Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Vitamins and minerals absorption C. Carbohydrate metabolism D. Fat metabolism 2 / 50 2. Which of the following is not true in lupoid hepatitis? A. Associated with other autoimmune diseases B. High risk of developing hepatoma C. Cushingoid face D. ANA is positive in majority 3 / 50 3. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Crypt abscess B. Fibrosis C. Granuloma D. Transmural involvement 4 / 50 4. Which of the following is not included in the list of high-folate diet? A. Liver B. Fruits C. Milk D. Vegetables 5 / 50 5. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum transaminases B. Serum cholesterol C. Serum bilirubin D. Serum albumin 6 / 50 6. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Rotor syndrome C. Breakdown of haemoglobin D. Breakdown of myoglobin 7 / 50 7. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Coeliac sprue C. Whipple's disease D. Systemic mastocytosis 8 / 50 8. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Ca++ C. Vitamin B12 D. Salt and water 9 / 50 9. Hepatitis-like features may be seen in therapy with all except: A. Zidovudine B. INH C. Ketoconazole D. Atorvastatin 10 / 50 10. Minimal fluid required to have classical shifting dullness in ascites is: A. 500-1000 ml B. 250-500 ml C. 100-250 ml D. More than 1 litre 11 / 50 11. Pyrosis is better known as: A. Heartburn B. Retching C. Water brash D. Singultus 12 / 50 12. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DR4 C. HLA-DQ1 D. HLA-B8 13 / 50 13. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Short bowel syndrome C. Ulcerative colitis D. Pancreatic ascites 14 / 50 14. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Psoriasis C. Atopic eczema D. Pemphigus 15 / 50 15. 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 16 / 50 16. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. E. coli C. Streptococcus faecalis D. Salmonella 17 / 50 17. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. LD body C. Leptospira D. Brucella abortus 18 / 50 18. NSAID-induced ulcers are best treated by: A. Prostaglandins like misoprostol B. Coating agents like sucralfate C. H2-receptor antagonists D. Proton pump inhibitors 19 / 50 19. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Gastroenterostomy B. Vagotomy with gastroenterostomy C. Three-quarter gastric resection D. Vagotomy with pyloroplasty 20 / 50 20. Acute pancreatitis may be caused by: A. Legionella pneumoniae B. Thiazides C. Propranolol D. Measles 21 / 50 21. Which is not an indication of liver transplantation? A. Tyrosinaemia B. Primary sclerosing cholangitis C. Haemangioma of liver D. Hereditary oxalosis 22 / 50 22. All of the following may be associated with diarrhoea except: A. Theophylline B. Amitriptyline C. Colchicine D. Sorbitol 23 / 50 23. Major organ responsible for the removal of gastrin is: A. Liver B. Intestine C. Lung D. Kidney 24 / 50 24. All are examples of APUDomas except: A. Melanoma B. Medullary carcinoma of thyroid gland C. Hepatoma D. Phaeochromocytoma 25 / 50 25. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Glucocorticoid helps cure D. Occasionally progresses to cirrhosis and liver failure 26 / 50 26. All of the following produce invasive diarrhoea except: A. Shigella B. Clostridium perfringens C. Campylobacter D. Clostridium difficile 27 / 50 27. Ulcerative colitis involves the rectal mucosa in: A. 70-80% B. 90-100% C. 30-40% D. 50-60% 28 / 50 28. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. Ultrasonography B. HIDA scan C. ERCP D. CT scan 29 / 50 29. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Crohn's disease C. Coeliac disease D. Intestinal lymphoma 30 / 50 30. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Severe periumbilical pain at the onset C. Young women are the main victims D. Barium study of the small intestine reveals 'thumbprinting' 31 / 50 31. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hyperlipidaemia C. Hypergastrinaemia D. Hyperamylasaemia 32 / 50 32. All are absorbed maximally in the upper small intestine except: A. Vitamin B12 B. Folate C. Ca++ D. Fe++ 33 / 50 33. Granulomatous hepatitis is not a feature of: A. Tuberculosis B. Metastatic carcinoma C. Blastomycosis D. Sarcoidosis 34 / 50 34. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Arthralgia C. Jaundice D. Haematemesis 35 / 50 35. Bentiromide test diagnoses? A. Pancreatic ductal obstruction B. Exocrine pancreatic function C. Endocrine pancreatic function D. Pancreatic carcinoma 36 / 50 36. Crohn’s disease is caused by: A. Autoimmunity B. Nutritional deficiency C. Not known D. Toxin elaborated by infectious microorganisms 37 / 50 37. Which one is false in granulomatous hepatitis? A. Liver biopsy is diagnostic B. Sarcoidosis may be an aetiology C. Jaundice D. Mild, firm hepatomegaly 38 / 50 38. Peritonitis may be complicated by all except: A. Acute lung injury B. Renal failure C. Pelvic abscess D. Haemorrhagic pancreatitis 39 / 50 39. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. 48 hours fasting with only 300 cal/ day C. Liver biopsy D. Bromsulphalein (BSP) excretion test 40 / 50 40. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Bile or pancreatic cytology B. Biliary manometry C. Endoscopic sphincterotomy and stone removal D. Best visualisation of cystic duct 41 / 50 41. All of the following endocrine disorders are associated with malabsorption except: A. Diabetes mellitus B. Hyperparathyroidism C. Carcinoid syndrome D. Adrenal insufficiency 42 / 50 42. H. pylori is usually not associated with: A. Antral gastritis B. Non-ulcer dyspepsia C. Gastric lymphoma D. Zollinger-Ellison syndrome 43 / 50 43. Chronic gastritis may be characterised by all except: A. Anorexia B. Gastric polyp C. Haematemesis D. Incessant vomiting 44 / 50 44. Jejunal diverticula may be associated with: A. Cirrhosis of liver B. Chronic pancreatitis C. Vitamin B12 malabsorpfion D. Hypochlorhydria 45 / 50 45. Which one of the following is not an ocular complication of ulcerative colitis? A. Cataract B. Uveitis C. Episcleritis D. Scleromalacia perforans 46 / 50 46. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Offensive in odour C. Black tarry semisolid stool D. Blood should remain at least 4 hours within the gut 47 / 50 47. Which of the following reflects the best prognostic marker of hepatocellular function? A. Prothrombin time B. SGPT C. Alkaline phosphatase D. Serum bilirubin 48 / 50 48. Calcification of spleen is seen in: A. Tropical splenomegaly syndrome B. Thalassemia C. Malaria D. Hydatid cyst 49 / 50 49. The causative agent of tropical sprue is: A. Yersinia B. Unknown C. Campylobacter D. Shigella 50 / 50 50. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Mucinous carcinoma D. Cystadenocarcinoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology