Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The presence of hepatic bruit over the liver suggests: A. Portal hypertension B. Perihepatitis C. Hepatoma D. Recent liver biopsy 2 / 50 2. The commonest type of pancreatic carcinoma is: A. Cystadenocarcinoma B. Mucinous carcinoma C. Ductal adenocarcinoma D. Islet cell carcinoma 3 / 50 3. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Gallstones C. Alcohol abuse D. Infection 4 / 50 4. Which of the following is false regarding cholera? A. Absence of tenesmus B. Offensive stool C. Subnormal Surface temperature D. Onset with purging 5 / 50 5. Halitosis is present in all except: A. Gastrocolic fistula B. Amoebic liver abscess C. Hepatic failure D. Atrophic rhinitis 6 / 50 6. Extraintestinal amoebiasis may involve all except: A. Skin B. Vulva C. Meninges with encephalon D. Heart 7 / 50 7. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Best visualisation of cystic duct B. Endoscopic sphincterotomy and stone removal C. Bile or pancreatic cytology D. Biliary manometry 8 / 50 8. All of the following produce hypergastrinemia except: A. Zollinger-Ellison syndrome B. Atrophic fundal gastritis C. Lansoprazole therapy D. Duodenal ulcer 9 / 50 9. All of the following can be associated with obstructive jaundice except: A. Crigler-Najjar type II B. Oral contraceptives C. Secondary carcinoma of liver D. Pregnancy 10 / 50 10. The smallest absorbing unit of the small intestinal mucosa is: A. Columnar cells B. Microvillus C. Villus D. Crypts 11 / 50 11. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-B8 C. HLA-DR3 D. HLA-DQ1 12 / 50 12. Tegaserod is used in: A. Gastro-esophageal reflux disease B. Ulcerative colitis C. Irritable bowel syndrome D. Coeliac disease 13 / 50 13. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Barium enema C. Sigmoidoscopy D. Stool culture 14 / 50 14. Which of the following reflects the best prognostic marker of hepatocellular function? A. SGPT B. Prothrombin time C. Serum bilirubin D. Alkaline phosphatase 15 / 50 15. 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 16 / 50 16. Pruritus associated with cholestasis is mostly seen: A. In males B. At daytime C. After a cold bath D. On the palms and soles 17 / 50 17. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Anthraquinone laxative abuse C. Melanoma affecting colon D. Crohn's disease 18 / 50 18. All of the following enzymes may be normally found in stool except: A. Pepsin B. Trypsin C. Lipase D. Amylase 19 / 50 19. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. HBeAg C. IgG anti-HBc D. IgM anti-HBc 20 / 50 20. Regarding Meckel’s diverticulum, which one is false? A. May contain oesophageal or rectal mucosa B. Present in 2% population C. Usually 5 cm long D. Present within 100 cm of the ileocaecal valve 21 / 50 21. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Gastro-esophageal reflux disease B. Haemorrhoids C. Pancreatitis D. Diverticulosis 22 / 50 22. Oral mucous membrane may be affected in all except: A. Lichen planus B. Stevens-Johnson syndrome C. Dermatitis herpetiformis D. Pemphigus Vulgaris 23 / 50 23. The major site of bile salt absorption is: A. Duodenum B. Stomach C. Proximal small intestine D. Distal small intestine 24 / 50 24. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma creatinine ratio >30 B. Slow-onset azotaemia in chronic liver disease C. Urine Na+ concentration >10 mEq/dl D. Urine to plasma osmolality ratio >1.0 25 / 50 25. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. Autoimmune thyroiditis C. CREST syndrome D. Renal tubular acidosis 26 / 50 26. 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. 2nd day B. 7th day C. 1st day D. 3rd day 27 / 50 27. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Reflux oesophagitis C. Alcoholism D. Oesophageal carcinoma 28 / 50 28. NSAID-induced ulcers are best treated by: A. H2-receptor antagonists B. Coating agents like sucralfate C. Proton pump inhibitors D. Prostaglandins like misoprostol 29 / 50 29. Carcinoma of the large intestine is mostly found in: A. Caecum B. Transverse colon C. Ascending colon D. Sigmoid colon 30 / 50 30. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Amenorrhoea C. Carotenaemia D. Loss of axillary and pubic hair 31 / 50 31. Amino acids malabsorption is seen in: A. Cystinuria B. Alkaptonuria C. Homocystinuria D. Phenylketonuria 32 / 50 32. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Occasionally progresses to cirrhosis and liver failure B. Jejunoileal bypass may be an aetiology C. Glucocorticoid helps cure D. Typically occurs in overweight, diabetic, hyperlipidemic subjects 33 / 50 33. Pyloric stenosis may be complicated by: A. Hyperkalaemia B. Hyperchloraemia C. Hypochloraemic alkalosis D. Acidosis 34 / 50 34. 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 35 / 50 35. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Jaundice C. Arthralgia D. Amenorrhoea 36 / 50 36. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Gastrinoma B. Somatostatinoma C. Glucagonoma D. Insulinoma 37 / 50 37. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperlipidaemia B. Hypercalcaemia C. Hypergastrinaemia D. Hyperamylasaemia 38 / 50 38. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Sheehan's syndrome C. Schizophrenia D. Anorexia nervos 39 / 50 39. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Hyperthyroidism C. Pancreatic carcinoma D. Protein-energy malnutrition 40 / 50 40. Pyloric stenosis is commonly associated. with all except: A. Visible peristalsis B. Obliteration of Traube's space tympanicity C. Bilious vomiting D. Distension of upper abdomen with succussion splash 41 / 50 41. All of the following may be associated with hypoglobulinaemia except: A. AIDS B. Multiple myeloma C. Severe combined immunodeficiency D. Chronic lymphatic leukaemia 42 / 50 42. The classical triad in carcinoid syndrome is: A. Pruritus, wheezing, diarrhoea B. Flushing, diarrhoea, valvular heart disease C. Dyspnoea, flushing, valvular heart disease D. Telangiectasias, flushing, diarrhoea 43 / 50 43. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 300-400 g C. 700-800 g D. 500-600 g 44 / 50 44. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. USG of liver B. Bone scan C. Gamma-glutamyl transpeptidase (GGT) estimation D. Protein electrophoresis 45 / 50 45. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Crypt abscess B. Transmural involvement C. Granuloma D. Fibrosis 46 / 50 46. The most reliable screening test for patients suffering from malabsorption is: A. Small intestinal X-rays B. Quantitative determination of faecal fat C. D-xylose absorption test D. Radioactive triolein absorption (breath) test 47 / 50 47. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Penicillamine C. Tetrathiomolybdate D. Colchicine 48 / 50 48. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. MRI of brain C. EEG D. Evoked potential study 49 / 50 49. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Hereditary oxalosis C. Tyrosinaemia D. Primary sclerosing cholangitis 50 / 50 50. Pseudomembranous colitis is not produced by: A. Streptomycin B. Ampicillin C. Chloramphenicol D. Clindamycin LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology