Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Malignant potential is least in: A. Peutz-Jeghers syndrome B. Villous adenoma of colon C. Familial colonic polyposis D. Ulcerative colitis 2 / 50 2. Which of the following is not a variety of osmotic diarrhoea? A. Laxative abuse B. Coeliac disease C. Lactase deficiency D. Whipple's disease 3 / 50 3. Raspberry tongue is found in: A. Rheumatic fever B. Yellow fever C. Scarlet fever D. Glandular fever 4 / 50 4. The most reliable method of measuring steatorrhoea is: A. Schilling test B. D-xylose absorption test C. Small intestinal mucosal biopsy D. Fecal fat estimation 5 / 50 5. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Fever C. Bloody diarrhoea D. Sinus tachycardia 6 / 50 6. The commonest manifestation of radiation proctitis is: A. Bleeding per rectum B. Pruritus ani C. Diarrhoea D. Mucous discharge 7 / 50 7. Aerophagia is commonly found in all except: A. Rapid eating habit B. Chronic anxiety states C. Pyloric stenosis D. Hypochondriac personality 8 / 50 8. Which of the following does not produce secretory diarrhoea? A. Zollinger-Ellison syndrome B. Hyperparathyroidism C. Medullary carcinoma of the thyroid gland D. Carcinoid syndrome 9 / 50 9. Hirschsprung’s disease is not manifested by: A. Vomiting B. Rectal ampulla is full of faeces while the anal sphincter is normal C. Distended abdomen D. Obstipation 10 / 50 10. Major organ responsible for the removal of gastrin is: A. Liver B. Kidney C. Lung D. Intestine 11 / 50 11. The commonest cause of colonic obstruction is: A. Hernia B. Adhesions C. Volvulus D. Neoplasm 12 / 50 12. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Biliary dyspepsia C. Tropical sprue D. Irritable bowel syndrome 13 / 50 13. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. Renal tubular acidosis C. CREST syndrome D. Wilson's disease 14 / 50 14. Which of the following is not responsible for food poisoning? A. Clostridium perfringens B. Bacillus cereus C. Clostridium botulinum D. Streptococcus (Group A) 15 / 50 15. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. EEG C. MRI of brain D. Psychometric study 16 / 50 16. Regarding cimetidine, all of the following are true except: A. May cause mild elevation of serum transaminases and creatinine levels B. May produce benign intracranial hypertension C. Tender gynecomastia may be a complication after prolonged use D. Related structurally to histamine 17 / 50 17. Superficial venous flow in portal hypertension is: A. Above downwards B. Below upwards C. Away from the umbilicus D. Towards umbilicus 18 / 50 18. Which of the following is not a cause of hyperamylasaemia? A. Acute intermittent porphyria B. Renal insufficiency C. Pseudopancreatic cyst D. Burns 19 / 50 19. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Rectal ampulla is empty but tender sigmoid is full of faeces C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 20 / 50 20. The commonest site of carcinoma of the stomach is: A. Greater curvature B. Lesser curvature C. Body of the stomach D. Prepyloric 21 / 50 21. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Folic acid C. Corticosteroids D. Antibiotics 22 / 50 22. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals 'thumbprinting' B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Severe periumbilical pain at the onset D. Young women are the main victims 23 / 50 23. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Irritable bowel syndrome C. Coeliac disease D. Crohn's disease 24 / 50 24. Extraintestinal amoebiasis may involve all except: A. Heart B. Meninges with encephalon C. Skin D. Vulva 25 / 50 25. What percentage of Zollinger-Ellison syndrome are malignant? A. 60% B. 20% C. 30% D. 40% 26 / 50 26. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Systemic mastocytosis C. Carcinoid syndrome D. Whipple's disease 27 / 50 27. The Kayser-Fleischer (KF) ring is: A. Copper deposition in Descemet's membrane B. Broader laterally and medially C. The inferior pole of cornea is first affected D. Hampers vision 28 / 50 28. High transaminase levels may be found in all except: A. Right-sided heart failure B. Acute myocardial infarction C. Chronic pancreatitis D. Acute viral hepatitis 29 / 50 29. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening ascites C. Worsening jaundice D. Paralytic ileus 30 / 50 30. Carbenoxolone sodium may be associated with all of the following features except: A. Development of potassium depletion B. May be associated with milk-alkali syndrome C. Complicated by oedema D. Development of systemic hypertension 31 / 50 31. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Commonly affects middle-aged males C. Nocturnal diarrhoea is common D. Easily treatable 32 / 50 32. The presence of diverticulosis is most commonly seen in: A. Sigmoid colon B. Caecum C. Descending colon D. Transverse colon 33 / 50 33. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of dysphagia B. A normal oesophageal anatomy C. A cause of haematemesis and/ or melaena D. A late complication of vagotomy 34 / 50 34. The commonest cause of anaemia after peptic ulcer surgery is: A. Vitamin B12 deficiency B. Folic acid deficiency C. Hemolysis D. Iron deficiency 35 / 50 35. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Peutz-Jeghers syndrome C. Ehlers-Danlos syndrome D. Pseudoxanthoma elasticum 36 / 50 36. WBC in stool is not found in: A. Entero-invasive E. coli B. Giardiasis C. Campylobacter D. Shigella 37 / 50 37. Whipple’s triad is found in: A. Insulinoma B. Somatostatinoma C. Glucagonoma D. Carcinoid syndrome 38 / 50 38. Commonest cause of hepatoma is: A. alpha1-antitrypsin deficiency B. Cirrhosis of liver C. Haemochromatosis D. Alcohol 39 / 50 39. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Reye's syndrome B. Gilbert's syndrome C. Rotor syndrome D. Dubin-Johnson syndrome 40 / 50 40. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Polycythaemia vera C. Chronic obstructive pulmonary disease D. Pregnancy 41 / 50 41. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 15 g for 24 hr C. < 6 g for 24 hrs D. < 12 g for 24 hrs 42 / 50 42. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Anorexia nervos B. Depression C. Schizophrenia D. Sheehan's syndrome 43 / 50 43. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Palpitation C. Recurrent ulceration D. Hypoglycaemia 44 / 50 44. Which statement is false regarding duodenal ulcer? A. An increase in serum pepsinogen II level B. Increased incidence of HLA-B5 antigen C. More common in first degree relatives of duodenal ulcer patients D. Increased frequency of blood group O and of the non-secretor status 45 / 50 45. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Congestive cardiac failure B. Budd-Chiari syndrome C. Tuberculous peritonitis D. Cirrhosis of liver 46 / 50 46. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. HBeAg implies high infectivity C. IgG anti-HBc indicates acute hepatitis B virus infection D. Anti-HBs appear to reflect immunity 47 / 50 47. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteoporosis C. Sclerosing cholangitis D. Osteomalacia 48 / 50 48. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Crigler-Najjar syndrome C. Gilbert's syndrome D. Shunt hyperbilirubinaemia 49 / 50 49. The major immunoglobulin in primary biliary cirrhosis is: A. IgA B. IgD C. IgM D. IgG 50 / 50 50. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Rectal prolapse and straining by patient are common associations C. Surgery by resection rectopexy may be done D. Rectal bleeding and tenesmus are common LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
