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. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Peliosis hepatis C. Hepatic granulomas D. Budd-chiari syndrome 3 / 50 3. All of the following produce “sub-total villous atrophy’ except: A. Abetalipoproteinaemia B. Hypogammaglobulinaemia C. Radiation D. Coeliac disease 4 / 50 4. Gastric diverticula are: A. Clinically not significant B. A premalignant condition C. Need immediate upper GI endoscopy D. Commonly seen 5 / 50 5. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A bad prognosis C. A fluctuating clinical course D. Means nothing to clinical course 6 / 50 6. Which of the following has the highest acid secretory effect? A. Fat B. Iron C. Carbohydrate D. Protein 7 / 50 7. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Congenital hepatic fibrosis is an example B. Blocked hepatic vein C. Commonest cause of portal hypertension D. Raised wedged hepatic venous pressure 8 / 50 8. Which of the following is not a cause of hyperamylasaemia? A. Burns B. Acute intermittent porphyria C. Renal insufficiency D. Pseudopancreatic cyst 9 / 50 9. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Diffuse oesophageal spasm C. Polymyositis D. Achalasia cardia 10 / 50 10. The Zollinger-Ellison syndrome is associated with all of the following except: A. Vitamin B12 malabsorption B. Diagnosis with certainty by BAO /MAO ratio C. Recalcitrant upper GI ulcers D. Diarrhoea and steatorrhoea 11 / 50 11. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. USG of liver B. Bone scan C. Gamma-glutamyl transpeptidase (GGT) estimation D. Protein electrophoresis 12 / 50 12. The most reliable method of measuring steatorrhoea is: A. D-xylose absorption test B. Fecal fat estimation C. Schilling test D. Small intestinal mucosal biopsy 13 / 50 13. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Villous adenoma of the colon C. Zollinger-Ellison syndrome D. Irritable bowel syndrome 14 / 50 14. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Cystadenocarcinoma D. Mucinous carcinoma 15 / 50 15. The valvular heart disease common in carcinoid syndrome is: A. Aortic incompetence B. Pulmonary incompetence C. Tricuspid incompetence D. Mitral stenosis 16 / 50 16. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Jaundice C. Liver biopsy is diagnostic D. Mild, firm hepatomegaly 17 / 50 17. Tegaserod is used in: A. Ulcerative colitis B. Coeliac disease C. Gastro-esophageal reflux disease D. Irritable bowel syndrome 18 / 50 18. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Clarithromycin C. Cefixime D. Tinidazole 19 / 50 19. Melanosis coli indicates: A. Crohn's disease B. Melanoma affecting colon C. Hypereosinophilic enteritis D. Anthraquinone laxative abuse 20 / 50 20. Which of the following is false regarding cholera? A. Offensive stool B. Onset with purging C. Subnormal Surface temperature D. Absence of tenesmus 21 / 50 21. Pseudomembranous colitis is best treated by: A. Vancomycin B. Erythromycin C. Tobramycin D. Clindamycin 22 / 50 22. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Arthritis B. Electrolyte imbalance C. Emphysema D. Nephrolithiasis 23 / 50 23. Pyloric stenosis is commonly associated. with all except: A. Visible peristalsis B. Bilious vomiting C. Obliteration of Traube's space tympanicity D. Distension of upper abdomen with succussion splash 24 / 50 24. Hepatic rub may be found in: A. Hepatic neoplasm B. Pyogenic liver abscess C. Hemangioma of liver D. Acute viral hepatitis 25 / 50 25. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Aphthous stomatitis C. Pyoderma gangrenosum D. Erythema marginatum 26 / 50 26. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. Associated with other autoimmune diseases C. Cushingoid face D. High risk of developing hepatoma 27 / 50 27. Which light source produces best photodecomposition of bilirubin? A. Moonlight B. Ultraviolet C. Fluorescent D. Sunlight 28 / 50 28. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Ehlers-Danlos syndrome B. Pseudoxanthoma elasticum C. Render-Weber-Osler disease D. Peutz-Jeghers syndrome 29 / 50 29. Which of the following is not associated with leucocytosis? A. Toxic hepatitis B. Acute viral hepatitis C. Amoebic liver abscess D. Weil's disease 30 / 50 30. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Serotonin antagonist B. beta-adrenergic agonist C. H1 + H2 receptor antagonist D. Methylxanthine bronchodilator 31 / 50 31. Features of Mallory-Weiss syndrome comprise all except: A. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction B. Commonly precipitated by vomiting and retching C. In majority of patients, bleeding stops spontaneously D. May produce melaena 32 / 50 32. Whipple’s triad is found in: A. Glucagonoma B. Somatostatinoma C. Carcinoid syndrome D. Insulinoma 33 / 50 33. Endopeptidases include all except: A. Chymotrypsin B. Trypsin C. Carboxypeptidase D. Elastase 34 / 50 34. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-B8 C. HLA-DR3 D. HLA-DQ1 35 / 50 35. Regarding ulcerative colitis, which is true? A. Malignancy never follows even in long-standing disease B. Segmental involvement is common C. Crypt abscesses are typical D. Granuloma and fistula formation are characteristic 36 / 50 36. Which of the following reflects the best prognostic marker of hepatocellular function? A. Alkaline phosphatase B. Serum bilirubin C. SGPT D. Prothrombin time 37 / 50 37. Regarding melena, which statement is false? A. Offensive in odour B. Blood should remain at least 4 hours within the gut C. Black tarry semisolid stool D. At least 60 ml of blood is required 38 / 50 38. Geographic tongue is ideally treated by: A. Vitamin B-complex B. Iron C. Folic acid D. None of the above 39 / 50 39. Aerophagia is commonly found in all except: A. Hypochondriac personality B. Rapid eating habit C. Chronic anxiety states D. Pyloric stenosis 40 / 50 40. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin A B. Vitamin B12 C. Folic acid D. Vitamin D 41 / 50 41. Minimal hepatic encephalopathy is classically diagnosed by: A. EEG B. MRI of brain C. Evoked potential study D. Psychometric study 42 / 50 42. Among the following drugs, which one is thought to be the safest in pregnancy? A. Misoprostol B. Omeprazole C. Carbenoxolone D. Sucralfate 43 / 50 43. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Granuloma B. Transmural involvement C. Fibrosis D. Crypt abscess 44 / 50 44. Which one of the following is not an ocular complication of ulcerative colitis? A. Cataract B. Episcleritis C. Uveitis D. Scleromalacia perforans 45 / 50 45. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Disseminated intravascular coagulation C. Fulminant hepatocellular failure D. Acute lung injury 46 / 50 46. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Tracheo-esophageal fistula may occur in advanced disease C. Dysphagia starts with solid foods D. Commonest site of affection is lower third 47 / 50 47. Octreotide can be used in all except: A. Pancreatic ascites B. Oesophageal variceal bleeding C. Short bowel syndrome D. Ulcerative colitis 48 / 50 48. Commonest cause of duodenal haematoma is: A. Trauma B. Haemophilia C. Acute leukaemia D. Anticoagulant therapy 49 / 50 49. Which of the following is false regarding pernicious anaemia? A. 90% have anti-parietal cell antibody B. It is a common cause of haemolytic anaemia in the West C. 60% have anti-intrinsic factor antibody D. Gastric polyp is common 50 / 50 50. Achalasia cardia may lead to all except: A. Fibrosis of the lung B. Emphysema C. Pneumonia D. Lung abscess LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
