Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Cirrhosis of liver C. Budd-Chiari syndrome D. Congestive cardiac failure 2 / 50 2. The commonest site of carcinoid tumour is: A. Ileum B. Colon C. Stomach D. Appendix 3 / 50 3. Aerophagia is commonly found in all except: A. Chronic anxiety states B. Rapid eating habit C. Hypochondriac personality D. Pyloric stenosis 4 / 50 4. Mucosal immunity is mainly due to: A. IgA B. IgM C. IgD D. IgG 5 / 50 5. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Endoscopic sphincterotomy and stone removal B. Biliary manometry C. Bile or pancreatic cytology D. Best visualisation of cystic duct 6 / 50 6. Regarding H. pylori, which statement is false? A. Multiflagellated B. It penetrates within the epithelial cells of the stomach C. Gram-negative bacillus D. Often resides in the dental plaques of the patient 7 / 50 7. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Primary sclerosing cholangitis C. Crescentic glomerulonephritis D. Wegener's granulomatosis 8 / 50 8. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. Hypoalbuminaemia is very active disease C. AST and ALT levels fluctuate within 100-1000 units D. Very high bilirubin level 9 / 50 9. 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. Bone scan C. USG of liver D. Protein electrophoresis 10 / 50 10. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. CREST syndrome C. Wilson's disease D. Renal tubular acidosis 11 / 50 11. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Commonest site of affection is lower third C. Dysphagia starts with solid foods D. Odynophagia may be a symptom 12 / 50 12. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Electrolyte imbalance B. Arthritis C. Emphysema D. Nephrolithiasis 13 / 50 13. One of the earliest manifestations of cystic fibrosis is: A. Meconium ileus B. Tetany C. Malabsorption D. Gram-negative sepsis 14 / 50 14. Which indicates chronicity in hepatitis B virus infection? A. Anti-HBs B. IgG anti-HBc C. HBeAg D. DNA polymerase 15 / 50 15. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VIII C. VII D. II 16 / 50 16. High transaminase levels may be found in all except: A. Right-sided heart failure B. Acute viral hepatitis C. Chronic pancreatitis D. Acute myocardial infarction 17 / 50 17. Oral mucous membrane may be affected in all except: A. Lichen planus B. Dermatitis herpetiformis C. Pemphigus Vulgaris D. Stevens-Johnson syndrome 18 / 50 18. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. At least 60 ml of blood is required C. Offensive in odour D. Black tarry semisolid stool 19 / 50 19. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Gilbert's syndrome B. Shunt hyperbilirubinaemia C. Crigler-Najjar syndrome D. Dubin-Johnson syndrome 20 / 50 20. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Villous adenoma of the colon B. Carcinoid syndrome C. Zollinger-Ellison syndrome D. Irritable bowel syndrome 21 / 50 21. Which of the following is not a recognized complication of ulcerative colitis? A. Bronchiectasis B. Pyoderma gangrenosum C. Sacroiliitis D. Autoimmune haemolytic anaemia 22 / 50 22. A desire for defaecation is initiated by: A. Contraction of the rectum B. Distention of the sigmoid colon C. Distention of the rectum D. Contraction of the internal anal sphincter 23 / 50 23. Luge gastric folds are seen in all except: A. Menetrier's disease B. Chronic H. pylori infection C. Sarcoidosis D. Gastric malignancy 24 / 50 24. The presence of hepatic bruit over the liver suggests: A. Hepatoma B. Recent liver biopsy C. Perihepatitis D. Portal hypertension 25 / 50 25. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Colicky pain abdomen C. Sense of complete evacuation D. Mucous diarrhoea or pencil-like pasty stools 26 / 50 26. Amino acids malabsorption is seen in: A. Alkaptonuria B. Homocystinuria C. Phenylketonuria D. Cystinuria 27 / 50 27. ‘Sago spleen’ is found in: A. Chronic myeloid leukaemia B. Felty's syndrome C. Focal amyloidosis D. Chronic active hepatitis 28 / 50 28. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Hyperthyroidism C. Imipramine D. Diabetes mellitus 29 / 50 29. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Meckel's diverticulum C. Right colic flexure D. Ampulla of Vater 30 / 50 30. Which is true regarding Vincent’s angina? A. Hiatus hernia may be associated with B. May be complicated by angina pectoris C. Superficial ulcers in mouth D. Gum is the principal site of affection 31 / 50 31. Giardia lamblia infestation produces a syndrome mimicking: A. Biliary dyspepsia B. Peptic ulcer disease C. Tropical sprue D. Irritable bowel syndrome 32 / 50 32. All are characteristic features of Wilson’s disease except: A. Chorea B. Grimacing C. Sensory loss D. Slurred speech 33 / 50 33. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Plasma iron >300 μg/ dl C. TIBC < 200 μg/dl D. Liver biopsy 34 / 50 34. Gluten-free diet is beneficial in: A. Pemphigus B. Dermatitis herpetiformis C. Psoriasis D. Atopic eczema 35 / 50 35. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Vitamin B12 C. Ca++ D. Fat 36 / 50 36. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. More than 1 litre D. 250-500 ml 37 / 50 37. The Kayser-Fleischer (KF) ring is: A. Copper deposition in Descemet's membrane B. Broader laterally and medially C. Hampers vision D. The inferior pole of cornea is first affected 38 / 50 38. The commonest cause of colonic obstruction is: A. Neoplasm B. Hernia C. Volvulus D. Adhesions 39 / 50 39. Weil’s disease is associated with: A. Leucopenia with lymphocytosis B. Jaundice in all C. Severe muscle pain D. Absence of renal involvement 40 / 50 40. Which of the following does not give rise to haematemesis? A. Stomatostatinoma B. Mallory-Weiss syndrome C. Duodenal diverticula D. Ca stomach 41 / 50 41. Which of the following reflects the best prognostic marker of hepatocellular function? A. SGPT B. Alkaline phosphatase C. Prothrombin time D. Serum bilirubin 42 / 50 42. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Rectal biopsy C. Stomach biopsy D. Liver biopsy 43 / 50 43. Carcinoma of the large intestine is mostly found in: A. Sigmoid colon B. Transverse colon C. Ascending colon D. Caecum 44 / 50 44. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of myoglobin C. Ineffective erythropoiesis D. Breakdown of haemoglobin 45 / 50 45. Water is minimally absorbed from: A. Caecum B. Ascending colon C. Descending colon D. Transverse colon 46 / 50 46. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Isospora belli D. Microsporidia 47 / 50 47. All of the following may be associated with hyposplenism except: A. Sickle cell disease B. Coeliac disease C. Dermatitis herpetiformi D. Haemolytic anaemia 48 / 50 48. Endopeptidases include all except: A. Carboxypeptidase B. Chymotrypsin C. Trypsin D. Elastase 49 / 50 49. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Tricuspid incompetence C. Aortic incompetence D. Mitral stenosis 50 / 50 50. Regarding ischaemic colitis, which one is true? A. Rectal bleeding is a rare complication B. Affects young population C. Almost always an occlusive disease of mesenteric vessels D. Angiography is not helpful LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology