Gastroenterology Home Gastroenterology 0% 2 votes, 0 avg 18 Gastroenterology 1 / 50 1. Which of the following is false regarding acute appendicitis? A. Meckel’s diverticulitis is one of the close differential diagnosis B. The temperature is usually normal or slightly elevated C. Nausea and vomiting occur in 50-60% of cases D. Anorexia is rare 2 / 50 2. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of thyroid B. Melanoma C. Hepatoma D. Carcinoma of breast 3 / 50 3. Protein-losing enteropathy maybe feature of all except: A. Juvenile polyposis coli B. Intestinal tuberculosis C. Chronic cor pulmonale D. Atrial septal defect 4 / 50 4. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Pancreatic insufficiency D. Zollinger-Ellison syndrome 5 / 50 5. Serum alkaline phosphatase level may be increased in all except: A. Paget’s disease B. Cholestasis C. Metastasis in liver D. Hypervitaminosis D 6 / 50 6. Spider naevi: A. Often seen in the first trimester of pregnancy B. May be seen in some healthy people C. Correlates with the amount of urinary oestradiol excretion D. Are pathognomonic of portal hypertension 7 / 50 7. Normally in health, the venous flow in abdominal superficial veins is: A. From below upwards B. From above downwards C. Away from the umbilicus D. Towards the umbilicus 8 / 50 8. The water content of adult stool is approximately: A. 50-60% B. 20-30% C. 40-50% D. More than 60% 9 / 50 9. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Somatostatinoma D. Insulinoma 10 / 50 10. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Congestive cardiac failure C. Cirrhosis of liver D. Budd-Chiari syndrome 11 / 50 11. Ulcerative colitis involves the rectal mucosa in: A. 30-40% B. 70-80% C. 90-100% D. 50-60% 12 / 50 12. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Gastric atrophy C. Intestinal metaplasia D. Antibodies to parietal cells 13 / 50 13. One of the earliest manifestations of cystic fibrosis is: A. Malabsorption B. Tetany C. Meconium ileus D. Gram-negative sepsis 14 / 50 14. The commonest cause of anaemia after peptic ulcer surgery is: A. Vitamin B12 deficiency B. Hemolysis C. Iron deficiency D. Folic acid deficiency 15 / 50 15. Which part of the colonic carcinoma is very easily overlooked? A. Caecum B. Splenic flexure C. Transverse colon D. Hepatic flexure 16 / 50 16. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Intestinal lymphangiectasia C. Coeliac disease D. Eosinophilic enteritis 17 / 50 17. The definitive test for diagnosis of haemochromatosis is: A. Plasma iron >300 μg/ dl B. Liver biopsy C. Hepatic iron index >1.5 D. TIBC < 200 μg/dl 18 / 50 18. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum bilirubin C. Serum transaminases D. Serum cholesterol 19 / 50 19. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Tertiary peristaltic wave C. Voluntary phase of deglutition D. Secondary peristaltic wave 20 / 50 20. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Endocardial fibroelastosis C. Medullary sponge kidney D. Atrial septal defect 21 / 50 21. Water is minimally absorbed from: A. Transverse colon B. Caecum C. Ascending colon D. Descending colon 22 / 50 22. Leptospirosis can be diagnosed during the 1st week of illness by: A. Agglutination test B. Dark-field examination C. Stool culture D. Urine analysis 23 / 50 23. Which of the following is not associated with leucocytosis? A. Amoebic liver abscess B. Acute viral hepatitis C. Toxic hepatitis D. Weil’s disease 24 / 50 24. Menetrier’s disease may have all of the following except: A. Hypoproteinaemia B. Large tortuous gastric mucosal folds C. Gastritis D. Hypochlorhydria 25 / 50 25. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VII C. VIII D. II 26 / 50 26. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Chenodeoxycholic acid B. Cholic acid C. Lithocholic acid D. Deoxycholic acid 27 / 50 27. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Hiatal hernia may be present in 20% of patients C. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett’s oesophagus D. Risk of adenocarcinoma increases 10-fold 28 / 50 28. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Uveitis C. Cataract D. Scleromalacia perforans 29 / 50 29. All are absorbed maximally in the upper small intestine except: A. Folate B. Ca++ C. Vitamin B12 D. Fe++ 30 / 50 30. Which is true in halothane-induced. hepatitis? A. Splenomegaly B. Males are commonly susceptible C. Marked cholestasis D. Peripheral eosinophilia 31 / 50 31. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Crigler-Najjar syndrome C. Dubin-Johnson syndrome D. Gilbert’s syndrome 32 / 50 32. Portal hypertension associated with soft liver suggests: A. Cirrhosis of liver B. Extrahepatic obstruction C. Budd-Chiari syndrome D. Non-cirrhotic portal fibrosis 33 / 50 33. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Protein-losing enteropathy B. Chronic pancreatitis C. Irritable bowel syndrome D. Cirrhosis of liver 34 / 50 34. All are causes of chylous ascites except: A. Filariasis B. Thrombosis of mesenteric artery C. Intra-abdominal malignancy D. Tuberculosis 35 / 50 35. A desire for defaecation is initiated by: A. Distention of the sigmoid colon B. Distention of the rectum C. Contraction of the rectum D. Contraction of the internal anal sphincter 36 / 50 36. Secretin is produced in largest quantities in: A. Duodenum B. Ileum C. Jejunum D. Stomach 37 / 50 37. Aerophagia is commonly found in all except: A. Rapid eating habit B. Pyloric stenosis C. Chronic anxiety states D. Hypochondriac personality 38 / 50 38. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Colicky pain abdomen C. Mucous diarrhoea or pencil-like pasty stools D. Sense of complete evacuation 39 / 50 39. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Barium study of the small intestine reveals ‘thumbprinting’ C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Severe periumbilical pain at the onset 40 / 50 40. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Periodicity is common C. Temporary relief of pain by the passage of flatus or stool D. Pain abdomen usually lasts for 1/2 hour 41 / 50 41. Fatty liver may be produced by: A. Chloramphenicol B. Anabolic steroids C. Tetracycline D. Oral contraceptives 42 / 50 42. The commonest hepatic lesion in haemochromatosis is: A. Macronodular cirrhosis B. Haemosiderosis C. Fatty liver D. Micronodular cirrhosis 43 / 50 43. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. May produce benign intracranial hypertension C. May cause mild elevation of serum transaminases and creatinine levels D. Related structurally to histamine 44 / 50 44. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Gastroenterostomy C. Vagotomy with pyloroplasty D. Three-quarter gastric resection 45 / 50 45. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Dilatation B. Loss of mucosal pattern C. Segmentation and clumping D. Coarsening of mucosal folds 46 / 50 46. Symptoms of carcinoma of the left colon include all except: A. Cramps in the abdomen B. Altered bowel habits C. Low back pain D. Melena 47 / 50 47. Major organ responsible for the removal of gastrin is: A. Liver B. Lung C. Kidney D. Intestine 48 / 50 48. Achalasia cardia may lead to all except: A. Pneumonia B. Emphysema C. Lung abscess D. Fibrosis of the lung 49 / 50 49. Acute viral hepatitis may develop from all of the following except: A. Yellow fever B. Cytomegalovirus C. Infectious mononucleosis D. Herpes zoster virus 50 / 50 50. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Feeding of a standard mea B. Secretin injection test C. Histamine injection test D. Calcium infusion test 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. Articles: 25 Previous Post Neurology Next Post Rheumatology