hypertension D. Inferior vena caval obstruction 22 / 50 22. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Hepatoma C. Oral contraceptives D. Valve in hepatic veins 23 / 50 23. The best single diagnostic test for cystic fibrosis is: A. Serum lipase B. Quantitative pilocarpine iontophoresis test C. Serum amylase D. Quantitative faecal fat estimation 24 / 50 24. All are recognised complications of acute pancreatitis except: A. Pancreatic phlegmon B. Pancreatic pseudocyst C. Pancreatic malignancy D. Pancreatic ascites 25 / 50 25. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 500-600 g C. 300-400 g D. 700-800 g 26 / 50 26. Which one is false regarding irritable bowel syndrome? A. Sense of complete evacuation B. Colicky pain abdomen C. Abdominal distension D. Mucous diarrhoea or pencil-like pasty stools 27 / 50 27. Commonest organism causing pyogenic liver abscess is: A. E. coli B. Anaerobes C. Streptococcus faecalis D. Staphylococci 28 / 50 28. Diarrhoea may be associated with all except: A. Sucralfate B. Colchicine C. Clindamycin D. Digitalis 29 / 50 29. Congestive gastropathy in portal hypertension is best treated by: A. Somatostatin B. Nitroglycerines C. Propranolol D. Terlipressin 30 / 50 30. Crohn’s disease may produce all of the following except: A. Rectovesical fistula B. Vesicovaginal fistula C. Jejuno-colic fistula D. Perianal fistula 31 / 50 31. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. USG of liver B. Protein electrophoresis C. Gamma-glutamyl transpeptidase (GGT) estimation D. Bone scan 32 / 50 32. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Lansoprazole therapy C. Zollinger-Ellison syndrome D. Duodenal ulcer 33 / 50 33. Malignant potential is least in: A. Villous adenoma of colon B. Ulcerative colitis C. Familial colonic polyposis D. Peutz-Jeghers syndrome 34 / 50 34. Regarding angiodysplasia of colon, which one is false? A. Aortic stenosis may be associated with it B. Left colon is commonly affected C. Haemotochezia is common D. It looks like spider angiomas of the skin 35 / 50 35. The presence of hepatic bruit over the liver suggests: A. Perihepatitis B. Portal hypertension C. Hepatoma D. Recent liver biopsy 36 / 50 36. Which of the following clotting factors is not produced in the liver? A. IV B. V C. II D. VII 37 / 50 37. Major organ responsible for the removal of gastrin is: A. Intestine B. Liver C. Lung D. Kidney 38 / 50 38. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum bilirubin assay B. Bromsulphalein (BSP) excretion test C. Serum albumin estimation D. Level of transaminases 39 / 50 39. The classical triad in carcinoid syndrome is: A. Dyspnoea, flushing, valvular heart disease B. Telangiectasias, flushing, diarrhoea C. Pruritus, wheezing, diarrhoea D. Flushing, diarrhoea, valvular heart disease 40 / 50 40. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Sigmoidoscopy B. Stool smear C. Barium enema D. Stool culture 41 / 50 41. Which indicates chronicity in hepatitis B virus infection? A. IgG anti-HBc B. HBeAg C. DNA polymerase D. Anti-HBs 42 / 50 42. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. At birth B. Over the first 4-6 weeks of life C. During the first 10 days of life D. Within the first 24 hours of birth 43 / 50 43. Which ion is necessary for the active transport of sugars? A. Calcium B. Magnesium C. Sodium D. Potassium 44 / 50 44. Which segment of the Gl tract is most susceptible to volvulus? A. Small intestine B. Stomach C. Sigmoid colon D. Caecum 45 / 50 45. Which statement is false regarding duodenal ulcer? A. Increased frequency of blood group O and of the non-secretor status B. More common in first degree relatives of duodenal ulcer patients C. An increase in serum pepsinogen II level D. Increased incidence of HLA-B5 antigen 46 / 50 46. Which light source produces best photodecomposition of bilirubin? A. Sunlight B. Fluorescent C. Ultraviolet D. Moonlight 47 / 50 47. What is true about Weil’s disease? A. Myocarditis may be a complication B. Leucopenia C. Liver biopsy is diagnostic D. Low glucose in CSF 48 / 50 48. All of the following may be associated with diarrhoea except: A. Theophylline B. Amitriptyline C. Sorbitol D. Colchicine 49 / 50 49. Late dumping syndrome may be manifested by all except: A. Diaphoresis B. Confusion C. Postural hypertension D. Dizziness 50 / 50 50. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Massive dose of estrogen B. Nifedipine C. Tetracycline D. Amiodarone LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology