Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 75 ml C. 15 ml D. 30 ml 2 / 50 2. Carcinoma of oesophagus may be predisposed by alt except: A. Chronic achalasia cardia B. Hypervitaminosis A C. Plummer-Vinson syndrome D. Lye ingestion 3 / 50 3. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Imipramine C. Diabetes mellitus D. Hyperthyroidism 4 / 50 4. Achalasia cardia may lead to all except: A. Pneumonia B. Fibrosis of the lung C. Lung abscess D. Emphysema 5 / 50 5. Which is true regarding Vincent’s angina? A. Gum is the principal site of affection B. Superficial ulcers in mouth C. Hiatus hernia may be associated with D. May be complicated by angina pectoris 6 / 50 6. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 300-400 g C. 700-800 g D. 500-600 g 7 / 50 7. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma creatinine ratio >30 B. Slow-onset azotaemia in chronic liver disease C. Urine to plasma osmolality ratio >1.0 D. Urine Na+ concentration >10 mEq/dl 8 / 50 8. Among the following drugs, which one is thought to be the safest in pregnancy? A. Omeprazole B. Sucralfate C. Misoprostol D. Carbenoxolone 9 / 50 9. The best way to diagnose Gilbert’s syndrome is: A. 48 hours fasting with only 300 cal/ day B. Bromsulphalein (BSP) excretion test C. Liver biopsy D. Testing for red blood cell survival 10 / 50 10. Endopeptidases include all except: A. Trypsin B. Elastase C. Carboxypeptidase D. Chymotrypsin 11 / 50 11. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Alkaptonuria D. Phenylketonuria 12 / 50 12. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Congestive cardiac failure B. Budd-Chiari syndrome C. Cirrhosis of liver D. Tuberculous peritonitis 13 / 50 13. Which is true with respect to irritable bowel syndrome? A. Commonly affects middle-aged males B. Easily treatable C. Nocturnal diarrhoea is common D. Most common GI disorder in practice 14 / 50 14. Pyloric stenosis is commonly associated. with all except: A. Distension of upper abdomen with succussion splash B. Bilious vomiting C. Obliteration of Traube's space tympanicity D. Visible peristalsis 15 / 50 15. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Salt and water C. Ca++ D. Vitamin B12 16 / 50 16. What is true about Weil’s disease? A. Liver biopsy is diagnostic B. Leucopenia C. Low glucose in CSF D. Myocarditis may be a complication 17 / 50 17. Acute pancreatitis is not associated with: A. Biliary tract disease B. Pancreatic islet cell tumour C. Pancreatic carcinoma D. Hyperparathyroidism 18 / 50 18. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Iron deficiency C. Vitamin B12 deficiency D. Hemolysis 19 / 50 19. Which one of the following is false regarding primary biliary cirrhosis? A. Starts with pruritus B. Moderate to severe jaundice C. Clubbing D. Female preponderance 20 / 50 20. 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 21 / 50 21. Commonest cause of duodenal haematoma is: A. Trauma B. Anticoagulant therapy C. Haemophilia D. Acute leukaemia 22 / 50 22. Which of the following does not produce secretory diarrhoea? A. Carcinoid syndrome B. Hyperparathyroidism C. Zollinger-Ellison syndrome D. Medullary carcinoma of the thyroid gland 23 / 50 23. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Segmental involvement is common C. Granuloma and fistula formation are characteristic D. Malignancy never follows even in long-standing disease 24 / 50 24. Botulism may be associated with all of the following except: A. Constipation B. Descending paralysis C. Diplopia D. Increased salivation 25 / 50 25. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Distention of the rectum C. Contraction of the rectum D. Distention of the sigmoid colon 26 / 50 26. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. beta-adrenergic agonist B. Methylxanthine bronchodilator C. Serotonin antagonist D. H1 + H2 receptor antagonist 27 / 50 27. Which one is false in granulomatous hepatitis? A. Jaundice B. Liver biopsy is diagnostic C. Sarcoidosis may be an aetiology D. Mild, firm hepatomegaly 28 / 50 28. Hepatic rub may be found in: A. Hemangioma of liver B. Pyogenic liver abscess C. Hepatic neoplasm D. Acute viral hepatitis 29 / 50 29. Giardia lamblia infestation produces a syndrome mimicking: A. Irritable bowel syndrome B. Biliary dyspepsia C. Tropical sprue D. Peptic ulcer disease 30 / 50 30. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Sigmoidoscopy C. Stool culture D. Barium enema 31 / 50 31. Which of the following infections may produce features like cardiospasm? A. Trypanosomiasis B. Leishmaniasis C. Trichinosis D. Schistosomiasis 32 / 50 32. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Majority of tumours are biologically malignant C. Solitary primary tumours are very common D. Pancreatic gastrinomas are most common in the head of the pancreas 33 / 50 33. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 70% of the total serum bilirubin is unconjugated B. > 50% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 60% of the total serum bilirubin is unconjugated 34 / 50 34. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. Retroperitoneal fibrosis 35 / 50 35. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Zollinger-Ellison syndrome B. Irritable bowel syndrome C. Carcinoid syndrome D. Villous adenoma of the colon 36 / 50 36. Major organ responsible for the removal of gastrin is: A. Liver B. Intestine C. Lung D. Kidney 37 / 50 37. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Achalasia cardia C. Post-encephalitic parkinsonism D. Carcinoma of the tongue 38 / 50 38. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Malabsorption C. Lactose intolerance D. Infection usually occurs by ingesting contaminated water containing the flagellate form 39 / 50 39. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Rectal prolapse and straining by patient are common associations C. Commonly in the posterior wall of rectum D. Rectal bleeding and tenesmus are common 40 / 50 40. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Reye's syndrome C. Dubin-Johnson syndrome D. Gilbert's syndrome 41 / 50 41. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Chenodeoxycholic acid B. Cholic acid C. Lithocholic acid D. Deoxycholic acid 42 / 50 42. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Occasionally progresses to cirrhosis and liver failure B. Glucocorticoid helps cure C. Typically occurs in overweight, diabetic, hyperlipidemic subjects D. Jejunoileal bypass may be an aetiology 43 / 50 43. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A fluctuating clinical course B. A bad prognosis C. Means nothing to clinical course D. The disease process is improving 44 / 50 44. Which one of the following is not a space-occupying disease of liver? A. Cyst B. Metastatic tumour C. Gummas D. Amyloid 45 / 50 45. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Often resides in the dental plaques of the patient C. It penetrates within the epithelial cells of the stomach D. Multiflagellated 46 / 50 46. ‘String sign’ in Crohn’s disease is due to: A. Pseudopolyps B. Spasm C. Fistula D. Small ulceration 47 / 50 47. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Attacks of emotional stress B. Consumption of food C. Induction of vomiting D. Change of posture 48 / 50 48. What percentage of Zollinger-Ellison syndrome are malignant? A. 60% B. 40% C. 30% D. 20% 49 / 50 49. Auto-vagotomy may be observed in: A. Amyloidosis B. Progressive systemic sclerosis C. Diabetes mellitus D. Parkinsonism 50 / 50 50. Which of the following has the highest acid secretory effect? A. Carbohydrate B. Fat C. Protein D. Iron LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
