Gastroenterology Home Gastroenterology 0% 0 votes, 0 avg 6 Gastroenterology 1 / 50 1. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Flaccid muscles C. Presence of ankle clonus D. Babinski’s sign 2 / 50 2. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphoma B. Cardnoid syndrome C. Whipple’s disease D. Intestinal lymphangiectasia 3 / 50 3. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Small intestinal X-rays C. Quantitative determination of faecal fat D. Radioactive triolein absorption (breath) test 4 / 50 4. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. HBeAg implies high infectivity C. IgG anti-HBc indicates acute hepatitis B virus infection D. Anti-HBs appear to reflect immunity 5 / 50 5. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Vitamin B12 C. Folate D. Fe++ 6 / 50 6. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Loss of mucosal pattern B. Dilatation C. Segmentation and clumping D. Coarsening of mucosal folds 7 / 50 7. Fatty liver may be produced by: A. Chloramphenicol B. Tetracycline C. Oral contraceptives D. Anabolic steroids 8 / 50 8. A desire for defaecation is initiated by: A. Contraction of the rectum B. Contraction of the internal anal sphincter C. Distention of the sigmoid colon D. Distention of the rectum 9 / 50 9. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Nocturnal diarrhoea is common C. Easily treatable D. Commonly affects middle-aged males 10 / 50 10. Which of the following is not associated with leucocytosis? A. Amoebic liver abscess B. Toxic hepatitis C. Weil’s disease D. Acute viral hepatitis 11 / 50 11. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Mycobacterium avium-intracellulare B. Microsporidia C. Cryptosporidium D. Isospora belli 12 / 50 12. Tegaserod is used in: A. Coeliac disease B. Irritable bowel syndrome C. Ulcerative colitis D. Gastro-esophageal reflux disease 13 / 50 13. Cholangiocarcinoma may be associated with: A. Cholelithiasis B. Biliary atresia C. Ulcerative colitis D. Tinea echinococcus infestation 14 / 50 14. Secretory diarrhoea has no association with: A. Villous adenoma of rectum B. Medullary carcinoma of thyroid C. Pancreatic insufficiency D. Zollinger-Ellison syndrome 15 / 50 15. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Shunt hyperbilirubinaemia C. Crigler-Najjar syndrome D. Gilbert’s syndrome 16 / 50 16. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. May lead to the development of an amoebic liver abscess C. Abscess commonly affects the right lobe D. Jaundice is present in majority 17 / 50 17. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Gallstones C. Alcohol abuse D. Infection 18 / 50 18. Diabetic diarrhoea may be encountered in the presence of: A. Nephropathy B. Neuropathy C. Retinopathy D. Macroangiopathy 19 / 50 19. Acid peptic disease is rarely found in: A. Polycythaemia vera B. Chronic obstructive pulmonary disease C. Pregnancy D. Cushing’s syndrome 20 / 50 20. Regarding carcinoma of oesophagus, all are true except: A. Commonest site of affection is lower third B. Odynophagia may be a symptom C. Tracheo-esophageal fistula may occur in advanced disease D. Dysphagia starts with solid foods 21 / 50 21. Which of the following may develop into intestinal lymphoma? A. Coeliac disease B. Intestinal lymphangiectasia C. Eosinophilic enteritis D. Ulcerative colitis 22 / 50 22. The commonest site of carcinoma of the stomach is: A. Greater curvature B. Lesser curvature C. Body of the stomach D. Prepyloric 23 / 50 23. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VII B. VIII C. II D. IX 24 / 50 24. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Stool culture C. Barium enema D. Sigmoidoscopy 25 / 50 25. Which of the following is not true in lupoid hepatitis? A. High risk of developing hepatoma B. Cushingoid face C. Associated with other autoimmune diseases D. ANA is positive in majority 26 / 50 26. Regarding haematochezia, which one is false? A. Passage of bright red blood per rectum B. Bleeding source is proximal to ligament of Treitz C. The blood may not be mixed with stool D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 27 / 50 27. Leptospirosis can be diagnosed during the 1st week of illness by: A. Dark-field examination B. Agglutination test C. Stool culture D. Urine analysis 28 / 50 28. Late dumping syndrome may be manifested by all except: A. Postural hypertension B. Dizziness C. Confusion D. Diaphoresis 29 / 50 29. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Antiphospholipid syndrome C. Right atrial myxoma D. Congenital hepatic fibrosis 30 / 50 30. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Short bowel syndrome C. Pancreatic ascites D. Ulcerative colitis 31 / 50 31. Carcinoid syndrome: A. More common in women B. Is multiple in 1/5th cases C. Increases BP D. Produces jaundice 32 / 50 32. Tropical sprue may be associated with all except: A. Patchy lesion B. Malabsorption C. Treatment is done satisfactorily by intestinal resection D. Partial villous atrophy is more common than subtotal villous atrophy 33 / 50 33. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Jaundice C. Haematemesis D. Arthralgia 34 / 50 34. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. Anaerobes C. E. coli D. Staphylococci 35 / 50 35. Regarding Meckel’s diverticulum, which one is false? A. Usually 5 cm long B. May contain oesophageal or rectal mucosa C. Present within 100 cm of the ileocaecal valve D. Present in 2% population 36 / 50 36. All of the following produce hypergastrinemia except: A. Zollinger-Ellison syndrome B. Lansoprazole therapy C. Atrophic fundal gastritis D. Duodenal ulcer 37 / 50 37. Achalasia cardia may lead to all except: A. Pneumonia B. Fibrosis of the lung C. Lung abscess D. Emphysema 38 / 50 38. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Anthraquinone laxative abuse C. Melanoma affecting colon D. Crohn’s disease 39 / 50 39. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. 48 hours fasting with only 300 cal/ day C. Bromsulphalein (BSP) excretion test D. Liver biopsy 40 / 50 40. ‘Sago spleen’ is found in: A. Focal amyloidosis B. Chronic active hepatitis C. Felty’s syndrome D. Chronic myeloid leukaemia 41 / 50 41. All are causes of chylous ascites except: A. Tuberculosis B. Thrombosis of mesenteric artery C. Filariasis D. Intra-abdominal malignancy 42 / 50 42. Major organ responsible for the removal of gastrin is: A. Liver B. Kidney C. Lung D. Intestine 43 / 50 43. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. Very high bilirubin level C. AST and ALT levels fluctuate within 100-1000 units D. Hyperglobulinaemia is common 44 / 50 44. Chronicity in hepatitis C virus infection is: A. 80% B. 10% C. 30% D. 50% 45 / 50 45. All of the following are true regarding Whipple’s disease except: A. Gram-negative bacilli Clostridium whippeli is responsible B. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly C. Coronary arteritis may be a feature D. Cranial nerve palsy may occur 46 / 50 46. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. Streptococcus faecalis C. Salmonella D. E. coli 47 / 50 47. Commonest cause of hepatoma is: A. Alcohol B. Haemochromatosis C. alpha1-antitrypsin deficiency D. Cirrhosis of liver 48 / 50 48. Incidence of gastric carcinoid is increased in all except: A. Hashimoto’s thyroiditis B. Achlorhydria C. Mesenteric fibrosis D. Pernicious anaemia 49 / 50 49. Mid-zonal necrosis of liver is caused by: A. Carbon tetrachloride B. Yellow fever C. Phosphorus poisoning D. Eclampsia 50 / 50 50. Hour-glass stomach is usually produced by: A. Lymphoma B. Gastric ulcer C. Syphilis D. Developmental anomaly LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Dr Abu-Ahmed Dr Abu Ahmed, an Internist & Graphic Designer, has brought this website to help Medical Students in the subject of Internal Medicine. 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