Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. 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. 3rd day C. 1st day D. 7th day 2 / 50 2. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Atrial septal defect C. Chronic cor pulmonale D. Juvenile polyposis coli 3 / 50 3. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Primary sclerosing cholangitis B. Crescentic glomerulonephritis C. Wegener's granulomatosis D. Ulcerative colitis 4 / 50 4. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus C. Hiatal hernia may be present in 20% of patients D. Risk of adenocarcinoma increases 10-fold 5 / 50 5. Normal portal venous pressure is: A. >12mmHg B. 5-7mmHg C. 7-10 mmHg D. <5mmHg 6 / 50 6. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Exocrine pancreatic insufficiency C. Coexistent coeliac sprue D. Associated vasculitis 7 / 50 7. Calcification of spleen is seen in: A. Tropical splenomegaly syndrome B. Malaria C. Thalassemia D. Hydatid cyst 8 / 50 8. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Antrum B. Lesser curvature C. Cardia D. Body 9 / 50 9. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Mucous diarrhoea or pencil-like pasty stools C. Colicky pain abdomen D. Sense of complete evacuation 10 / 50 10. Aluminium hydroxide as an antacid may have all characteristics except: A. Produces constipation B. Phosphate depletion is a complication C. May lead to Brunner's gland hyperplasia D. May contribute to osteomalacia 11 / 50 11. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis C B. Hepatitis D C. Cytomegalovirus D. Hepatitis B 12 / 50 12. Treatment modalities of Wilson’s disease include all except: A. Colchicine B. Tetrathiomolybdate C. Elemental zinc D. Penicillamine 13 / 50 13. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. Black tarry semisolid stool C. Offensive in odour D. At least 60 ml of blood is required 14 / 50 14. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Villous adenoma of rectum C. Pancreatic insufficiency D. Medullary carcinoma of thyroid 15 / 50 15. Gastric diverticula are: A. Commonly seen B. Clinically not significant C. Need immediate upper GI endoscopy D. A premalignant condition 16 / 50 16. Secretin is produced in largest quantities in: A. Ileum B. Stomach C. Duodenum D. Jejunum 17 / 50 17. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 30% C. 60% D. 40% 18 / 50 18. Serum alkaline phosphatase is increased in alt except: A. Osteomalacia B. Paget's disease of bone C. Sclerosing cholangitis D. Osteoporosis 19 / 50 19. Which of the following may develop into intestinal lymphoma? A. Eosinophilic enteritis B. Intestinal lymphangiectasia C. Coeliac disease D. Ulcerative colitis 20 / 50 20. Which of the following does not give rise to haematemesis? A. Duodenal diverticula B. Ca stomach C. Mallory-Weiss syndrome D. Stomatostatinoma 21 / 50 21. The commonest site of carcinoma of the stomach is: A. Prepyloric B. Lesser curvature C. Greater curvature D. Body of the stomach 22 / 50 22. Aerophagia is commonly found in all except: A. Hypochondriac personality B. Rapid eating habit C. Pyloric stenosis D. Chronic anxiety states 23 / 50 23. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DR4 C. HLA-DQ1 D. HLA-B8 24 / 50 24. Which is true in familial polyposis coli? A. The patient may not have any symptoms until a carcinoma has developed B. X-linked recessive inheritance C. Polyps are present since birth D. The rectum is spared 25 / 50 25. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Campylobacter B. Shigella C. Yersinia D. Rota virus 26 / 50 26. The commonest type of oral malignancy is: A. Adenocarcinoma B. Squamous cell carcinoma C. Basal cell carcinoma D. Melanoma 27 / 50 27. Among the following drugs, which one is thought to be the safest in pregnancy? A. Misoprostol B. Carbenoxolone C. Sucralfate D. Omeprazole 28 / 50 28. Absolute contraindication for liver biopsy is: A. Cirrhosis of liver B. Cholestasis C. Haemangioma of liver D. Amoebic liver abscess 29 / 50 29. All of the following are true regarding Whipple’s disease except: A. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly B. Coronary arteritis may be a feature C. Cranial nerve palsy may occur D. Gram-negative bacilli Clostridium whippeli is responsible 30 / 50 30. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Whipple's disease B. Coeliac sprue C. Systemic mastocytosis D. Carcinoid syndrome 31 / 50 31. Symptoms of carcinoma of the left colon include all except: A. Melena B. Altered bowel habits C. Low back pain D. Cramps in the abdomen 32 / 50 32. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Antiphospholipid syndrome C. Right atrial myxoma D. Congenital hepatic fibrosis 33 / 50 33. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Induction of vomiting B. Attacks of emotional stress C. Change of posture D. Consumption of food 34 / 50 34. The inheritance of cystic fibrosis is: A. Sex-linked dominant B. Autosomal dominant C. Sex-linked recessive D. Autosomal recessive 35 / 50 35. Regarding H. pylori, which statement is false? A. Often resides in the dental plaques of the patient B. It penetrates within the epithelial cells of the stomach C. Multiflagellated D. Gram-negative bacillus 36 / 50 36. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. MRI of brain C. EEG D. Evoked potential study 37 / 50 37. Hepatocellular jaundice does not result from: A. Copper sulphate B. Gliclazide C. Rifampicin D. Halothane 38 / 50 38. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Renal insufficiency C. Burns D. Acute intermittent porphyria 39 / 50 39. Gum hypertrophy is not a feature of: A. Acute monocytic leukaemia B. Scurvy C. Carbamazepine therapy D. Amlodipine therapy 40 / 50 40. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 41 / 50 41. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Colon C. Thyroid D. Prostate 42 / 50 42. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Haemophilia C. Trauma D. Anticoagulant therapy 43 / 50 43. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. Just before meals C. Immediately after meals D. With the meals 44 / 50 44. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diagnosis with certainty by BAO /MAO ratio B. Recalcitrant upper GI ulcers C. Diarrhoea and steatorrhoea D. Vitamin B12 malabsorption 45 / 50 45. Giardiasis is characterised by all except: A. Lactose intolerance B. Malabsorption C. Infection usually occurs by ingesting contaminated water containing the flagellate form D. Inflammation of duodenal and jejunal mucosa 46 / 50 46. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Severe periumbilical pain at the onset D. Barium study of the small intestine reveals 'thumbprinting' 47 / 50 47. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Rectal biopsy B. Lymph node biopsy C. Liver biopsy D. Stomach biopsy 48 / 50 48. Which is true in halothane-induced. hepatitis? A. Peripheral eosinophilia B. Males are commonly susceptible C. Marked cholestasis D. Splenomegaly 49 / 50 49. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Intestinal lymphoma C. Coeliac disease D. Crohn's disease 50 / 50 50. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 250-500 ml C. 500-1000 ml D. More than 1 litre LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
