Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Flaccid muscles C. Babinski's sign D. Presence of ankle clonus 2 / 50 2. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Granuloma C. Crypt abscess D. Transmural involvement 3 / 50 3. Which is true in familial polyposis coli? A. The rectum is spared B. Polyps are present since birth C. X-linked recessive inheritance D. The patient may not have any symptoms until a carcinoma has developed 4 / 50 4. Fatty liver may be produced by: A. Chloramphenicol B. Tetracycline C. Oral contraceptives D. Anabolic steroids 5 / 50 5. The commonest cause of anaemia after peptic ulcer surgery is: A. Hemolysis B. Vitamin B12 deficiency C. Folic acid deficiency D. Iron deficiency 6 / 50 6. Water is minimally absorbed from: A. Ascending colon B. Transverse colon C. Descending colon D. Caecum 7 / 50 7. Diabetic diarrhoea may be encountered in the presence of: A. Nephropathy B. Retinopathy C. Macroangiopathy D. Neuropathy 8 / 50 8. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Reflux oesophagitis C. Oesophageal carcinoma D. Alcoholism 9 / 50 9. Malignant potential is least in: A. Villous adenoma of colon B. Familial colonic polyposis C. Peutz-Jeghers syndrome D. Ulcerative colitis 10 / 50 10. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Consumption of food B. Attacks of emotional stress C. Induction of vomiting D. Change of posture 11 / 50 11. Luge gastric folds are seen in all except: A. Sarcoidosis B. Menetrier's disease C. Gastric malignancy D. Chronic H. pylori infection 12 / 50 12. Acute pancreatitis is not associated with: A. Biliary tract disease B. Hyperparathyroidism C. Pancreatic carcinoma D. Pancreatic islet cell tumour 13 / 50 13. Which of the following clotting factors retains its activity in hepatocellular disorder? A. II B. VII C. VIII D. IX 14 / 50 14. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas C. Majority of tumours are biologically malignant D. Pancreatic gastrinomas are most common in the head of the pancreas 15 / 50 15. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Inferior vena caval obstruction B. Superior vena caval obstruction C. Hepatic vein thrombosis D. Portal hypertension 16 / 50 16. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Folate C. Ca++ D. Vitamin B12 17 / 50 17. Passage of a bolus of food through the oesophagus is the function of: A. Tertiary peristaltic wave B. Primary peristaltic wave C. Voluntary phase of deglutition D. Secondary peristaltic wave 18 / 50 18. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A bad prognosis C. Means nothing to clinical course D. A fluctuating clinical course 19 / 50 19. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Left atrial myxoma C. Mesenteric vascular insufficiency D. Congestive cardiac failure 20 / 50 20. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Cirrhosis of liver C. Chronic pancreatitis D. Protein-losing enteropathy 21 / 50 21. Which of the following is false regarding pernicious anaemia? A. 60% have anti-intrinsic factor antibody B. It is a common cause of haemolytic anaemia in the West C. Gastric polyp is common D. 90% have anti-parietal cell antibody 22 / 50 22. Which of the following does not produce secretory diarrhoea? A. Medullary carcinoma of the thyroid gland B. Carcinoid syndrome C. Zollinger-Ellison syndrome D. Hyperparathyroidism 23 / 50 23. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Quantitative determination of faecal fat C. Radioactive triolein absorption (breath) test D. Small intestinal X-rays 24 / 50 24. Macroglossia is not found in: A. Hurler syndrome B. Myxoedema C. Bulbar palsy D. Primary amyloidosis 25 / 50 25. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. IgG anti-HBc C. HBeAg D. HBV DNA 26 / 50 26. Spider naevi: A. Often seen in the first trimester of pregnancy B. Are pathognomonic of portal hypertension C. May be seen in some healthy people D. Correlates with the amount of urinary oestradiol excretion 27 / 50 27. Auto-vagotomy may be observed in: A. Parkinsonism B. Progressive systemic sclerosis C. Diabetes mellitus D. Amyloidosis 28 / 50 28. Hyperdefaecation is found in all except: A. Hyperthyroidism B. Diabetes mellitus C. Irritable bowel syndrome D. Proctitis 29 / 50 29. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Produces constipation C. Phosphate depletion is a complication D. May contribute to osteomalacia 30 / 50 30. Which of the following is not responsible for food poisoning? A. Clostridium botulinum B. Streptococcus (Group A) C. Clostridium perfringens D. Bacillus cereus 31 / 50 31. H. pylori is usually not associated with: A. Gastric lymphoma B. Antral gastritis C. Non-ulcer dyspepsia D. Zollinger-Ellison syndrome 32 / 50 32. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Gallstones C. Infection D. Alcohol abuse 33 / 50 33. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. CT scan of liver B. Pulmonary angiography C. MRI scan of liver D. Contrast-enhanced echocardiography 34 / 50 34. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Pancreatic insufficiency C. Villous adenoma of rectum D. Medullary carcinoma of thyroid 35 / 50 35. Chronic gastritis may be associated with all except: A. Intestinal metaplasia B. Antibodies to parietal cells C. Gastro-oesophageal reflux disease D. Gastric atrophy 36 / 50 36. Tegaserod is used in: A. Irritable bowel syndrome B. Ulcerative colitis C. Gastro-esophageal reflux disease D. Coeliac disease 37 / 50 37. Pruritus associated with cholestasis is mostly seen: A. At daytime B. In males C. After a cold bath D. On the palms and soles 38 / 50 38. Acute pancreatitis may eventually lead to all of the following except: A. Fulminant hepatocellular failure B. Disseminated intravascular coagulation C. Renal failure D. Acute lung injury 39 / 50 39. Carcinoma of the large intestine is mostly found in: A. Ascending colon B. Transverse colon C. Caecum D. Sigmoid colon 40 / 50 40. The major immunoglobulin in primary biliary cirrhosis is: A. IgG B. IgM C. IgD D. IgA 41 / 50 41. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Abdominal pain C. Pancreatic calcification D. Steatorrhoea 42 / 50 42. WBC in stool is not found in: A. Campylobacter B. Giardiasis C. Shigella D. Entero-invasive E. coli 43 / 50 43. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Rectal bleeding and tenesmus are common C. Commonly in the posterior wall of rectum D. Rectal prolapse and straining by patient are common associations 44 / 50 44. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperlipidaemia B. Hyperamylasaemia C. Hypergastrinaemia D. Hypercalcaemia 45 / 50 45. Gastrin is predominantly secreted from: A. Antral mucosa B. Jejunum C. 2nd part of the duodenum D. Fundus of the stomach 46 / 50 46. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Pyoderma gangrenosum C. Arthritis D. Sclerosing cholangitis 47 / 50 47. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. Retroperitoneal fibrosis 48 / 50 48. What percentage of Zollinger-Ellison syndrome are malignant? A. 60% B. 40% C. 20% D. 30% 49 / 50 49. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Fatty infiltration C. Laennec's cirrhosis D. Hepatitis-like picture 50 / 50 50. Features of Mallory-Weiss syndrome comprise all except: A. In majority of patients, bleeding stops spontaneously B. Commonly precipitated by vomiting and retching C. May produce melaena D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology