Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which is true with respect to irritable bowel syndrome? A. Easily treatable B. Commonly affects middle-aged males C. Nocturnal diarrhoea is common D. Most common GI disorder in practice 2 / 50 2. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Fever C. Bloody diarrhoea D. Sinus tachycardia 3 / 50 3. Which one of the following is false regarding primary biliary cirrhosis? A. Clubbing B. Female preponderance C. Moderate to severe jaundice D. Starts with pruritus 4 / 50 4. The most reliable method of measuring steatorrhoea is: A. Small intestinal mucosal biopsy B. Fecal fat estimation C. Schilling test D. D-xylose absorption test 5 / 50 5. The commonest hepatic lesion in haemochromatosis is: A. Macronodular cirrhosis B. Fatty liver C. Haemosiderosis D. Micronodular cirrhosis 6 / 50 6. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Massive dose of estrogen C. Amiodarone D. Nifedipine 7 / 50 7. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Blocked hepatic vein B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Commonest cause of portal hypertension 8 / 50 8. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Cholic acid B. Lithocholic acid C. Deoxycholic acid D. Chenodeoxycholic acid 9 / 50 9. Gluten-free diet is beneficial in: A. Pemphigus B. Psoriasis C. Atopic eczema D. Dermatitis herpetiformis 10 / 50 10. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Polycythaemia vera C. Chronic obstructive pulmonary disease D. Pregnancy 11 / 50 11. Peritonitis may be complicated by all except: A. Pelvic abscess B. Acute lung injury C. Haemorrhagic pancreatitis D. Renal failure 12 / 50 12. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Myocarditis C. Polyarteritis nodosa D. Meningitis 13 / 50 13. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Carcinoid syndrome C. Whipple's disease D. Systemic mastocytosis 14 / 50 14. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Budd-chiari syndrome C. Peliosis hepatis D. Hepatic granulomas 15 / 50 15. Menetrier’s disease may have all of the following except: A. Hypochlorhydria B. Gastritis C. Large tortuous gastric mucosal folds D. Hypoproteinaemia 16 / 50 16. The commonest type of pancreatic carcinoma is: A. Ductal adenocarcinoma B. Cystadenocarcinoma C. Islet cell carcinoma D. Mucinous carcinoma 17 / 50 17. Gastrin is predominantly secreted from: A. Antral mucosa B. 2nd part of the duodenum C. Jejunum D. Fundus of the stomach 18 / 50 18. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Vitamin B12 C. Salt and water D. Ca++ 19 / 50 19. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Hepatitis-like picture C. Laennec's cirrhosis D. Fatty infiltration 20 / 50 20. Chronicity in hepatitis C virus infection is: A. 30% B. 10% C. 80% D. 50% 21 / 50 21. Michaelis-Gutmann bodies are found in: A. Pseudomyxoma peritonei B. Pneumatosis cystoides intestinalis C. Malakoplakia of colon D. Diverticulosis of colon 22 / 50 22. Achalasia cardia may lead to all except: A. Fibrosis of the lung B. Lung abscess C. Pneumonia D. Emphysema 23 / 50 23. Secretin is produced in largest quantities in: A. Stomach B. Jejunum C. Duodenum D. Ileum 24 / 50 24. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Offensive in odour C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 25 / 50 25. Tropical sprue may be associated with all except: A. Treatment is done satisfactorily by intestinal resection B. Malabsorption C. Partial villous atrophy is more common than subtotal villous atrophy D. Patchy lesion 26 / 50 26. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. EEG C. Psychometric study D. MRI of brain 27 / 50 27. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Lactose intolerance C. Inflammation of duodenal and jejunal mucosa D. Malabsorption 28 / 50 28. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Zollinger-Ellison syndrome B. Villous adenoma of the colon C. Carcinoid syndrome D. Irritable bowel syndrome 29 / 50 29. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. It is a common cause of haemolytic anaemia in the West C. 90% have anti-parietal cell antibody D. 60% have anti-intrinsic factor antibody 30 / 50 30. Lactose intolerance with lactase deficiency may be present in all except: A. Cystic fibrosis B. Amoebiasis C. Giardiasis D. Crohn's s disease 31 / 50 31. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Congenital hepatic fibrosis C. Right atrial myxoma D. Antiphospholipid syndrome 32 / 50 32. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 75 ml B. 100 ml C. 15 ml D. 30 ml 33 / 50 33. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 85% of the total serum bilirubin is unconjugated B. > 60% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 34 / 50 34. Hepatic rub may be found in: A. Hemangioma of liver B. Acute viral hepatitis C. Hepatic neoplasm D. Pyogenic liver abscess 35 / 50 35. A desire for defaecation is initiated by: A. Distention of the rectum B. Contraction of the internal anal sphincter C. Contraction of the rectum D. Distention of the sigmoid colon 36 / 50 36. Mucosal immunity is mainly due to: A. IgA B. IgG C. IgM D. IgD 37 / 50 37. In coeliac sprue, which of the following is non-deficient in the body? A. Folic acid B. Iron C. Serum albumin D. Vitamin B12 38 / 50 38. Carcinoma of the large intestine is mostly found in: A. Sigmoid colon B. Ascending colon C. Transverse colon D. Caecum 39 / 50 39. The Zollinger-Ellison syndrome is associated with all of the following except: A. Vitamin B12 malabsorption B. Diarrhoea and steatorrhoea C. Recalcitrant upper GI ulcers D. Diagnosis with certainty by BAO /MAO ratio 40 / 50 40. Crohn’s disease may be complicated by all except: A. Hydroureter B. Chronic cholecystitis C. Amyloidosis D. Clubbing 41 / 50 41. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Pancreatic insufficiency B. Coeliac sprue C. Gastric retention D. Whipple's disease 42 / 50 42. Which ion is necessary for the active transport of sugars? A. Sodium B. Magnesium C. Calcium D. Potassium 43 / 50 43. Which of the following may develop into intestinal lymphoma? A. Coeliac disease B. Eosinophilic enteritis C. Ulcerative colitis D. Intestinal lymphangiectasia 44 / 50 44. Giardia lamblia infestation produces a syndrome mimicking: A. Irritable bowel syndrome B. Biliary dyspepsia C. Tropical sprue D. Peptic ulcer disease 45 / 50 45. All of the following may cause traveller’s diarrhoea except: A. Clostridium difficile B. Rota and Norwalk viruses C. Campylobacter jejuni D. Enterotoxigenic E. coli 46 / 50 46. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Retroperitoneal fibrosis C. Atrial septal defect D. Medullary sponge kidney 47 / 50 47. Which organ does not move at all with respiration? A. Kidney B. Pancreas C. Transverse colon D. Stomach 48 / 50 48. Which is true in familial polyposis coli? A. The rectum is spared B. The patient may not have any symptoms until a carcinoma has developed C. Polyps are present since birth D. X-linked recessive inheritance 49 / 50 49. Aluminium hydroxide as an antacid may have all characteristics except: A. May contribute to osteomalacia B. May lead to Brunner's gland hyperplasia C. Phosphate depletion is a complication D. Produces constipation 50 / 50 50. Which of the following reflects the best prognostic marker of hepatocellular function? A. SGPT B. Alkaline phosphatase C. Serum bilirubin D. Prothrombin time LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology