Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest malignant tumour of the gallbladder is: A. Squamous cell carcinoma B. Adenocarcinoma C. Haemangioendothelioma D. Sarcoma 2 / 50 2. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Induction of vomiting C. Consumption of food D. Attacks of emotional stress 3 / 50 3. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Anorexia is rare C. Meckel's diverticulitis is one of the close differential diagnosis D. The temperature is usually normal or slightly elevated 4 / 50 4. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Cystadenocarcinoma D. Mucinous carcinoma 5 / 50 5. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Vitamins and minerals absorption C. Carbohydrate metabolism D. Fat metabolism 6 / 50 6. Non-cirrhotic portal fibrosis may be associated with: A. Chronic arsenic ingestion B. Oral contraceptives C. Umbilical sepsis D. Sarcoidosis 7 / 50 7. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 70-80% C. 30-40% D. 90-100% 8 / 50 8. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Alcohol abuse C. Protein-energy malnutrition D. Hyperthyroidism 9 / 50 9. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VII B. II C. IX D. VIII 10 / 50 10. Which one of the following is false regarding primary biliary cirrhosis? A. Starts with pruritus B. Female preponderance C. Moderate to severe jaundice D. Clubbing 11 / 50 11. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Gilbert's syndrome B. Dubin-Johnson syndrome C. Reye's syndrome D. Rotor syndrome 12 / 50 12. H. pylori is usually not associated with: A. Antral gastritis B. Gastric lymphoma C. Non-ulcer dyspepsia D. Zollinger-Ellison syndrome 13 / 50 13. Geographic tongue is ideally treated by: A. Vitamin B-complex B. None of the above C. Folic acid D. Iron 14 / 50 14. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBeAg B. HBV DNA C. IgM anti-HBc D. IgG anti-HBc 15 / 50 15. All of the following may be associated with diarrhoea except: A. Theophylline B. Amitriptyline C. Sorbitol D. Colchicine 16 / 50 16. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Clostridium difficile 17 / 50 17. The major immunoglobulin in primary biliary cirrhosis is: A. IgD B. IgA C. IgM D. IgG 18 / 50 18. Octreotide can be used in all except: A. Ulcerative colitis B. Oesophageal variceal bleeding C. Pancreatic ascites D. Short bowel syndrome 19 / 50 19. Acute pancreatitis may be caused by: A. Measles B. Thiazides C. Propranolol D. Legionella pneumoniae 20 / 50 20. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. Anti-HBs appear to reflect immunity C. IgG anti-HBc indicates acute hepatitis B virus infection D. HBeAg implies high infectivity 21 / 50 21. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Chronic pancreatitis C. Protein-losing enteropathy D. Cirrhosis of liver 22 / 50 22. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 2nd day B. 1st day C. 7th day D. 3rd day 23 / 50 23. The commonest site of carcinoid tumour is: A. Stomach B. Colon C. Ileum D. Appendix 24 / 50 24. The best way to diagnose Gilbert’s syndrome is: A. Liver biopsy B. 48 hours fasting with only 300 cal/ day C. Testing for red blood cell survival D. Bromsulphalein (BSP) excretion test 25 / 50 25. All are causes of chylous ascites except: A. Tuberculosis B. Intra-abdominal malignancy C. Thrombosis of mesenteric artery D. Filariasis 26 / 50 26. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Temporary relief of pain by the passage of flatus or stool C. Periodicity is common D. Pain abdomen usually lasts for 1/2 hour 27 / 50 27. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Pyloroplasty B. Gastric bypass C. Vagotomy D. Jejunoileal bypass 28 / 50 28. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Dysphagia starts with solid foods C. Commonest site of affection is lower third D. Tracheo-esophageal fistula may occur in advanced disease 29 / 50 29. Which one of the following is not a space-occupying disease of liver? A. Metastatic tumour B. Gummas C. Amyloid D. Cyst 30 / 50 30. Which is true regarding Vincent’s angina? A. Hiatus hernia may be associated with B. May be complicated by angina pectoris C. Gum is the principal site of affection D. Superficial ulcers in mouth 31 / 50 31. The commonest cause of metastasis to the wall of the stomach is: A. Melanoma B. Carcinoma of breast C. Hepatoma D. Carcinoma of thyroid 32 / 50 32. Which segment of the Gl tract is most susceptible to volvulus? A. Stomach B. Small intestine C. Caecum D. Sigmoid colon 33 / 50 33. Amino acids malabsorption is seen in: A. Cystinuria B. Alkaptonuria C. Phenylketonuria D. Homocystinuria 34 / 50 34. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Cytomegalovirus C. Hepatitis B D. Hepatitis C 35 / 50 35. Regarding diffuse oesophageal spasm, which of the following is true? A. Invariably requires surgery B. Usually a disease of teen age C. 'Nutcracker' oesophagus is the mildest form D. Chest pain mimics angina pectoris 36 / 50 36. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic pseudocyst C. Pancreatic phlegmon D. Pancreatic ascites 37 / 50 37. Diarrhoea may be associated with all except: A. Clindamycin B. Digitalis C. Colchicine D. Sucralfate 38 / 50 38. All of the following are true regarding right-sided colonic carcinoma except: A. Pain abdomen B. Alteration of bowel habit C. Anaemia D. Cachexia 39 / 50 39. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Congestive cardiac failure C. Tuberculous peritonitis D. Budd-Chiari syndrome 40 / 50 40. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Surgery by resection rectopexy may be done C. Rectal bleeding and tenesmus are common D. Rectal prolapse and straining by patient are common associations 41 / 50 41. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. CREST syndrome C. Autoimmune thyroiditis D. Renal tubular acidosis 42 / 50 42. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Melanoma C. Basal cell carcinoma D. Adenocarcinoma 43 / 50 43. The presence of diverticulosis is most commonly seen in: A. Descending colon B. Transverse colon C. Caecum D. Sigmoid colon 44 / 50 44. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Pituitary adenomas B. Medullary carcinoma of thyroid C. Phaeochromocytoma D. Hyperparathyroidism 45 / 50 45. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Imipramine C. Scleroderma D. Diabetes mellitus 46 / 50 46. All of the following produce hypergastrinemia except: A. Lansoprazole therapy B. Zollinger-Ellison syndrome C. Atrophic fundal gastritis D. Duodenal ulcer 47 / 50 47. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 500-600 g C. 100-200 g D. 300-400 g 48 / 50 48. Malabsorption may produce all of the following except: A. Cheilosis B. Achlorhydria C. Loss of libido D. Peripheral neuropathy 49 / 50 49. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. USG of liver C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 50 / 50 50. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. CT scan of liver C. Contrast-enhanced echocardiography D. MRI scan of liver LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology