Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Endopeptidases include all except: A. Elastase B. Trypsin C. Carboxypeptidase D. Chymotrypsin 2 / 50 2. Which is true regarding irritable bowel syndrome? A. Pain abdomen usually lasts for 1/2 hour B. Periodicity is common C. Temporary relief of pain by the passage of flatus or stool D. Nocturnal pain abdomen is frequent complaint 3 / 50 3. Gluten-free diet is beneficial in: A. Pemphigus B. Dermatitis herpetiformis C. Psoriasis D. Atopic eczema 4 / 50 4. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum bilirubin B. Serum cholesterol C. Serum albumin D. Serum transaminases 5 / 50 5. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Midgut B. Bronchus C. Stomach D. Hindgut 6 / 50 6. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. Ultrasonography B. CT scan C. ERCP D. HIDA scan 7 / 50 7. Ulcerative colitis involves the rectal mucosa in: A. 30-40% B. 50-60% C. 70-80% D. 90-100% 8 / 50 8. All of the following may be associated with diarrhoea except: A. Theophylline B. Colchicine C. Amitriptyline D. Sorbitol 9 / 50 9. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. Anaerobes C. Streptococcus faecalis D. E. coli 10 / 50 10. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Pyoderma gangrenosum C. Gallstone formation D. Aphthous stomatitis 11 / 50 11. Which of the following does not give rise to haematemesis? A. Stomatostatinoma B. Ca stomach C. Duodenal diverticula D. Mallory-Weiss syndrome 12 / 50 12. The commonest manifestation of radiation proctitis is: A. Mucous discharge B. Pruritus ani C. Diarrhoea D. Bleeding per rectum 13 / 50 13. Oral mucous membrane may be affected in all except: A. Lichen planus B. Stevens-Johnson syndrome C. Dermatitis herpetiformis D. Pemphigus Vulgaris 14 / 50 14. Crohn’s disease may produce all of the following except: A. Jejuno-colic fistula B. Perianal fistula C. Vesicovaginal fistula D. Rectovesical fistula 15 / 50 15. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Hypervitaminosis D D. Metastasis in liver 16 / 50 16. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Non-beta C. Beta D. Alpha 17 / 50 17. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Commonest site of affection is lower third C. Odynophagia may be a symptom D. Tracheo-esophageal fistula may occur in advanced disease 18 / 50 18. Tropical sprue may be associated with all except: A. Patchy lesion B. Malabsorption C. Treatment is done satisfactorily by intestinal resection D. Partial villous atrophy is more common than subtotal villous atrophy 19 / 50 19. Which of the following infections may produce features like cardiospasm? A. Trichinosis B. Trypanosomiasis C. Schistosomiasis D. Leishmaniasis 20 / 50 20. The major site of bile salt absorption is: A. Proximal small intestine B. Duodenum C. Stomach D. Distal small intestine 21 / 50 21. Which organ does not move at all with respiration? A. Pancreas B. Kidney C. Transverse colon D. Stomach 22 / 50 22. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. 'Nutcracker' oesophagus is the mildest form C. Invariably requires surgery D. Chest pain mimics angina pectoris 23 / 50 23. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Stomach biopsy B. Lymph node biopsy C. Liver biopsy D. Rectal biopsy 24 / 50 24. Latent jaundice may be a feature of all except: A. Pernicious anaemia B. Tropical sprue C. Acute pulmonary thromboembolism D. Congestive cardiac failure 25 / 50 25. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Jejunum C. Ileum D. Stomach 26 / 50 26. Whipple’s triad is found in: A. Insulinoma B. Somatostatinoma C. Carcinoid syndrome D. Glucagonoma 27 / 50 27. Which of the following infections commonly produces hepatic granuloma? A. Leptospira B. Brucella abortus C. Pneumococcus D. LD body 28 / 50 28. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Produces constipation C. Phosphate depletion is a complication D. May contribute to osteomalacia 29 / 50 29. Gum hypertrophy is not a feature of: A. Amlodipine therapy B. Acute monocytic leukaemia C. Carbamazepine therapy D. Scurvy 30 / 50 30. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Sclerosing cholangitis C. Osteoporosis D. Osteomalacia 31 / 50 31. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 70ml C. 200ml D. 270ml 32 / 50 32. Aerophagia is commonly found in all except: A. Chronic anxiety states B. Rapid eating habit C. Pyloric stenosis D. Hypochondriac personality 33 / 50 33. Which of the following is not included in the list of high-folate diet? A. Milk B. Liver C. Vegetables D. Fruits 34 / 50 34. Hepatocellular jaundice does not result from: A. Gliclazide B. Copper sulphate C. Rifampicin D. Halothane 35 / 50 35. Pyrosis is better known as: A. Heartburn B. Singultus C. Water brash D. Retching 36 / 50 36. The best single diagnostic test for cystic fibrosis is: A. Quantitative pilocarpine iontophoresis test B. Quantitative faecal fat estimation C. Serum lipase D. Serum amylase 37 / 50 37. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Type of anaemia C. D-xylose absorption test D. Small intestinal biopsy 38 / 50 38. Portal hypertension associated with soft liver suggests: A. Cirrhosis of liver B. Non-cirrhotic portal fibrosis C. Budd-Chiari syndrome D. Extrahepatic obstruction 39 / 50 39. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VII C. VIII D. II 40 / 50 40. Which of the following is not true in lupoid hepatitis? A. High risk of developing hepatoma B. Associated with other autoimmune diseases C. ANA is positive in majority D. Cushingoid face 41 / 50 41. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatitis-like picture B. Laennec's cirrhosis C. Fatty infiltration D. Hepatic vein thrombosis 42 / 50 42. Carcinoid syndrome: A. Is multiple in 1/5th cases B. Produces jaundice C. Increases BP D. More common in women 43 / 50 43. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Right lower intercostal tenderness D. Jaundice is present in majority 44 / 50 44. All of the following may be associated with hyposplenism except: A. Haemolytic anaemia B. Dermatitis herpetiformi C. Sickle cell disease D. Coeliac disease 45 / 50 45. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Gamma-glutamyl transpeptidase (GGT) estimation B. USG of liver C. Protein electrophoresis D. Bone scan 46 / 50 46. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Chronic pancreatitis D. Protein-losing enteropathy 47 / 50 47. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Night-time somnolence C. Presence of ankle clonus D. Flaccid muscles 48 / 50 48. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Radioactive triolein absorption (breath) test C. Small intestinal X-rays D. Quantitative determination of faecal fat 49 / 50 49. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 50 / 50 50. Acute pancreatitis may eventually lead to all of the following except: A. Acute lung injury B. Disseminated intravascular coagulation C. Renal failure D. Fulminant hepatocellular failure LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology