Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Medullary carcinoma of thyroid B. Phaeochromocytoma C. Pituitary adenomas D. Hyperparathyroidism 2 / 50 2. The commonest type of pancreatic carcinoma is: A. Mucinous carcinoma B. Islet cell carcinoma C. Ductal adenocarcinoma D. Cystadenocarcinoma 3 / 50 3. Acid peptic disease is rarely found in: A. Pregnancy B. Chronic obstructive pulmonary disease C. Polycythaemia vera D. Cushing's syndrome 4 / 50 4. All of the following are true regarding diverticulitis except: A. Perforation is a serious complication B. Males are affected more than females C. Right side of colon is less affected than the left D. Massive rectal bleeding is very common 5 / 50 5. Which of the following is false regarding cholera? A. Absence of tenesmus B. Subnormal Surface temperature C. Offensive stool D. Onset with purging 6 / 50 6. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon C. Passage of bright red blood per rectum D. The blood may not be mixed with stool 7 / 50 7. Crohn’s disease may be complicated by all except: A. Clubbing B. Amyloidosis C. Hydroureter D. Chronic cholecystitis 8 / 50 8. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Valve in hepatic veins C. Oral contraceptives D. Hepatoma 9 / 50 9. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgD C. IgM D. IgA 10 / 50 10. Gastrin is predominantly secreted from: A. Fundus of the stomach B. Jejunum C. Antral mucosa D. 2nd part of the duodenum 11 / 50 11. Pruritus associated with cholestasis is mostly seen: A. At daytime B. After a cold bath C. In males D. On the palms and soles 12 / 50 12. The weight of normal daily stool of a healthy adult is: A. 500-600 g B. 700-800 g C. 100-200 g D. 300-400 g 13 / 50 13. All of the following produce “sub-total villous atrophy’ except: A. Radiation B. Coeliac disease C. Hypogammaglobulinaemia D. Abetalipoproteinaemia 14 / 50 14. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Gilbert's syndrome B. Shunt hyperbilirubinaemia C. Dubin-Johnson syndrome D. Crigler-Najjar syndrome 15 / 50 15. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Palpitation C. Steatorrhoea D. Hypoglycaemia 16 / 50 16. Extraintestinal amoebiasis may involve all except: A. Vulva B. Heart C. Skin D. Meninges with encephalon 17 / 50 17. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Sarcoidosis C. Tuberculosis D. Metastatic carcinoma 18 / 50 18. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Arthralgia C. Amenorrhoea D. Jaundice 19 / 50 19. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. During the first 10 days of life B. At birth C. Within the first 24 hours of birth D. Over the first 4-6 weeks of life 20 / 50 20. Pyrosis is better known as: A. Singultus B. Retching C. Heartburn D. Water brash 21 / 50 21. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Cisapride C. Metoclopramide D. Domperidone 22 / 50 22. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Hypervitaminosis D D. Metastasis in liver 23 / 50 23. All of the following may be associated with hypoglobulinaemia except: A. Multiple myeloma B. Severe combined immunodeficiency C. Chronic lymphatic leukaemia D. AIDS 24 / 50 24. In coeliac sprue, which of the following is non-deficient in the body? A. Iron B. Vitamin B12 C. Folic acid D. Serum albumin 25 / 50 25. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Fatty infiltration C. Laennec's cirrhosis D. Hepatitis-like picture 26 / 50 26. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal bleeding and tenesmus are common B. Surgery by resection rectopexy may be done C. Commonly in the posterior wall of rectum D. Rectal prolapse and straining by patient are common associations 27 / 50 27. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 15 ml C. 75 ml D. 30 ml 28 / 50 28. Weil’s disease is associated with: A. Leucopenia with lymphocytosis B. Severe muscle pain C. Absence of renal involvement D. Jaundice in all 29 / 50 29. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Ca++ C. Vitamin B12 D. Fat 30 / 50 30. Water is minimally absorbed from: A. Caecum B. Descending colon C. Ascending colon D. Transverse colon 31 / 50 31. Secretin is produced in largest quantities in: A. Ileum B. Jejunum C. Duodenum D. Stomach 32 / 50 32. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Imipramine C. Diabetes mellitus D. Hyperthyroidism 33 / 50 33. Which is true with respect to irritable bowel syndrome? A. Nocturnal diarrhoea is common B. Commonly affects middle-aged males C. Most common GI disorder in practice D. Easily treatable 34 / 50 34. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Hyperglycaemia > 200 mg/ dl C. Leucocytosis > 16000/mm3 D. Serum AST> 400 ID /L 35 / 50 35. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. Contrast-enhanced echocardiography C. CT scan of liver D. MRI scan of liver 36 / 50 36. The commonest site of carcinoma of the stomach is: A. Greater curvature B. Body of the stomach C. Prepyloric D. Lesser curvature 37 / 50 37. The most reliable method of measuring steatorrhoea is: A. Small intestinal mucosal biopsy B. Schilling test C. Fecal fat estimation D. D-xylose absorption test 38 / 50 38. Menetrier’s disease may have all of the following except: A. Hypoproteinaemia B. Large tortuous gastric mucosal folds C. Gastritis D. Hypochlorhydria 39 / 50 39. What is true about Weil’s disease? A. Low glucose in CSF B. Myocarditis may be a complication C. Leucopenia D. Liver biopsy is diagnostic 40 / 50 40. All of the following can be associated with obstructive jaundice except: A. Pregnancy B. Oral contraceptives C. Crigler-Najjar type II D. Secondary carcinoma of liver 41 / 50 41. Minimal fluid required to have classical shifting dullness in ascites is: A. 250-500 ml B. More than 1 litre C. 500-1000 ml D. 100-250 ml 42 / 50 42. Normally in health, the venous flow in abdominal superficial veins is: A. Away from the umbilicus B. Towards the umbilicus C. From below upwards D. From above downwards 43 / 50 43. Acute pancreatitis may eventually lead to all of the following except: A. Acute lung injury B. Fulminant hepatocellular failure C. Renal failure D. Disseminated intravascular coagulation 44 / 50 44. Which of the following is false regarding acute appendicitis? A. Anorexia is rare B. Nausea and vomiting occur in 50-60% of cases C. Meckel's diverticulitis is one of the close differential diagnosis D. The temperature is usually normal or slightly elevated 45 / 50 45. Malignant potential is least in: A. Villous adenoma of colon B. Ulcerative colitis C. Familial colonic polyposis D. Peutz-Jeghers syndrome 46 / 50 46. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Diverticulosis of colon C. Pseudomyxoma peritonei D. Pneumatosis cystoides intestinalis 47 / 50 47. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. Invariably requires surgery C. Chest pain mimics angina pectoris D. 'Nutcracker' oesophagus is the mildest form 48 / 50 48. Pneumaturia is an established feature of: A. Crohn's disease B. Irritable bowel syndrome C. Intestinal lymphoma D. Coeliac disease 49 / 50 49. Protein-losing enteropathy maybe feature of all except: A. Juvenile polyposis coli B. Intestinal tuberculosis C. Chronic cor pulmonale D. Atrial septal defect 50 / 50 50. Incidence of gastric carcinoid is increased in all except: A. Mesenteric fibrosis B. Achlorhydria C. Hashimoto's thyroiditis D. Pernicious anaemia LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
