Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Invariably requires surgery C. Chest pain mimics angina pectoris D. Usually a disease of teen age 2 / 50 2. The most reliable method of measuring steatorrhoea is: A. Fecal fat estimation B. Schilling test C. D-xylose absorption test D. Small intestinal mucosal biopsy 3 / 50 3. Which one is false in granulomatous hepatitis? A. Jaundice B. Sarcoidosis may be an aetiology C. Mild, firm hepatomegaly D. Liver biopsy is diagnostic 4 / 50 4. Treatment modalities of Wilson’s disease include all except: A. Penicillamine B. Elemental zinc C. Colchicine D. Tetrathiomolybdate 5 / 50 5. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Folic acid B. Vitamin A C. Vitamin B12 D. Vitamin D 6 / 50 6. The commonest manifestation of radiation proctitis is: A. Bleeding per rectum B. Pruritus ani C. Mucous discharge D. Diarrhoea 7 / 50 7. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Histology C. Rapid urease test D. Endoscopic view 8 / 50 8. The definitive test for diagnosis of haemochromatosis is: A. TIBC < 200 μg/dl B. Hepatic iron index >1.5 C. Plasma iron >300 μg/ dl D. Liver biopsy 9 / 50 9. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Alcohol abuse C. Infection D. Gallstones 10 / 50 10. Water is minimally absorbed from: A. Descending colon B. Caecum C. Transverse colon D. Ascending colon 11 / 50 11. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypercalcaemia B. Increased bicarbonate level in serum C. Elevated blood urea nitrogen D. Hypophosphataemia 12 / 50 12. The smallest absorbing unit of the small intestinal mucosa is: A. Villus B. Microvillus C. Crypts D. Columnar cells 13 / 50 13. Secretory diarrhoea has no association with: A. Villous adenoma of rectum B. Pancreatic insufficiency C. Medullary carcinoma of thyroid D. Zollinger-Ellison syndrome 14 / 50 14. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Stomach C. Jejunum D. Ileum 15 / 50 15. Hour-glass stomach is usually produced by: A. Lymphoma B. Developmental anomaly C. Gastric ulcer D. Syphilis 16 / 50 16. All of the following may be associated with hypoglobulinaemia except: A. AIDS B. Severe combined immunodeficiency C. Multiple myeloma D. Chronic lymphatic leukaemia 17 / 50 17. 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 18 / 50 18. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 12 g for 24 hrs C. < 15 g for 24 hr D. < 6 g for 24 hrs 19 / 50 19. Acute pancreatitis is not associated with: A. Pancreatic carcinoma B. Hyperparathyroidism C. Biliary tract disease D. Pancreatic islet cell tumour 20 / 50 20. Latent jaundice may be a feature of all except: A. Tropical sprue B. Acute pulmonary thromboembolism C. Congestive cardiac failure D. Pernicious anaemia 21 / 50 21. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Iron D. Folic acid 22 / 50 22. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Pancreatitis B. Gastro-esophageal reflux disease C. Diverticulosis D. Haemorrhoids 23 / 50 23. Auto-vagotomy may be observed in: A. Progressive systemic sclerosis B. Parkinsonism C. Diabetes mellitus D. Amyloidosis 24 / 50 24. Which segment of the Gl tract is most susceptible to volvulus? A. Sigmoid colon B. Caecum C. Small intestine D. Stomach 25 / 50 25. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 500-1000 ml C. 100-250 ml D. 250-500 ml 26 / 50 26. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Campylobacter C. Yersinia D. Rota virus 27 / 50 27. Malabsorption may produce all of the following except: A. Achlorhydria B. Cheilosis C. Peripheral neuropathy D. Loss of libido 28 / 50 28. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Rotor syndrome C. Breakdown of haemoglobin D. Breakdown of myoglobin 29 / 50 29. Late dumping syndrome may be manifested by all except: A. Dizziness B. Diaphoresis C. Postural hypertension D. Confusion 30 / 50 30. Mid-zonal necrosis of liver is caused by: A. Phosphorus poisoning B. Carbon tetrachloride C. Eclampsia D. Yellow fever 31 / 50 31. Which ion is necessary for the active transport of sugars? A. Sodium B. Magnesium C. Calcium D. Potassium 32 / 50 32. Pruritus associated with cholestasis is mostly seen: A. At daytime B. After a cold bath C. On the palms and soles D. In males 33 / 50 33. Which of the following pancreatic islet cells synthesizes glucagon? A. Non-beta B. Delta C. Beta D. Alpha 34 / 50 34. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine to plasma creatinine ratio >30 C. Urine to plasma osmolality ratio >1.0 D. Urine Na+ concentration >10 mEq/dl 35 / 50 35. All are examples of APUDomas except: A. Melanoma B. Hepatoma C. Phaeochromocytoma D. Medullary carcinoma of thyroid gland 36 / 50 36. Non-cirrhotic portal fibrosis may be associated with: A. Oral contraceptives B. Umbilical sepsis C. Sarcoidosis D. Chronic arsenic ingestion 37 / 50 37. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Acute gastritis C. Duodenal ulcer D. Ruptured oesophageal varices 38 / 50 38. The most specific treatment in coeliac sprue is: A. Folic acid B. Antibiotics C. Gluten-free diet D. Corticosteroids 39 / 50 39. Sialorrhoea is associated with all of the following except: A. Post-encephalitic parkinsonism B. Carcinoma of the tongue C. Achalasia cardia D. Wilson's disease 40 / 50 40. Which segment of the colon is commonly affected by vascular insufficiency? A. Transverse colon B. Hepatic flexure C. Ascending colon D. Splenic flexure 41 / 50 41. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Secretin injection test C. Calcium infusion test D. Feeding of a standard mea 42 / 50 42. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Metastasis in liver D. Hypervitaminosis D 43 / 50 43. H. pylori is usually not associated with: A. Non-ulcer dyspepsia B. Gastric lymphoma C. Zollinger-Ellison syndrome D. Antral gastritis 44 / 50 44. Which of the following infections may produce features like cardiospasm? A. Trypanosomiasis B. Schistosomiasis C. Trichinosis D. Leishmaniasis 45 / 50 45. High transaminase levels may be found in all except: A. Right-sided heart failure B. Acute viral hepatitis C. Chronic pancreatitis D. Acute myocardial infarction 46 / 50 46. All of the following enzymes may be normally found in stool except: A. Amylase B. Lipase C. Trypsin D. Pepsin 47 / 50 47. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Over the first 4-6 weeks of life B. Within the first 24 hours of birth C. At birth D. During the first 10 days of life 48 / 50 48. The major immunoglobulin in primary biliary cirrhosis is: A. IgA B. IgG C. IgM D. IgD 49 / 50 49. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. CT scan of liver B. Pulmonary angiography C. Contrast-enhanced echocardiography D. MRI scan of liver 50 / 50 50. What is true about Weil’s disease? A. Liver biopsy is diagnostic B. Low glucose in CSF C. Leucopenia D. 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