Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which one of the following is false regarding type B hepatitis serology? A. IgG anti-HBc indicates acute hepatitis B virus infection B. HBeAg implies high infectivity C. Persistence of HBsAg>6 months implies carrier state D. Anti-HBs appear to reflect immunity 2 / 50 2. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Pancreatic insufficiency B. Gastric retention C. Coeliac sprue D. Whipple's disease 3 / 50 3. The commonest complaint by a patient with Ca rectum is: A. Pain abdomen B. Constipation C. Haematochezia D. Rectal pain 4 / 50 4. The best single diagnostic test for cystic fibrosis is: A. Quantitative pilocarpine iontophoresis test B. Serum amylase C. Quantitative faecal fat estimation D. Serum lipase 5 / 50 5. All of the following may be associated with diarrhoea except: A. Sorbitol B. Colchicine C. Amitriptyline D. Theophylline 6 / 50 6. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Crescentic glomerulonephritis C. Wegener's granulomatosis D. Primary sclerosing cholangitis 7 / 50 7. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Palpitation C. Recurrent ulceration D. Hypoglycaemia 8 / 50 8. All of the following are true regarding diverticulitis except: A. Massive rectal bleeding is very common B. Right side of colon is less affected than the left C. Perforation is a serious complication D. Males are affected more than females 9 / 50 9. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. Gamma-glutamyl transpeptidase (GGT) estimation C. Bone scan D. USG of liver 10 / 50 10. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Whipple's disease B. Systemic mastocytosis C. Carcinoid syndrome D. Coeliac sprue 11 / 50 11. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Ascending colon C. Transverse colon D. Hepatic flexure 12 / 50 12. Primary biliary cirrhosis may be associated with all except: A. Renal tubular acidosis B. Wilson's disease C. Autoimmune thyroiditis D. CREST syndrome 13 / 50 13. Pseudomembranous colitis is best treated by: A. Clindamycin B. Vancomycin C. Tobramycin D. Erythromycin 14 / 50 14. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Consumption of food B. Change of posture C. Induction of vomiting D. Attacks of emotional stress 15 / 50 15. Manometric study of the lower oesophagus is important in all except: A. Diffuse oesophageal spasm B. Mallory-Weiss syndrome C. Achalasia cardia D. Polymyositis 16 / 50 16. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Easily treatable C. Commonly affects middle-aged males D. Nocturnal diarrhoea is common 17 / 50 17. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Atopic eczema C. Psoriasis D. Pemphigus 18 / 50 18. The causative agent of tropical sprue is: A. Campylobacter B. Shigella C. Unknown D. Yersinia 19 / 50 19. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 30 ml C. 15 ml D. 75 ml 20 / 50 20. Calcification of spleen is seen in: A. Malaria B. Hydatid cyst C. Thalassemia D. Tropical splenomegaly syndrome 21 / 50 21. Halitosis is present in all except: A. Hepatic failure B. Amoebic liver abscess C. Gastrocolic fistula D. Atrophic rhinitis 22 / 50 22. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Zollinger-Ellison syndrome C. Villous adenoma of the colon D. Irritable bowel syndrome 23 / 50 23. Which organ does not move at all with respiration? A. Stomach B. Kidney C. Pancreas D. Transverse colon 24 / 50 24. Serum alkaline phosphatase level may be increased in all except: A. Metastasis in liver B. Cholestasis C. Hypervitaminosis D D. Paget's disease 25 / 50 25. Normally in health, the venous flow in abdominal superficial veins is: A. From above downwards B. From below upwards C. Towards the umbilicus D. Away from the umbilicus 26 / 50 26. Geographic tongue is ideally treated by: A. Vitamin B-complex B. Folic acid C. None of the above D. Iron 27 / 50 27. NSAID-induced ulcers are best treated by: A. Coating agents like sucralfate B. Proton pump inhibitors C. Prostaglandins like misoprostol D. H2-receptor antagonists 28 / 50 28. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Crigler-Najjar syndrome C. Shunt hyperbilirubinaemia D. Gilbert's syndrome 29 / 50 29. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Squamous cell carcinoma C. Haemangioendothelioma D. Adenocarcinoma 30 / 50 30. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Hindgut B. Stomach C. Bronchus D. Midgut 31 / 50 31. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgA C. IgM D. IgG 32 / 50 32. Normal faecal fat is defined as: A. < 6 g for 24 hrs B. < 12 g for 24 hrs C. < 15 g for 24 hr D. < 9 g for 24 hrs 33 / 50 33. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. CT scan of liver B. Contrast-enhanced echocardiography C. MRI scan of liver D. Pulmonary angiography 34 / 50 34. Normal portal venous pressure is: A. <5mmHg B. >12mmHg C. 5-7mmHg D. 7-10 mmHg 35 / 50 35. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. 48 hours fasting with only 300 cal/ day C. Bromsulphalein (BSP) excretion test D. Liver biopsy 36 / 50 36. Which of the following reflects the best prognostic marker of hepatocellular function? A. Alkaline phosphatase B. SGPT C. Prothrombin time D. Serum bilirubin 37 / 50 37. 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 38 / 50 38. Giardia lamblia infestation produces a syndrome mimicking: A. Irritable bowel syndrome B. Biliary dyspepsia C. Peptic ulcer disease D. Tropical sprue 39 / 50 39. Raspberry tongue is found in: A. Rheumatic fever B. Scarlet fever C. Yellow fever D. Glandular fever 40 / 50 40. Minimal hepatic encephalopathy is classically diagnosed by: A. MRI of brain B. EEG C. Psychometric study D. Evoked potential study 41 / 50 41. Granulomatous hepatitis is not a feature of: A. Sarcoidosis B. Blastomycosis C. Tuberculosis D. Metastatic carcinoma 42 / 50 42. Acute viral hepatitis may develop from all of the following except: A. Cytomegalovirus B. Yellow fever C. Infectious mononucleosis D. Herpes zoster virus 43 / 50 43. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Bromsulphalein (BSP) excretion test B. Serum albumin estimation C. Serum bilirubin assay D. Level of transaminases 44 / 50 44. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Crypt abscess C. Granuloma D. Transmural involvement 45 / 50 45. Macroglossia is not found in: A. Bulbar palsy B. Primary amyloidosis C. Myxoedema D. Hurler syndrome 46 / 50 46. Mid-zonal necrosis of liver is caused by: A. Carbon tetrachloride B. Eclampsia C. Phosphorus poisoning D. Yellow fever 47 / 50 47. Hepatitis-like features may be seen in therapy with all except: A. Zidovudine B. Atorvastatin C. INH D. Ketoconazole 48 / 50 48. All of the following may be associated with hypoglobulinaemia except: A. Multiple myeloma B. Severe combined immunodeficiency C. AIDS D. Chronic lymphatic leukaemia 49 / 50 49. Fats are ingested primarily in the form of: A. Monoglycerides B. Fatty acids C. Diglycerides D. Triglycerides 50 / 50 50. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Jejunoileal bypass B. Pyloroplasty C. Vagotomy D. Gastric bypass LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology