Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Incidence of gastric carcinoid is increased in all except: A. Achlorhydria B. Mesenteric fibrosis C. Pernicious anaemia D. Hashimoto's thyroiditis 2 / 50 2. The commonest cause of upper GI bleeding in an alcoholic is: A. Duodenal ulcer B. Ruptured oesophageal varices C. Mallory-Weiss syndrome D. Acute gastritis 3 / 50 3. Which statement is false regarding duodenal ulcer? A. More common in first degree relatives of duodenal ulcer patients B. An increase in serum pepsinogen II level C. Increased frequency of blood group O and of the non-secretor status D. Increased incidence of HLA-B5 antigen 4 / 50 4. All of the following are true regarding right-sided colonic carcinoma except: A. Anaemia B. Cachexia C. Alteration of bowel habit D. Pain abdomen 5 / 50 5. Characteristic of hepatic pre-coma is: A. Flaccid muscles B. Babinski's sign C. Presence of ankle clonus D. Night-time somnolence 6 / 50 6. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Bone scan B. Protein electrophoresis C. Gamma-glutamyl transpeptidase (GGT) estimation D. USG of liver 7 / 50 7. The commonest hepatic lesion in haemochromatosis is: A. Haemosiderosis B. Micronodular cirrhosis C. Fatty liver D. Macronodular cirrhosis 8 / 50 8. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Within the first 24 hours of birth B. During the first 10 days of life C. At birth D. Over the first 4-6 weeks of life 9 / 50 9. Melanosis coli indicates: A. Melanoma affecting colon B. Anthraquinone laxative abuse C. Hypereosinophilic enteritis D. Crohn's disease 10 / 50 10. Which of the following is not included in the list of high-folate diet? A. Vegetables B. Fruits C. Liver D. Milk 11 / 50 11. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Primary sclerosing cholangitis C. Hereditary oxalosis D. Tyrosinaemia 12 / 50 12. Malabsorption may produce all of the following except: A. Loss of libido B. Peripheral neuropathy C. Achlorhydria D. Cheilosis 13 / 50 13. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Contraction of the rectum C. Distention of the rectum D. Distention of the sigmoid colon 14 / 50 14. 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 15 / 50 15. Regarding Meckel’s diverticulum, which one is false? A. Usually 5 cm long B. May contain oesophageal or rectal mucosa C. Present in 2% population D. Present within 100 cm of the ileocaecal valve 16 / 50 16. Calcification of spleen is seen in: A. Hydatid cyst B. Tropical splenomegaly syndrome C. Thalassemia D. Malaria 17 / 50 17. 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 18 / 50 18. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 50% of the total serum bilirubin is unconjugated B. > 85% of the total serum bilirubin is unconjugated C. > 60% of the total serum bilirubin is unconjugated D. > 70% of the total serum bilirubin is unconjugated 19 / 50 19. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Diffuse oesophageal spasm C. Achalasia cardia D. Polymyositis 20 / 50 20. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Nifedipine B. Tetracycline C. Massive dose of estrogen D. Amiodarone 21 / 50 21. Macroglossia is not found in: A. Bulbar palsy B. Hurler syndrome C. Primary amyloidosis D. Myxoedema 22 / 50 22. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Young women are the main victims C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Barium study of the small intestine reveals 'thumbprinting' 23 / 50 23. Which one of the following is false in hepatorenal syndrome? A. Urine Na+ concentration >10 mEq/dl B. Slow-onset azotaemia in chronic liver disease C. Urine to plasma osmolality ratio >1.0 D. Urine to plasma creatinine ratio >30 24 / 50 24. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Rapid eating habit C. Hypochondriac personality D. Chronic anxiety states 25 / 50 25. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Right lower intercostal tenderness 26 / 50 26. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Gastro-esophageal reflux disease B. Diverticulosis C. Haemorrhoids D. Pancreatitis 27 / 50 27. Regarding diffuse oesophageal spasm, which of the following is true? A. Invariably requires surgery B. 'Nutcracker' oesophagus is the mildest form C. Chest pain mimics angina pectoris D. Usually a disease of teen age 28 / 50 28. All of the following are methods for detection of H. pylori except: A. Rapid urease test B. Polymerase chain reaction C. Histology D. Endoscopic view 29 / 50 29. All of the following may cause traveller’s diarrhoea except: A. Enterotoxigenic E. coli B. Campylobacter jejuni C. Clostridium difficile D. Rota and Norwalk viruses 30 / 50 30. Amino acids malabsorption is seen in: A. Phenylketonuria B. Cystinuria C. Homocystinuria D. Alkaptonuria 31 / 50 31. Superficial venous flow in portal hypertension is: A. Towards umbilicus B. Below upwards C. Away from the umbilicus D. Above downwards 32 / 50 32. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Steatorrhoea C. Abdominal pain D. Pancreatic calcification 33 / 50 33. Which organ does not move at all with respiration? A. Kidney B. Transverse colon C. Stomach D. Pancreas 34 / 50 34. Weil’s disease is associated with: A. Severe muscle pain B. Leucopenia with lymphocytosis C. Absence of renal involvement D. Jaundice in all 35 / 50 35. Auto-vagotomy may be observed in: A. Progressive systemic sclerosis B. Diabetes mellitus C. Parkinsonism D. Amyloidosis 36 / 50 36. A ‘white patch’ in the throat may be due to all except: A. Ludwig's angina B. Infectious mononucleosis C. Streptococcal infection D. Diphtheria 37 / 50 37. The presence of diverticulosis is most commonly seen in: A. Caecum B. Transverse colon C. Sigmoid colon D. Descending colon 38 / 50 38. Regarding haematochezia, which one is false? A. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon B. The blood may not be mixed with stool C. Passage of bright red blood per rectum D. Bleeding source is proximal to ligament of Treitz 39 / 50 39. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Ileum B. Stomach C. Colon D. Jejunum 40 / 50 40. Botulism may be associated with all of the following except: A. Increased salivation B. Descending paralysis C. Diplopia D. Constipation 41 / 50 41. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Yersinia B. Campylobacter C. Shigella D. Rota virus 42 / 50 42. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Pain abdomen C. Constipation D. Rectal pain 43 / 50 43. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatomegaly B. Hepatocellular failure C. Upper GI bleeding D. Ascites 44 / 50 44. Sialorrhoea is associated with all of the following except: A. Achalasia cardia B. Post-encephalitic parkinsonism C. Carcinoma of the tongue D. Wilson's disease 45 / 50 45. Which of the following may develop into intestinal lymphoma? A. Coeliac disease B. Ulcerative colitis C. Intestinal lymphangiectasia D. Eosinophilic enteritis 46 / 50 46. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Hiatal hernia C. Oesophageal carcinoma D. Reflux oesophagitis 47 / 50 47. Luge gastric folds are seen in all except: A. Gastric malignancy B. Menetrier's disease C. Chronic H. pylori infection D. Sarcoidosis 48 / 50 48. 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++ 49 / 50 49. All of the following produce “sub-total villous atrophy’ except: A. Coeliac disease B. Abetalipoproteinaemia C. Radiation D. Hypogammaglobulinaemia 50 / 50 50. Which of the following is not responsible for food poisoning? A. Streptococcus (Group A) B. Clostridium perfringens C. Clostridium botulinum D. 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