Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Micronodular cirrhosis C. Macronodular cirrhosis D. Haemosiderosis 2 / 50 2. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. The inferior pole of cornea is first affected C. Hampers vision D. Copper deposition in Descemet's membrane 3 / 50 3. Pyloric stenosis is commonly associated. with all except: A. Distension of upper abdomen with succussion splash B. Bilious vomiting C. Visible peristalsis D. Obliteration of Traube's space tympanicity 4 / 50 4. ‘String sign’ in Crohn’s disease is due to: A. Fistula B. Small ulceration C. Pseudopolyps D. Spasm 5 / 50 5. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Chenodeoxycholic acid B. Cholic acid C. Deoxycholic acid D. Lithocholic acid 6 / 50 6. Luge gastric folds are seen in all except: A. Sarcoidosis B. Gastric malignancy C. Chronic H. pylori infection D. Menetrier's disease 7 / 50 7. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Small intestinal X-rays C. Quantitative determination of faecal fat D. Radioactive triolein absorption (breath) test 8 / 50 8. Which part of the colonic carcinoma is very easily overlooked? A. Transverse colon B. Splenic flexure C. Caecum D. Hepatic flexure 9 / 50 9. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Antibiotics C. Folic acid D. Gluten-free diet 10 / 50 10. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Hypochondriac personality C. Chronic anxiety states D. Rapid eating habit 11 / 50 11. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Sense of complete evacuation C. Abdominal distension D. Colicky pain abdomen 12 / 50 12. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine Na+ concentration >10 mEq/dl C. Urine to plasma creatinine ratio >30 D. Urine to plasma osmolality ratio >1.0 13 / 50 13. All of the following are true regarding Whipple’s disease except: A. Gram-negative bacilli Clostridium whippeli is responsible B. Cranial nerve palsy may occur C. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly D. Coronary arteritis may be a feature 14 / 50 14. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Hyperparathyroidism C. Pancreatic carcinoma D. Biliary tract disease 15 / 50 15. Amino acids malabsorption is seen in: A. Homocystinuria B. Phenylketonuria C. Alkaptonuria D. Cystinuria 16 / 50 16. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgD C. IgA D. IgG 17 / 50 17. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Antrum B. Cardia C. Body D. Lesser curvature 18 / 50 18. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. Related structurally to histamine C. May produce benign intracranial hypertension D. May cause mild elevation of serum transaminases and creatinine levels 19 / 50 19. The causative agent of tropical sprue is: A. Yersinia B. Campylobacter C. Shigella D. Unknown 20 / 50 20. Extraintestinal amoebiasis may involve all except: A. Heart B. Meninges with encephalon C. Vulva D. Skin 21 / 50 21. The commonest site of carcinoid tumour is: A. Ileum B. Colon C. Stomach D. Appendix 22 / 50 22. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Hepatic vein thrombosis B. Superior vena caval obstruction C. Portal hypertension D. Inferior vena caval obstruction 23 / 50 23. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Consumption of food B. Induction of vomiting C. Change of posture D. Attacks of emotional stress 24 / 50 24. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. Black tarry semisolid stool C. At least 60 ml of blood is required D. Offensive in odour 25 / 50 25. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Rectal pain C. Pain abdomen D. Constipation 26 / 50 26. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Schizophrenia B. Anorexia nervos C. Depression D. Sheehan's syndrome 27 / 50 27. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Slurred speech C. Chorea D. Grimacing 28 / 50 28. Which segment of the colon is commonly affected by vascular insufficiency? A. Transverse colon B. Splenic flexure C. Ascending colon D. Hepatic flexure 29 / 50 29. All of the following endocrine disorders are associated with malabsorption except: A. Hyperparathyroidism B. Adrenal insufficiency C. Diabetes mellitus D. Carcinoid syndrome 30 / 50 30. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Fat C. Vitamin B12 D. Ca++ 31 / 50 31. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Chronic obstructive pulmonary disease C. Polycythaemia vera D. Pregnancy 32 / 50 32. All are causes of chylous ascites except: A. Intra-abdominal malignancy B. Filariasis C. Thrombosis of mesenteric artery D. Tuberculosis 33 / 50 33. Raspberry tongue is found in: A. Rheumatic fever B. Scarlet fever C. Yellow fever D. Glandular fever 34 / 50 34. Which of the following is false regarding autoimmune hepatitis? A. Very high bilirubin level B. Hypoalbuminaemia is very active disease C. Hyperglobulinaemia is common D. AST and ALT levels fluctuate within 100-1000 units 35 / 50 35. The commonest cause of colonic obstruction is: A. Volvulus B. Adhesions C. Neoplasm D. Hernia 36 / 50 36. The commonest cause of chronic relapsing pancreatitis is: A. Alcohol abuse B. Gallstones C. Infection D. Trauma 37 / 50 37. Which of the following is not included in the classical triad of chronic pancreatitis? A. Steatorrhoea B. Abdominal pain C. Diabetes mellitus D. Pancreatic calcification 38 / 50 38. Gastric diverticula are: A. A premalignant condition B. Need immediate upper GI endoscopy C. Commonly seen D. Clinically not significant 39 / 50 39. The definitive test for diagnosis of haemochromatosis is: A. TIBC < 200 μg/dl B. Liver biopsy C. Plasma iron >300 μg/ dl D. Hepatic iron index >1.5 40 / 50 40. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Whipple's disease C. Cardnoid syndrome D. Intestinal lymphoma 41 / 50 41. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Portal hypertension C. Hepatoma D. Perihepatitis 42 / 50 42. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Psoriasis C. Atopic eczema D. Pemphigus 43 / 50 43. All of the following can be associated with obstructive jaundice except: A. Secondary carcinoma of liver B. Pregnancy C. Crigler-Najjar type II D. Oral contraceptives 44 / 50 44. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. HIDA scan C. CT scan D. Ultrasonography 45 / 50 45. Which ion is necessary for the active transport of sugars? A. Sodium B. Calcium C. Magnesium D. Potassium 46 / 50 46. All of the following are true regarding diverticulitis except: A. Perforation is a serious complication B. Massive rectal bleeding is very common C. Right side of colon is less affected than the left D. Males are affected more than females 47 / 50 47. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. Jaundice is present in majority C. May lead to the development of an amoebic liver abscess D. Right lower intercostal tenderness 48 / 50 48. Chronic gastritis may be characterised by all except: A. Incessant vomiting B. Gastric polyp C. Haematemesis D. Anorexia 49 / 50 49. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Rotor syndrome C. Breakdown of haemoglobin D. Breakdown of myoglobin 50 / 50 50. Passage of a bolus of food through the oesophagus is the function of: A. Secondary peristaltic wave B. Voluntary phase of deglutition C. Primary peristaltic wave D. Tertiary peristaltic wave LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology