Gastroenterology Home Gastroenterology 0% 2 votes, 0 avg 18 Gastroenterology 1 / 50 1. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Small intestinal biopsy C. Type of anaemia D. D-xylose absorption test 2 / 50 2. 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 3 / 50 3. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Over the first 4-6 weeks of life B. At birth C. Within the first 24 hours of birth D. During the first 10 days of life 4 / 50 4. Which is not an indication of liver transplantation? A. Primary sclerosing cholangitis B. Hereditary oxalosis C. Tyrosinaemia D. Haemangioma of liver 5 / 50 5. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Pyoderma gangrenosum C. Uveitis D. Sclerosing cholangitis 6 / 50 6. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals ‘thumbprinting’ B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Young women are the main victims D. Severe periumbilical pain at the onset 7 / 50 7. Which is true regarding Vincent’s angina? A. Superficial ulcers in mouth B. May be complicated by angina pectoris C. Hiatus hernia may be associated with D. Gum is the principal site of affection 8 / 50 8. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. E. coli C. Streptococcus faecalis D. Salmonella 9 / 50 9. Normally in health, the venous flow in abdominal superficial veins is: A. Away from the umbilicus B. From above downwards C. Towards the umbilicus D. From below upwards 10 / 50 10. Gardner’s syndrome may be associated with all except: A. Astrocytoma B. Osteomas C. Fibromas D. Epidermoid cyst 11 / 50 11. The major site of bile salt absorption is: A. Proximal small intestine B. Stomach C. Duodenum D. Distal small intestine 12 / 50 12. Which of the following reflects the best prognostic marker of hepatocellular function? A. Prothrombin time B. Serum bilirubin C. SGPT D. Alkaline phosphatase 13 / 50 13. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Malakoplakia of colon C. Pseudomyxoma peritonei D. Diverticulosis of colon 14 / 50 14. Which is true with respect to irritable bowel syndrome? A. Commonly affects middle-aged males B. Easily treatable C. Most common GI disorder in practice D. Nocturnal diarrhoea is common 15 / 50 15. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal prolapse and straining by patient are common associations B. Commonly in the posterior wall of rectum C. Surgery by resection rectopexy may be done D. Rectal bleeding and tenesmus are common 16 / 50 16. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis D C. Hepatitis C D. Hepatitis B 17 / 50 17. All are examples of APUDomas except: A. Hepatoma B. Melanoma C. Phaeochromocytoma D. Medullary carcinoma of thyroid gland 18 / 50 18. Extraintestinal amoebiasis may involve all except: A. Skin B. Vulva C. Meninges with encephalon D. Heart 19 / 50 19. Oral mucous membrane may be affected in all except: A. Lichen planus B. Dermatitis herpetiformis C. Stevens-Johnson syndrome D. Pemphigus Vulgaris 20 / 50 20. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Hypoglycaemia C. Palpitation D. Recurrent ulceration 21 / 50 21. H. pylori is usually not associated with: A. Antral gastritis B. Zollinger-Ellison syndrome C. Non-ulcer dyspepsia D. Gastric lymphoma 22 / 50 22. Symptoms of carcinoma of the left colon include all except: A. Melena B. Low back pain C. Cramps in the abdomen D. Altered bowel habits 23 / 50 23. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Inferior vena caval obstruction B. Portal hypertension C. Hepatic vein thrombosis D. Superior vena caval obstruction 24 / 50 24. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of haemoglobin C. Ineffective erythropoiesis D. Breakdown of myoglobin 25 / 50 25. Malabsorption may produce all of the following except: A. Achlorhydria B. Cheilosis C. Loss of libido D. Peripheral neuropathy 26 / 50 26. Hepatocellular jaundice does not result from: A. Rifampicin B. Gliclazide C. Copper sulphate D. Halothane 27 / 50 27. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Ulcerative colitis C. Pancreatic ascites D. Short bowel syndrome 28 / 50 28. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Often resides in the dental plaques of the patient C. Multiflagellated D. It penetrates within the epithelial cells of the stomach 29 / 50 29. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A cause of haematemesis and/ or melaena C. A late complication of vagotomy D. A cause of dysphagia 30 / 50 30. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Vitamin B12 C. Folate D. Ca++ 31 / 50 31. All of the following are true regarding right-sided colonic carcinoma except: A. Cachexia B. Alteration of bowel habit C. Pain abdomen D. Anaemia 32 / 50 32. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Scleroderma C. Hyperthyroidism D. Diabetes mellitus 33 / 50 33. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-DQ1 C. HLA-B8 D. HLA-DR3 34 / 50 34. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Chenodeoxycholic acid C. Deoxycholic acid D. Cholic acid 35 / 50 35. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Pruritus, wheezing, diarrhoea C. Flushing, diarrhoea, valvular heart disease D. Dyspnoea, flushing, valvular heart disease 36 / 50 36. Cholangiocarcinoma may be associated with: A. Tinea echinococcus infestation B. Ulcerative colitis C. Biliary atresia D. Cholelithiasis 37 / 50 37. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Fat metabolism C. Vitamins and minerals absorption D. Carbohydrate metabolism 38 / 50 38. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Radiation C. Abetalipoproteinaemia D. Coeliac disease 39 / 50 39. Achalasia cardia gives rise to all except: A. Dysphagia B. Heartburn C. Regurgitation D. Chest pain 40 / 50 40. Mid-zonal necrosis of liver is caused by: A. Phosphorus poisoning B. Yellow fever C. Eclampsia D. Carbon tetrachloride 41 / 50 41. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VII C. VIII D. II 42 / 50 42. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. EEG C. MRI of brain D. Psychometric study 43 / 50 43. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Microsporidia C. Mycobacterium avium-intracellulare D. Isospora belli 44 / 50 44. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum cholesterol C. Serum bilirubin D. Serum transaminases 45 / 50 45. Gluten-free diet is beneficial in: A. Psoriasis B. Atopic eczema C. Dermatitis herpetiformis D. Pemphigus 46 / 50 46. Tropical sprue may be associated with all except: A. Partial villous atrophy is more common than subtotal villous atrophy B. Treatment is done satisfactorily by intestinal resection C. Patchy lesion D. Malabsorption 47 / 50 47. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Trauma C. Haemophilia D. Anticoagulant therapy 48 / 50 48. Which segment of the Gl tract is most susceptible to volvulus? A. Sigmoid colon B. Small intestine C. Caecum D. Stomach 49 / 50 49. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Very high bilirubin level C. Hypoalbuminaemia is very active disease D. Hyperglobulinaemia is common 50 / 50 50. Which of the following has the highest acid secretory effect? A. Fat B. Iron C. Carbohydrate D. Protein 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