Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Intestinal lymphangiectasia is characterised by all except: A. Lymphocytosis B. Malabsorption C. Low level of transferrin and ceruloplasmin D. Hypoproteinaemia and oedema 2 / 50 2. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. HBeAg C. IgG anti-HBc D. IgM anti-HBc 3 / 50 3. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Hyperchloraemia C. Acidosis D. Hyperkalaemia 4 / 50 4. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Hyperparathyroidism C. Pituitary adenomas D. Medullary carcinoma of thyroid 5 / 50 5. Crohn’s disease may be complicated by all except: A. Chronic cholecystitis B. Amyloidosis C. Clubbing D. Hydroureter 6 / 50 6. Which of the following is false regarding acute appendicitis? A. The temperature is usually normal or slightly elevated B. Anorexia is rare C. Meckel's diverticulitis is one of the close differential diagnosis D. Nausea and vomiting occur in 50-60% of cases 7 / 50 7. Gluten-free diet is beneficial in: A. Atopic eczema B. Dermatitis herpetiformis C. Psoriasis D. Pemphigus 8 / 50 8. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Superior vena caval obstruction B. Portal hypertension C. Inferior vena caval obstruction D. Hepatic vein thrombosis 9 / 50 9. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. Increased frequency of blood group O and of the non-secretor status C. An increase in serum pepsinogen II level D. More common in first degree relatives of duodenal ulcer patients 10 / 50 10. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Invariably requires surgery C. Chest pain mimics angina pectoris D. Usually a disease of teen age 11 / 50 11. Leptospirosis can be diagnosed during the 1st week of illness by: A. Dark-field examination B. Agglutination test C. Urine analysis D. Stool culture 12 / 50 12. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Serum bilirubin assay C. Level of transaminases D. Bromsulphalein (BSP) excretion test 13 / 50 13. Secretory diarrhoea has no association with: A. Pancreatic insufficiency B. Zollinger-Ellison syndrome C. Villous adenoma of rectum D. Medullary carcinoma of thyroid 14 / 50 14. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Ca++ C. Fat D. Vitamin B12 15 / 50 15. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Short bowel syndrome C. Ulcerative colitis D. Pancreatic ascites 16 / 50 16. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Glucagonoma B. Insulinoma C. Somatostatinoma D. Gastrinoma 17 / 50 17. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Vitamin B12 malabsorpfion C. Hypochlorhydria D. Cirrhosis of liver 18 / 50 18. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Colchicine C. Sorbitol D. Theophylline 19 / 50 19. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Perihepatitis C. Hepatoma D. Portal hypertension 20 / 50 20. Which of the following does not produce secretory diarrhoea? A. Medullary carcinoma of the thyroid gland B. Zollinger-Ellison syndrome C. Carcinoid syndrome D. Hyperparathyroidism 21 / 50 21. All are major components of intestinal gas except: A. N2 B. Methane C. H2S D. CO2 22 / 50 22. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Raised wedged hepatic venous pressure B. Congenital hepatic fibrosis is an example C. Commonest cause of portal hypertension D. Blocked hepatic vein 23 / 50 23. Chronic active hepatitis may have all the following features except: A. Jaundice B. Arthralgia C. Amenorrhoea D. Haematemesis 24 / 50 24. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Irritable bowel syndrome B. Carcinoid syndrome C. Villous adenoma of the colon D. Zollinger-Ellison syndrome 25 / 50 25. Normal faecal fat is defined as: A. < 6 g for 24 hrs B. < 15 g for 24 hr C. < 12 g for 24 hrs D. < 9 g for 24 hrs 26 / 50 26. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. Abscess commonly affects the right lobe C. Jaundice is present in majority D. May lead to the development of an amoebic liver abscess 27 / 50 27. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Right atrial myxoma C. Congenital hepatic fibrosis D. Antiphospholipid syndrome 28 / 50 28. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Massive dose of estrogen B. Nifedipine C. Tetracycline D. Amiodarone 29 / 50 29. Which of the following may develop into intestinal lymphoma? A. Eosinophilic enteritis B. Intestinal lymphangiectasia C. Ulcerative colitis D. Coeliac disease 30 / 50 30. Regarding angiodysplasia of colon, which one is false? A. It looks like spider angiomas of the skin B. Left colon is commonly affected C. Aortic stenosis may be associated with it D. Haemotochezia is common 31 / 50 31. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Hypoglycaemia C. Palpitation D. Steatorrhoea 32 / 50 32. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 30 ml B. 75 ml C. 15 ml D. 100 ml 33 / 50 33. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 100-200 g C. 300-400 g D. 500-600 g 34 / 50 34. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Folic acid B. Vitamin A C. Vitamin D D. Vitamin B12 35 / 50 35. Regarding ischaemic colitis, which one is true? A. Angiography is not helpful B. Almost always an occlusive disease of mesenteric vessels C. Rectal bleeding is a rare complication D. Affects young population 36 / 50 36. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Gluten-free diet C. Antibiotics D. Folic acid 37 / 50 37. Commonest organism causing pyogenic liver abscess is: A. Anaerobes B. E. coli C. Streptococcus faecalis D. Staphylococci 38 / 50 38. Which of the following is not a disorder of intestinal motility? A. Ulcerative colitis B. Irritable bowel syndrome C. Diverticulosis D. Intestinal pseudo-obstruction 39 / 50 39. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 40 / 50 40. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Pancreatic gastrinomas are most common in the head of the pancreas C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Majority of tumours are biologically malignant 41 / 50 41. 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. 60% have anti-intrinsic factor antibody D. 90% have anti-parietal cell antibody 42 / 50 42. The ideal time to give antacids in peptic ulcer disease is: A. Immediately after meals B. Just before meals C. One hour after meals and at bedtime D. With the meals 43 / 50 43. Hour-glass stomach is usually produced by: A. Syphilis B. Developmental anomaly C. Lymphoma D. Gastric ulcer 44 / 50 44. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Contrast-enhanced echocardiography B. CT scan of liver C. MRI scan of liver D. Pulmonary angiography 45 / 50 45. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Alcoholism C. Reflux oesophagitis D. Oesophageal carcinoma 46 / 50 46. Hirschsprung’s disease is not manifested by: A. Distended abdomen B. Rectal ampulla is full of faeces while the anal sphincter is normal C. Obstipation D. Vomiting 47 / 50 47. Acute pancreatitis may be caused by: A. Thiazides B. Measles C. Propranolol D. Legionella pneumoniae 48 / 50 48. Secretin is produced in largest quantities in: A. Duodenum B. Jejunum C. Ileum D. Stomach 49 / 50 49. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Pregnancy C. Chronic obstructive pulmonary disease D. Polycythaemia vera 50 / 50 50. Which of the following is false regarding Gaucher’s disease? A. Elevated serum angiotensin-converting enzyme B. Hepatosplenomegaly C. High serum acid phosphatase level D. Pre-malignant LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
