Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest cause of chronic relapsing pancreatitis is: A. Gallstones B. Alcohol abuse C. Trauma D. Infection 2 / 50 2. Hyperdefaecation is found in all except: A. Diabetes mellitus B. Proctitis C. Hyperthyroidism D. Irritable bowel syndrome 3 / 50 3. 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. IgG anti-HBc D. HBeAg 4 / 50 4. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Fat C. Ca++ D. Vitamin B12 5 / 50 5. Luge gastric folds are seen in all except: A. Chronic H. pylori infection B. Sarcoidosis C. Menetrier's disease D. Gastric malignancy 6 / 50 6. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. Immediately after meals C. With the meals D. Just before meals 7 / 50 7. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Protein-losing enteropathy D. Chronic pancreatitis 8 / 50 8. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DR4 C. HLA-B8 D. HLA-DQ1 9 / 50 9. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Bromsulphalein (BSP) excretion test B. Level of transaminases C. Serum bilirubin assay D. Serum albumin estimation 10 / 50 10. 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 11 / 50 11. All of the following endocrine disorders are associated with malabsorption except: A. Hyperparathyroidism B. Carcinoid syndrome C. Diabetes mellitus D. Adrenal insufficiency 12 / 50 12. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgD C. IgA D. IgM 13 / 50 13. Constipation may develop from all except: A. Cholestyramine B. Clonidine C. Calcium-channel blocker D. Colchicine 14 / 50 14. Which one of the following is false regarding type B hepatitis serology? A. HBeAg implies high infectivity B. IgG anti-HBc indicates acute hepatitis B virus infection C. Anti-HBs appear to reflect immunity D. Persistence of HBsAg>6 months implies carrier state 15 / 50 15. Pyloric stenosis is commonly associated. with all except: A. Bilious vomiting B. Distension of upper abdomen with succussion splash C. Visible peristalsis D. Obliteration of Traube's space tympanicity 16 / 50 16. Necrolytic migratory erythema is a feature of: A. Carcinoid syndrome B. Insulinoma C. Glucagonoma D. Hepatoblastoma 17 / 50 17. Carcinoma of the large intestine is mostly found in: A. Sigmoid colon B. Transverse colon C. Ascending colon D. Caecum 18 / 50 18. High transaminase levels may be found in all except: A. Right-sided heart failure B. Acute viral hepatitis C. Acute myocardial infarction D. Chronic pancreatitis 19 / 50 19. Menetrier’s disease may have all of the following except: A. Hypochlorhydria B. Large tortuous gastric mucosal folds C. Hypoproteinaemia D. Gastritis 20 / 50 20. Which is true with respect to irritable bowel syndrome? A. Nocturnal diarrhoea is common B. Easily treatable C. Most common GI disorder in practice D. Commonly affects middle-aged males 21 / 50 21. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperlipidaemia B. Hyperamylasaemia C. Hypergastrinaemia D. Hypercalcaemia 22 / 50 22. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 30% C. 40% D. 60% 23 / 50 23. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. Cushingoid face C. High risk of developing hepatoma D. Associated with other autoimmune diseases 24 / 50 24. Hirschsprung’s disease is not manifested by: A. Vomiting B. Distended abdomen C. Rectal ampulla is full of faeces while the anal sphincter is normal D. Obstipation 25 / 50 25. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Coarsening of mucosal folds B. Loss of mucosal pattern C. Segmentation and clumping D. Dilatation 26 / 50 26. Acute pancreatitis is not associated with: A. Hyperparathyroidism B. Pancreatic islet cell tumour C. Pancreatic carcinoma D. Biliary tract disease 27 / 50 27. Chronicity in hepatitis C virus infection is: A. 50% B. 30% C. 80% D. 10% 28 / 50 28. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Fat metabolism C. Vitamins and minerals absorption D. Carbohydrate metabolism 29 / 50 29. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. Bromsulphalein (BSP) excretion test C. 48 hours fasting with only 300 cal/ day D. Liver biopsy 30 / 50 30. Achalasia cardia gives rise to all except: A. Chest pain B. Regurgitation C. Heartburn D. Dysphagia 31 / 50 31. Late dumping syndrome may be manifested by all except: A. Confusion B. Dizziness C. Diaphoresis D. Postural hypertension 32 / 50 32. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin A B. Vitamin D C. Folic acid D. Vitamin B12 33 / 50 33. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Not known C. Nutritional deficiency D. Autoimmunity 34 / 50 34. Secretory diarrhoea has no association with: A. Villous adenoma of rectum B. Medullary carcinoma of thyroid C. Zollinger-Ellison syndrome D. Pancreatic insufficiency 35 / 50 35. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Ehlers-Danlos syndrome C. Render-Weber-Osler disease D. Pseudoxanthoma elasticum 36 / 50 36. Treatment modalities of Wilson’s disease include all except: A. Tetrathiomolybdate B. Penicillamine C. Colchicine D. Elemental zinc 37 / 50 37. Portal hypertension associated with soft liver suggests: A. Cirrhosis of liver B. Non-cirrhotic portal fibrosis C. Budd-Chiari syndrome D. Extrahepatic obstruction 38 / 50 38. Giardia lamblia infestation produces a syndrome mimicking: A. Irritable bowel syndrome B. Tropical sprue C. Biliary dyspepsia D. Peptic ulcer disease 39 / 50 39. The causative agent of tropical sprue is: A. Campylobacter B. Yersinia C. Shigella D. Unknown 40 / 50 40. Which is not an indication of liver transplantation? A. Tyrosinaemia B. Haemangioma of liver C. Hereditary oxalosis D. Primary sclerosing cholangitis 41 / 50 41. The valvular heart disease common in carcinoid syndrome is: A. Tricuspid incompetence B. Pulmonary incompetence C. Aortic incompetence D. Mitral stenosis 42 / 50 42. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Temporary relief of pain by the passage of flatus or stool C. Pain abdomen usually lasts for 1/2 hour D. Nocturnal pain abdomen is frequent complaint 43 / 50 43. Which of the following is false regarding acute appendicitis? A. The temperature is usually normal or slightly elevated B. Meckel's diverticulitis is one of the close differential diagnosis C. Anorexia is rare D. Nausea and vomiting occur in 50-60% of cases 44 / 50 44. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. High serum acid phosphatase level C. Hepatosplenomegaly D. Elevated serum angiotensin-converting enzyme 45 / 50 45. The commonest cause of colonic obstruction is: A. Hernia B. Volvulus C. Adhesions D. Neoplasm 46 / 50 46. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. Stronger than H2-receptor blockers C. 50% of magnesium is absorbed by the small intestine D. Produces loose stool 47 / 50 47. Which is true in familial polyposis coli? A. X-linked recessive inheritance B. The rectum is spared C. Polyps are present since birth D. The patient may not have any symptoms until a carcinoma has developed 48 / 50 48. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Hashimoto's thyroiditis C. Mesenteric fibrosis D. Achlorhydria 49 / 50 49. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Intestinal lymphangiectasia C. Eosinophilic enteritis D. Coeliac disease 50 / 50 50. Which endocrine disorder is associated with exudative ascites? A. Conn's syndrome B. Hypothyroidism C. Addison's disease D. Hyperparathyroidism LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology