Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. ‘String sign’ in Crohn’s disease is due to: A. Fistula B. Pseudopolyps C. Spasm D. Small ulceration 2 / 50 2. The commonest manifestation of radiation proctitis is: A. Mucous discharge B. Diarrhoea C. Pruritus ani D. Bleeding per rectum 3 / 50 3. All of the following enzymes may be normally found in stool except: A. Lipase B. Amylase C. Pepsin D. Trypsin 4 / 50 4. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Pyoderma gangrenosum C. Aphthous stomatitis D. Gallstone formation 5 / 50 5. Malabsorption may produce all of the following except: A. Achlorhydria B. Loss of libido C. Peripheral neuropathy D. Cheilosis 6 / 50 6. Crohn’s disease may be complicated by all except: A. Hydroureter B. Amyloidosis C. Chronic cholecystitis D. Clubbing 7 / 50 7. Which one of the following is not an ocular complication of ulcerative colitis? A. Uveitis B. Scleromalacia perforans C. Cataract D. Episcleritis 8 / 50 8. Which of the following is not included in the list of high-folate diet? A. Milk B. Fruits C. Liver D. Vegetables 9 / 50 9. Water is minimally absorbed from: A. Descending colon B. Transverse colon C. Caecum D. Ascending colon 10 / 50 10. Halitosis is present in all except: A. Amoebic liver abscess B. Hepatic failure C. Gastrocolic fistula D. Atrophic rhinitis 11 / 50 11. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. Produces loose stool C. Suitable for patients with renal impairment D. 50% of magnesium is absorbed by the small intestine 12 / 50 12. Amino acids malabsorption is seen in: A. Alkaptonuria B. Phenylketonuria C. Homocystinuria D. Cystinuria 13 / 50 13. Giardiasis is characterised by all except: A. Lactose intolerance B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Malabsorption D. Inflammation of duodenal and jejunal mucosa 14 / 50 14. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Reflux oesophagitis C. Alcoholism D. Oesophageal carcinoma 15 / 50 15. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. Ultrasonography B. CT scan C. ERCP D. HIDA scan 16 / 50 16. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diarrhoea and steatorrhoea B. Diagnosis with certainty by BAO /MAO ratio C. Recalcitrant upper GI ulcers D. Vitamin B12 malabsorption 17 / 50 17. Gardner’s syndrome may be associated with all except: A. Astrocytoma B. Fibromas C. Osteomas D. Epidermoid cyst 18 / 50 18. All of the following produce invasive diarrhoea except: A. Campylobacter B. Shigella C. Clostridium perfringens D. Clostridium difficile 19 / 50 19. Macroglossia is not found in: A. Myxoedema B. Primary amyloidosis C. Hurler syndrome D. Bulbar palsy 20 / 50 20. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Hyperkalaemia C. Hyperchloraemia D. Acidosis 21 / 50 21. Fatty liver may be produced by: A. Chloramphenicol B. Anabolic steroids C. Oral contraceptives D. Tetracycline 22 / 50 22. Regarding angiodysplasia of colon, which one is false? A. Haemotochezia is common B. It looks like spider angiomas of the skin C. Aortic stenosis may be associated with it D. Left colon is commonly affected 23 / 50 23. The definitive test for diagnosis of haemochromatosis is: A. Plasma iron >300 μg/ dl B. TIBC < 200 μg/dl C. Hepatic iron index >1.5 D. Liver biopsy 24 / 50 24. The major site of bile salt absorption is: A. Duodenum B. Proximal small intestine C. Stomach D. Distal small intestine 25 / 50 25. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Wegener's granulomatosis B. Primary sclerosing cholangitis C. Crescentic glomerulonephritis D. Ulcerative colitis 26 / 50 26. The commonest malignant tumour of the gallbladder is: A. Haemangioendothelioma B. Sarcoma C. Squamous cell carcinoma D. Adenocarcinoma 27 / 50 27. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Thyroid C. Prostate D. Colon 28 / 50 28. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Hepatic granulomas B. Budd-chiari syndrome C. Peliosis hepatis D. Benign adenomas in liver 29 / 50 29. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Nifedipine C. Amiodarone D. Massive dose of estrogen 30 / 50 30. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Fatty infiltration C. Hepatitis-like picture D. Laennec's cirrhosis 31 / 50 31. Hepatitis-like features may be seen in therapy with all except: A. INH B. Atorvastatin C. Ketoconazole D. Zidovudine 32 / 50 32. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Sarcoidosis C. Metastatic carcinoma D. Tuberculosis 33 / 50 33. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Sclerosing cholangitis C. Arthritis D. Pyoderma gangrenosum 34 / 50 34. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. HBsAg C. IgM anti-HBc D. Anti-HBs 35 / 50 35. Carcinoma of oesophagus may be predisposed by alt except: A. Hypervitaminosis A B. Chronic achalasia cardia C. Plummer-Vinson syndrome D. Lye ingestion 36 / 50 36. The commonest cause of anaemia after peptic ulcer surgery is: A. Iron deficiency B. Vitamin B12 deficiency C. Folic acid deficiency D. Hemolysis 37 / 50 37. The valvular heart disease common in carcinoid syndrome is: A. Aortic incompetence B. Mitral stenosis C. Tricuspid incompetence D. Pulmonary incompetence 38 / 50 38. Jejunal diverticula may be associated with: A. Vitamin B12 malabsorpfion B. Hypochlorhydria C. Chronic pancreatitis D. Cirrhosis of liver 39 / 50 39. Chronic gastritis may be associated with all except: A. Intestinal metaplasia B. Gastro-oesophageal reflux disease C. Gastric atrophy D. Antibodies to parietal cells 40 / 50 40. Which one of the following is not a space-occupying disease of liver? A. Amyloid B. Cyst C. Gummas D. Metastatic tumour 41 / 50 41. Diarrhoea may be associated with all except: A. Digitalis B. Colchicine C. Clindamycin D. Sucralfate 42 / 50 42. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 200ml C. 120ml D. 70ml 43 / 50 43. Raspberry tongue is found in: A. Rheumatic fever B. Yellow fever C. Scarlet fever D. Glandular fever 44 / 50 44. Regarding Meckel’s diverticulum, which one is false? A. Present in 2% population B. May contain oesophageal or rectal mucosa C. Present within 100 cm of the ileocaecal valve D. Usually 5 cm long 45 / 50 45. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Abscess commonly affects the right lobe 46 / 50 46. The ideal time to give antacids in peptic ulcer disease is: A. With the meals B. Just before meals C. Immediately after meals D. One hour after meals and at bedtime 47 / 50 47. Crohn’s disease is caused by: A. Nutritional deficiency B. Toxin elaborated by infectious microorganisms C. Autoimmunity D. Not known 48 / 50 48. Which segment of the Gl tract is most susceptible to volvulus? A. Stomach B. Caecum C. Sigmoid colon D. Small intestine 49 / 50 49. Bentiromide test diagnoses? A. Pancreatic ductal obstruction B. Exocrine pancreatic function C. Endocrine pancreatic function D. Pancreatic carcinoma 50 / 50 50. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Polymyositis C. Achalasia cardia D. 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