Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Carcinoma of the large intestine is mostly found in: A. Caecum B. Sigmoid colon C. Transverse colon D. Ascending colon 2 / 50 2. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Lithocholic acid C. Cholic acid D. Chenodeoxycholic acid 3 / 50 3. Which of the following is false regarding cholera? A. Offensive stool B. Onset with purging C. Absence of tenesmus D. Subnormal Surface temperature 4 / 50 4. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Irritable bowel syndrome C. Crohn's disease D. Coeliac disease 5 / 50 5. All are major components of intestinal gas except: A. N2 B. H2S C. Methane D. CO2 6 / 50 6. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Hyperthyroidism C. Scleroderma D. Diabetes mellitus 7 / 50 7. The commonest malignant tumour of the gallbladder is: A. Haemangioendothelioma B. Sarcoma C. Squamous cell carcinoma D. Adenocarcinoma 8 / 50 8. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatocellular failure B. Ascites C. Upper GI bleeding D. Hepatomegaly 9 / 50 9. Calcification of spleen is seen in: A. Malaria B. Tropical splenomegaly syndrome C. Thalassemia D. Hydatid cyst 10 / 50 10. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Coarsening of mucosal folds B. Dilatation C. Loss of mucosal pattern D. Segmentation and clumping 11 / 50 11. Which cardiovascular disorder is not associated with steatorrhoea? A. Congestive cardiac failure B. Constrictive pericarditis C. Mesenteric vascular insufficiency D. Left atrial myxoma 12 / 50 12. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Iron D. Folic acid 13 / 50 13. Hepatocellular jaundice does not result from: A. Halothane B. Rifampicin C. Copper sulphate D. Gliclazide 14 / 50 14. Major organ responsible for the removal of gastrin is: A. Kidney B. Liver C. Intestine D. Lung 15 / 50 15. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Sigmoid colon C. Descending colon D. Caecum 16 / 50 16. Which part of the colonic carcinoma is very easily overlooked? A. Transverse colon B. Hepatic flexure C. Caecum D. Splenic flexure 17 / 50 17. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A bad prognosis B. The disease process is improving C. Means nothing to clinical course D. A fluctuating clinical course 18 / 50 18. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Anorexia nervos B. Sheehan's syndrome C. Depression D. Schizophrenia 19 / 50 19. Gastrin is predominantly secreted from: A. 2nd part of the duodenum B. Jejunum C. Fundus of the stomach D. Antral mucosa 20 / 50 20. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 50-60% C. 70-80% D. 30-40% 21 / 50 21. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. With the meals C. Just before meals D. Immediately after meals 22 / 50 22. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Exocrine pancreatic insufficiency C. Abnormal bacterial proliferation in proximal intestine D. Coexistent coeliac sprue 23 / 50 23. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Leucocytosis > 16000/mm3 B. Serum LDH > 400 ID /L C. Serum AST> 400 ID /L D. Hyperglycaemia > 200 mg/ dl 24 / 50 24. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Infection C. Alcohol abuse D. Gallstones 25 / 50 25. Latent jaundice may be a feature of all except: A. Congestive cardiac failure B. Tropical sprue C. Acute pulmonary thromboembolism D. Pernicious anaemia 26 / 50 26. Tegaserod is used in: A. Coeliac disease B. Irritable bowel syndrome C. Gastro-esophageal reflux disease D. Ulcerative colitis 27 / 50 27. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Gastrinoma C. Somatostatinoma D. Glucagonoma 28 / 50 28. Hepatic amoebiasis is associated with all except: A. Jaundice is present in majority B. May lead to the development of an amoebic liver abscess C. Right lower intercostal tenderness D. Abscess commonly affects the right lobe 29 / 50 29. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Liver biopsy C. Rectal biopsy D. Stomach biopsy 30 / 50 30. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Pain abdomen usually lasts for 1/2 hour C. Periodicity is common D. Temporary relief of pain by the passage of flatus or stool 31 / 50 31. Bentiromide test diagnoses? A. Pancreatic carcinoma B. Pancreatic ductal obstruction C. Exocrine pancreatic function D. Endocrine pancreatic function 32 / 50 32. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Commonly affects middle-aged males C. Easily treatable D. Nocturnal diarrhoea is common 33 / 50 33. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals 'thumbprinting' B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Young women are the main victims D. Severe periumbilical pain at the onset 34 / 50 34. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Vitamins and minerals absorption C. Fat metabolism D. Protein metabolism 35 / 50 35. Incidence of stress ulcers in acutely traumatised patients is: A. 90-100% B. 50-60% C. 70-80% D. 30-40% 36 / 50 36. Normal portal venous pressure is: A. 5-7mmHg B. >12mmHg C. 7-10 mmHg D. <5mmHg 37 / 50 37. Tropical sprue may be associated with all except: A. Patchy lesion B. Malabsorption C. Treatment is done satisfactorily by intestinal resection D. Partial villous atrophy is more common than subtotal villous atrophy 38 / 50 38. Pruritus associated with cholestasis is mostly seen: A. After a cold bath B. In males C. At daytime D. On the palms and soles 39 / 50 39. The definitive test for diagnosis of haemochromatosis is: A. TIBC < 200 μg/dl B. Liver biopsy C. Hepatic iron index >1.5 D. Plasma iron >300 μg/ dl 40 / 50 40. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. The temperature is usually normal or slightly elevated C. Anorexia is rare D. Meckel's diverticulitis is one of the close differential diagnosis 41 / 50 41. The commonest cause of metastasis to the wall of the stomach is: A. Hepatoma B. Carcinoma of thyroid C. Melanoma D. Carcinoma of breast 42 / 50 42. Regarding H. pylori, which statement is false? A. Multiflagellated B. Often resides in the dental plaques of the patient C. Gram-negative bacillus D. It penetrates within the epithelial cells of the stomach 43 / 50 43. All of the following can be associated with obstructive jaundice except: A. Crigler-Najjar type II B. Pregnancy C. Secondary carcinoma of liver D. Oral contraceptives 44 / 50 44. A ‘white patch’ in the throat may be due to all except: A. Infectious mononucleosis B. Diphtheria C. Streptococcal infection D. Ludwig's angina 45 / 50 45. Achalasia cardia gives rise to all except: A. Regurgitation B. Dysphagia C. Heartburn D. Chest pain 46 / 50 46. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Radioactive triolein absorption (breath) test C. Small intestinal X-rays D. Quantitative determination of faecal fat 47 / 50 47. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Right colic flexure C. Ampulla of Vater D. Meckel's diverticulum 48 / 50 48. Diarrhoea may be associated with all except: A. Clindamycin B. Digitalis C. Sucralfate D. Colchicine 49 / 50 49. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Chronic pancreatitis D. Protein-losing enteropathy 50 / 50 50. Gastric diverticula are: A. A premalignant condition B. Commonly seen C. Clinically not significant D. Need immediate upper GI endoscopy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology