Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is not associated with leucocytosis? A. Amoebic liver abscess B. Acute viral hepatitis C. Weil's disease D. Toxic hepatitis 2 / 50 2. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. More than 1 litre D. 250-500 ml 3 / 50 3. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Glucagonoma B. Gastrinoma C. Somatostatinoma D. Insulinoma 4 / 50 4. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. Chest pain mimics angina pectoris C. Invariably requires surgery D. 'Nutcracker' oesophagus is the mildest form 5 / 50 5. 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. 1st day B. 2nd day C. 7th day D. 3rd day 6 / 50 6. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Slurred speech C. Chorea D. Grimacing 7 / 50 7. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Bile or pancreatic cytology B. Best visualisation of cystic duct C. Endoscopic sphincterotomy and stone removal D. Biliary manometry 8 / 50 8. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Dilatation B. Loss of mucosal pattern C. Segmentation and clumping D. Coarsening of mucosal folds 9 / 50 9. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Haemolytic anaemia C. Sickle cell disease D. Coeliac disease 10 / 50 10. Lower oesophageal sphincter is relaxed by: A. Protein meal B. Metoclopramide C. Beta-adrenergic agonist D. Gastrin 11 / 50 11. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Ulcerative colitis C. Coeliac disease D. Eosinophilic enteritis 12 / 50 12. Regarding cimetidine, all of the following are true except: A. May produce benign intracranial hypertension B. May cause mild elevation of serum transaminases and creatinine levels C. Related structurally to histamine D. Tender gynecomastia may be a complication after prolonged use 13 / 50 13. Necrolytic migratory erythema is a feature of: A. Glucagonoma B. Insulinoma C. Hepatoblastoma D. Carcinoid syndrome 14 / 50 14. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Jejunoileal bypass B. Gastric bypass C. Vagotomy D. Pyloroplasty 15 / 50 15. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum transaminases C. Serum cholesterol D. Serum bilirubin 16 / 50 16. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. In majority of patients, bleeding stops spontaneously D. Commonly precipitated by vomiting and retching 17 / 50 17. Regarding ischaemic colitis, which one is true? A. Rectal bleeding is a rare complication B. Affects young population C. Angiography is not helpful D. Almost always an occlusive disease of mesenteric vessels 18 / 50 18. All are recognised complications of inflammatory bowel disease except: A. Aphthous stomatitis B. Erythema marginatum C. Pyoderma gangrenosum D. Gallstone formation 19 / 50 19. Regarding Meckel’s diverticulum, which one is false? A. May contain oesophageal or rectal mucosa B. Present within 100 cm of the ileocaecal valve C. Present in 2% population D. Usually 5 cm long 20 / 50 20. The smallest absorbing unit of the small intestinal mucosa is: A. Crypts B. Villus C. Microvillus D. Columnar cells 21 / 50 21. The commonest site of carcinoma of the stomach is: A. Body of the stomach B. Prepyloric C. Greater curvature D. Lesser curvature 22 / 50 22. ‘Sago spleen’ is found in: A. Chronic myeloid leukaemia B. Chronic active hepatitis C. Felty's syndrome D. Focal amyloidosis 23 / 50 23. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Occasionally progresses to cirrhosis and liver failure B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Jejunoileal bypass may be an aetiology D. Glucocorticoid helps cure 24 / 50 24. The commonest complaint by a patient with Ca rectum is: A. Constipation B. Haematochezia C. Rectal pain D. Pain abdomen 25 / 50 25. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 200ml B. 270ml C. 70ml D. 120ml 26 / 50 26. Aerophagia is commonly found in all except: A. Chronic anxiety states B. Hypochondriac personality C. Rapid eating habit D. Pyloric stenosis 27 / 50 27. The valvular heart disease common in carcinoid syndrome is: A. Aortic incompetence B. Pulmonary incompetence C. Tricuspid incompetence D. Mitral stenosis 28 / 50 28. Which ion is necessary for the active transport of sugars? A. Sodium B. Magnesium C. Calcium D. Potassium 29 / 50 29. All of the following produce “sub-total villous atrophy’ except: A. Abetalipoproteinaemia B. Coeliac disease C. Radiation D. Hypogammaglobulinaemia 30 / 50 30. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Broad-spectrum antibiotics B. Vitamin C. Folic acid D. Iron 31 / 50 31. The major site of bile salt absorption is: A. Stomach B. Proximal small intestine C. Duodenum D. Distal small intestine 32 / 50 32. The commonest cause of upper GI bleeding in an alcoholic is: A. Duodenal ulcer B. Mallory-Weiss syndrome C. Ruptured oesophageal varices D. Acute gastritis 33 / 50 33. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Barium study of the small intestine reveals 'thumbprinting' D. Young women are the main victims 34 / 50 34. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Meningitis C. Polyarteritis nodosa D. Myocarditis 35 / 50 35. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Cefixime C. Clarithromycin D. Pantoprazole 36 / 50 36. High transaminase levels may be found in all except: A. Right-sided heart failure B. Chronic pancreatitis C. Acute viral hepatitis D. Acute myocardial infarction 37 / 50 37. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Arthritis C. Electrolyte imbalance D. Nephrolithiasis 38 / 50 38. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Zollinger-Ellison syndrome C. Villous adenoma of the colon D. Irritable bowel syndrome 39 / 50 39. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Crypt abscess B. Granuloma C. Fibrosis D. Transmural involvement 40 / 50 40. Gardner’s syndrome may be associated with all except: A. Astrocytoma B. Fibromas C. Osteomas D. Epidermoid cyst 41 / 50 41. The most reliable method of measuring steatorrhoea is: A. Schilling test B. Small intestinal mucosal biopsy C. D-xylose absorption test D. Fecal fat estimation 42 / 50 42. Incidence of gastric carcinoid is increased in all except: A. Mesenteric fibrosis B. Pernicious anaemia C. Hashimoto's thyroiditis D. Achlorhydria 43 / 50 43. Carcinoid syndrome: A. Increases BP B. Is multiple in 1/5th cases C. More common in women D. Produces jaundice 44 / 50 44. Commonest cause of antral gastritis is: A. H. pylori infection B. Herpes virus infection C. Pernicious anaemia D. Alcohol 45 / 50 45. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Malakoplakia of colon C. Pseudomyxoma peritonei D. Diverticulosis of colon 46 / 50 46. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Night-time somnolence C. Flaccid muscles D. Presence of ankle clonus 47 / 50 47. Oral mucous membrane may be affected in all except: A. Dermatitis herpetiformis B. Lichen planus C. Pemphigus Vulgaris D. Stevens-Johnson syndrome 48 / 50 48. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. Hyperglobulinaemia is common C. Very high bilirubin level D. AST and ALT levels fluctuate within 100-1000 units 49 / 50 49. All of the following are true regarding Whipple’s disease except: A. Cranial nerve palsy may occur B. Gram-negative bacilli Clostridium whippeli is responsible C. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly D. Coronary arteritis may be a feature 50 / 50 50. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Atrial septal defect C. Medullary sponge kidney D. Retroperitoneal fibrosis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology