Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteomalacia C. Osteoporosis D. Sclerosing cholangitis 2 / 50 2. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis B C. Hepatitis D D. Hepatitis C 3 / 50 3. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Feeding of a standard mea C. Histamine injection test D. Secretin injection test 4 / 50 4. All of the following may be associated with diarrhoea except: A. Sorbitol B. Amitriptyline C. Colchicine D. Theophylline 5 / 50 5. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Hyperparathyroidism C. Biliary tract disease D. Pancreatic carcinoma 6 / 50 6. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. Associated with other autoimmune diseases C. High risk of developing hepatoma D. Cushingoid face 7 / 50 7. All of the following may be associated with hyposplenism except: A. Sickle cell disease B. Haemolytic anaemia C. Dermatitis herpetiformi D. Coeliac disease 8 / 50 8. The best single diagnostic test for cystic fibrosis is: A. Quantitative faecal fat estimation B. Serum amylase C. Quantitative pilocarpine iontophoresis test D. Serum lipase 9 / 50 9. Raspberry tongue is found in: A. Yellow fever B. Glandular fever C. Rheumatic fever D. Scarlet fever 10 / 50 10. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Young women are the main victims C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Barium study of the small intestine reveals 'thumbprinting' 11 / 50 11. Which of the following does not produce secretory diarrhoea? A. Medullary carcinoma of the thyroid gland B. Zollinger-Ellison syndrome C. Carcinoid syndrome D. Hyperparathyroidism 12 / 50 12. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Isospora belli C. Microsporidia D. Mycobacterium avium-intracellulare 13 / 50 13. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. Passage of bright red blood per rectum C. The blood may not be mixed with stool D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 14 / 50 14. Which endocrine disorder is associated with exudative ascites? A. Addison's disease B. Hypothyroidism C. Hyperparathyroidism D. Conn's syndrome 15 / 50 15. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Cholic acid B. Deoxycholic acid C. Lithocholic acid D. Chenodeoxycholic acid 16 / 50 16. All are examples of APUDomas except: A. Phaeochromocytoma B. Hepatoma C. Melanoma D. Medullary carcinoma of thyroid gland 17 / 50 17. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Hiatal hernia may be present in 20% of patients C. Risk of adenocarcinoma increases 10-fold D. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus 18 / 50 18. 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 19 / 50 19. Aluminium hydroxide as an antacid may have all characteristics except: A. May contribute to osteomalacia B. Produces constipation C. Phosphate depletion is a complication D. May lead to Brunner's gland hyperplasia 20 / 50 20. All are characteristic features of Wilson’s disease except: A. Grimacing B. Chorea C. Slurred speech D. Sensory loss 21 / 50 21. The definitive test for diagnosis of haemochromatosis is: A. Liver biopsy B. Plasma iron >300 μg/ dl C. TIBC < 200 μg/dl D. Hepatic iron index >1.5 22 / 50 22. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Arthritis C. Uveitis D. Sclerosing cholangitis 23 / 50 23. Which of the following is false regarding pernicious anaemia? A. 60% have anti-intrinsic factor antibody B. It is a common cause of haemolytic anaemia in the West C. 90% have anti-parietal cell antibody D. Gastric polyp is common 24 / 50 24. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. IgM anti-HBc C. HBeAg D. IgG anti-HBc 25 / 50 25. Diarrhoea may be associated with all except: A. Sucralfate B. Colchicine C. Clindamycin D. Digitalis 26 / 50 26. The most common gastrointestinal disorder in a community is: A. Irritable bowel syndrome B. Diverticulitis C. Reflux oesophagitis D. Duodenal ulcer 27 / 50 27. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Systemic mastocytosis B. Whipple's disease C. Coeliac sprue D. Carcinoid syndrome 28 / 50 28. Pseudomembranous colitis is best treated by: A. Tobramycin B. Vancomycin C. Clindamycin D. Erythromycin 29 / 50 29. Water is minimally absorbed from: A. Caecum B. Transverse colon C. Descending colon D. Ascending colon 30 / 50 30. The commonest manifestation of radiation proctitis is: A. Bleeding per rectum B. Diarrhoea C. Mucous discharge D. Pruritus ani 31 / 50 31. Features of Mallory-Weiss syndrome comprise all except: A. In majority of patients, bleeding stops spontaneously B. Commonly precipitated by vomiting and retching C. May produce melaena D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 32 / 50 32. In coeliac sprue, which of the following is non-deficient in the body? A. Vitamin B12 B. Iron C. Folic acid D. Serum albumin 33 / 50 33. Which of the following infections commonly produces hepatic granuloma? A. Brucella abortus B. Pneumococcus C. Leptospira D. LD body 34 / 50 34. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Raised wedged hepatic venous pressure B. Blocked hepatic vein C. Congenital hepatic fibrosis is an example D. Commonest cause of portal hypertension 35 / 50 35. A desire for defaecation is initiated by: A. Distention of the sigmoid colon B. Contraction of the rectum C. Distention of the rectum D. Contraction of the internal anal sphincter 36 / 50 36. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Glucocorticoid helps cure C. Jejunoileal bypass may be an aetiology D. Occasionally progresses to cirrhosis and liver failure 37 / 50 37. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Fever B. Sinus tachycardia C. Bloody diarrhoea D. Discordance between subjective symptoms and objective findings 38 / 50 38. Mallory-Weiss syndrome is commonly seen accompanying: A. Oesophageal carcinoma B. Hiatal hernia C. Reflux oesophagitis D. Alcoholism 39 / 50 39. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Carcinoma of the tongue C. Achalasia cardia D. Post-encephalitic parkinsonism 40 / 50 40. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Exocrine pancreatic insufficiency C. Abnormal bacterial proliferation in proximal intestine D. Coexistent coeliac sprue 41 / 50 41. The commonest cause of chronic relapsing pancreatitis is: A. Infection B. Gallstones C. Trauma D. Alcohol abuse 42 / 50 42. Chronic afferent loop syndrome producing obstruction may lead to: A. Hypoglycaemia B. Recurrent ulceration C. Steatorrhoea D. Palpitation 43 / 50 43. Which one of the following is not an ocular complication of ulcerative colitis? A. Uveitis B. Cataract C. Episcleritis D. Scleromalacia perforans 44 / 50 44. The commonest complaint by a patient with Ca rectum is: A. Rectal pain B. Constipation C. Pain abdomen D. Haematochezia 45 / 50 45. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Tuberculous peritonitis C. Congestive cardiac failure D. Budd-Chiari syndrome 46 / 50 46. 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. 3rd day B. 7th day C. 2nd day D. 1st day 47 / 50 47. All of the following are true regarding right-sided colonic carcinoma except: A. Cachexia B. Anaemia C. Alteration of bowel habit D. Pain abdomen 48 / 50 48. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Emphysema C. Arthritis D. Electrolyte imbalance 49 / 50 49. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Presence of ankle clonus C. Flaccid muscles D. Babinski's sign 50 / 50 50. All of the following are true regarding diverticulitis except: A. Right side of colon is less affected than the left B. Massive rectal bleeding is very common C. Males are affected more than females D. Perforation is a serious complication LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
