Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Continued infectivity in HBV infection is diagnosed by: A. IgM anti-HBc B. HBV DNA C. Anti-HBs D. HBsAg 2 / 50 2. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ampulla of Vater C. Ileocaecal region D. Right colic flexure 3 / 50 3. Tropical sprue may be associated with all except: A. Patchy lesion B. Treatment is done satisfactorily by intestinal resection C. Partial villous atrophy is more common than subtotal villous atrophy D. Malabsorption 4 / 50 4. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Usually a disease of teen age C. Chest pain mimics angina pectoris D. Invariably requires surgery 5 / 50 5. All of the following produce invasive diarrhoea except: A. Shigella B. Clostridium difficile C. Clostridium perfringens D. Campylobacter 6 / 50 6. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Sorbitol C. Colchicine D. Theophylline 7 / 50 7. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Pseudoxanthoma elasticum C. Render-Weber-Osler disease D. Ehlers-Danlos syndrome 8 / 50 8. All of the following enzymes may be normally found in stool except: A. Trypsin B. Lipase C. Amylase D. Pepsin 9 / 50 9. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Paralytic ileus B. Ascitic pH < blood pH C. Worsening ascites D. Worsening jaundice 10 / 50 10. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Adenocarcinoma C. Haemangioendothelioma D. Squamous cell carcinoma 11 / 50 11. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Pituitary adenomas C. Medullary carcinoma of thyroid D. Hyperparathyroidism 12 / 50 12. The basic defect in coeliac sprue lies in: A. Fat metabolism B. Protein metabolism C. Carbohydrate metabolism D. Vitamins and minerals absorption 13 / 50 13. Congenital hepatic fibrosis may be associated with: A. Medullary sponge kidney B. Atrial septal defect C. Endocardial fibroelastosis D. Retroperitoneal fibrosis 14 / 50 14. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Budd-Chiari syndrome C. Congestive cardiac failure D. Cirrhosis of liver 15 / 50 15. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Vitamin B12 C. Fat D. Ca++ 16 / 50 16. Malabsorption may produce all of the following except: A. Cheilosis B. Loss of libido C. Achlorhydria D. Peripheral neuropathy 17 / 50 17. WBC in stool is not found in: A. Campylobacter B. Shigella C. Giardiasis D. Entero-invasive E. coli 18 / 50 18. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Rectal pain C. Pain abdomen D. Constipation 19 / 50 19. Gluten-free diet is beneficial in: A. Pemphigus B. Psoriasis C. Dermatitis herpetiformis D. Atopic eczema 20 / 50 20. Octreotide can be used in all except: A. Ulcerative colitis B. Short bowel syndrome C. Oesophageal variceal bleeding D. Pancreatic ascites 21 / 50 21. All are recognised complications of inflammatory bowel disease except: A. Pyoderma gangrenosum B. Gallstone formation C. Erythema marginatum D. Aphthous stomatitis 22 / 50 22. What is true about Weil’s disease? A. Leucopenia B. Myocarditis may be a complication C. Low glucose in CSF D. Liver biopsy is diagnostic 23 / 50 23. Which is true in familial polyposis coli? A. The patient may not have any symptoms until a carcinoma has developed B. The rectum is spared C. Polyps are present since birth D. X-linked recessive inheritance 24 / 50 24. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Anthraquinone laxative abuse C. Crohn's disease D. Melanoma affecting colon 25 / 50 25. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypergastrinaemia B. Hypercalcaemia C. Hyperamylasaemia D. Hyperlipidaemia 26 / 50 26. The commonest cause of anaemia after peptic ulcer surgery is: A. Hemolysis B. Folic acid deficiency C. Iron deficiency D. Vitamin B12 deficiency 27 / 50 27. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Dubin-Johnson syndrome C. Reye's syndrome D. Gilbert's syndrome 28 / 50 28. Commonest cause of hepatoma is: A. Alcohol B. Haemochromatosis C. Cirrhosis of liver D. alpha1-antitrypsin deficiency 29 / 50 29. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Chenodeoxycholic acid C. Cholic acid D. Deoxycholic acid 30 / 50 30. Botulism may be associated with all of the following except: A. Descending paralysis B. Diplopia C. Constipation D. Increased salivation 31 / 50 31. Regarding angiodysplasia of colon, which one is false? A. It looks like spider angiomas of the skin B. Aortic stenosis may be associated with it C. Left colon is commonly affected D. Haemotochezia is common 32 / 50 32. Geographic tongue is ideally treated by: A. Vitamin B-complex B. None of the above C. Iron D. Folic acid 33 / 50 33. Which is not true so far as definition of cirrhosis of liver is concerned? A. Fibrosis B. Necrosis C. Fatty infiltration D. Regeneration 34 / 50 34. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Three-quarter gastric resection B. Vagotomy with gastroenterostomy C. Gastroenterostomy D. Vagotomy with pyloroplasty 35 / 50 35. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Chronic pancreatitis C. Irritable bowel syndrome D. Protein-losing enteropathy 36 / 50 36. Hirschsprung’s disease is not manifested by: A. Vomiting B. Obstipation C. Rectal ampulla is full of faeces while the anal sphincter is normal D. Distended abdomen 37 / 50 37. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diarrhoea and steatorrhoea B. Diagnosis with certainty by BAO /MAO ratio C. Recalcitrant upper GI ulcers D. Vitamin B12 malabsorption 38 / 50 38. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Hepatomegaly C. Upper GI bleeding D. Hepatocellular failure 39 / 50 39. The most reliable screening test for patients suffering from malabsorption is: A. Quantitative determination of faecal fat B. Radioactive triolein absorption (breath) test C. Small intestinal X-rays D. D-xylose absorption test 40 / 50 40. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Congenital hepatic fibrosis is an example C. Blocked hepatic vein D. Raised wedged hepatic venous pressure 41 / 50 41. Menetrier’s disease may have all of the following except: A. Large tortuous gastric mucosal folds B. Hypoproteinaemia C. Gastritis D. Hypochlorhydria 42 / 50 42. Which endocrine disorder is associated with exudative ascites? A. Hyperparathyroidism B. Hypothyroidism C. Conn's syndrome D. Addison's disease 43 / 50 43. Hepatic rub may be found in: A. Pyogenic liver abscess B. Hemangioma of liver C. Acute viral hepatitis D. Hepatic neoplasm 44 / 50 44. Lactose intolerance with lactase deficiency may be present in all except: A. Crohn's s disease B. Giardiasis C. Amoebiasis D. Cystic fibrosis 45 / 50 45. All of the following endocrine disorders are associated with malabsorption except: A. Diabetes mellitus B. Hyperparathyroidism C. Adrenal insufficiency D. Carcinoid syndrome 46 / 50 46. The water content of adult stool is approximately: A. 40-50% B. 50-60% C. 20-30% D. More than 60% 47 / 50 47. Which is true regarding Vincent’s angina? A. Hiatus hernia may be associated with B. Gum is the principal site of affection C. Superficial ulcers in mouth D. May be complicated by angina pectoris 48 / 50 48. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. HBeAg implies high infectivity C. Anti-HBs appear to reflect immunity D. IgG anti-HBc indicates acute hepatitis B virus infection 49 / 50 49. Which of the following is not responsible for food poisoning? A. Streptococcus (Group A) B. Clostridium perfringens C. Bacillus cereus D. Clostridium botulinum 50 / 50 50. Carcinoma of the large intestine is mostly found in: A. Ascending colon B. Caecum C. Sigmoid colon D. Transverse colon LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology