Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Acute viral hepatitis D. Pyogenic liver abscess 2 / 50 2. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Ehlers-Danlos syndrome B. Render-Weber-Osler disease C. Pseudoxanthoma elasticum D. Peutz-Jeghers syndrome 3 / 50 3. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Occasionally progresses to cirrhosis and liver failure B. Glucocorticoid helps cure C. Jejunoileal bypass may be an aetiology D. Typically occurs in overweight, diabetic, hyperlipidemic subjects 4 / 50 4. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Metastasis in liver C. Cholestasis D. Paget's disease 5 / 50 5. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Leucocytosis > 16000/mm3 B. Serum AST> 400 ID /L C. Serum LDH > 400 ID /L D. Hyperglycaemia > 200 mg/ dl 6 / 50 6. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Corticosteroids C. Antibiotics D. Folic acid 7 / 50 7. In gastroparesis, the following drugs are helpful except: A. Metoclopramide B. Domperidone C. Tetracycline D. Cisapride 8 / 50 8. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Crohn's disease C. Melanoma affecting colon D. Anthraquinone laxative abuse 9 / 50 9. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Barium enema C. Sigmoidoscopy D. Stool culture 10 / 50 10. Extraintestinal amoebiasis may involve all except: A. Heart B. Skin C. Meninges with encephalon D. Vulva 11 / 50 11. Commonest organism causing pyogenic liver abscess is: A. E. coli B. Anaerobes C. Streptococcus faecalis D. Staphylococci 12 / 50 12. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Rectal pain C. Constipation D. Pain abdomen 13 / 50 13. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Propranolol C. Nitroglycerines D. Somatostatin 14 / 50 14. Pneumaturia is an established feature of: A. Crohn's disease B. Intestinal lymphoma C. Coeliac disease D. Irritable bowel syndrome 15 / 50 15. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Abetalipoproteinaemia C. Coeliac disease D. Radiation 16 / 50 16. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Streptococcal infection C. Infectious mononucleosis D. Ludwig's angina 17 / 50 17. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Gastric atrophy C. Intestinal metaplasia D. Antibodies to parietal cells 18 / 50 18. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Insulinoma C. Glucagonoma D. Gastrinoma 19 / 50 19. The commonest cause of metastasis to the wall of the stomach is: A. Hepatoma B. Carcinoma of thyroid C. Melanoma D. Carcinoma of breast 20 / 50 20. Hepatitis-like features may be seen in therapy with all except: A. Ketoconazole B. Atorvastatin C. INH D. Zidovudine 21 / 50 21. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Hepatoma C. Valve in hepatic veins D. Oral contraceptives 22 / 50 22. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of myoglobin B. Rotor syndrome C. Ineffective erythropoiesis D. Breakdown of haemoglobin 23 / 50 23. The inheritance of cystic fibrosis is: A. Sex-linked recessive B. Autosomal recessive C. Sex-linked dominant D. Autosomal dominant 24 / 50 24. Normal portal venous pressure is: A. 7-10 mmHg B. >12mmHg C. <5mmHg D. 5-7mmHg 25 / 50 25. Which one is false in granulomatous hepatitis? A. Jaundice B. Sarcoidosis may be an aetiology C. Mild, firm hepatomegaly D. Liver biopsy is diagnostic 26 / 50 26. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperlipidaemia B. Hypergastrinaemia C. Hypercalcaemia D. Hyperamylasaemia 27 / 50 27. Aerophagia is commonly found in all except: A. Chronic anxiety states B. Pyloric stenosis C. Hypochondriac personality D. Rapid eating habit 28 / 50 28. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Phenylketonuria D. Alkaptonuria 29 / 50 29. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Biliary tract disease C. Hyperparathyroidism D. Pancreatic carcinoma 30 / 50 30. Crohn’s disease may be complicated by all except: A. Amyloidosis B. Hydroureter C. Chronic cholecystitis D. Clubbing 31 / 50 31. 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 osmolality ratio >1.0 D. Urine to plasma creatinine ratio >30 32 / 50 32. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum bilirubin assay B. Level of transaminases C. Serum albumin estimation D. Bromsulphalein (BSP) excretion test 33 / 50 33. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Chronic arsenic ingestion C. Sarcoidosis D. Oral contraceptives 34 / 50 34. The commonest malignant tumour of the gallbladder is: A. Squamous cell carcinoma B. Sarcoma C. Adenocarcinoma D. Haemangioendothelioma 35 / 50 35. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Radioactive triolein absorption (breath) test C. Small intestinal X-rays D. Quantitative determination of faecal fat 36 / 50 36. Which cardiovascular disorder is not associated with steatorrhoea? A. Congestive cardiac failure B. Left atrial myxoma C. Constrictive pericarditis D. Mesenteric vascular insufficiency 37 / 50 37. Manometric study of the lower oesophagus is important in all except: A. Diffuse oesophageal spasm B. Polymyositis C. Mallory-Weiss syndrome D. Achalasia cardia 38 / 50 38. Which of the following is false regarding cholera? A. Offensive stool B. Subnormal Surface temperature C. Onset with purging D. Absence of tenesmus 39 / 50 39. Which segment of the colon is commonly affected by vascular insufficiency? A. Ascending colon B. Hepatic flexure C. Transverse colon D. Splenic flexure 40 / 50 40. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Ruptured oesophageal varices C. Duodenal ulcer D. Acute gastritis 41 / 50 41. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Chorea C. Grimacing D. Sensory loss 42 / 50 42. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. More than 1 litre D. 250-500 ml 43 / 50 43. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Young women are the main victims C. Severe periumbilical pain at the onset D. Barium study of the small intestine reveals 'thumbprinting' 44 / 50 44. Hepatocellular jaundice does not result from: A. Rifampicin B. Copper sulphate C. Halothane D. Gliclazide 45 / 50 45. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Stomach biopsy C. Lymph node biopsy D. Rectal biopsy 46 / 50 46. The commonest site of carcinoid tumour is: A. Ileum B. Appendix C. Colon D. Stomach 47 / 50 47. All of the following produce hypergastrinemia except: A. Lansoprazole therapy B. Duodenal ulcer C. Zollinger-Ellison syndrome D. Atrophic fundal gastritis 48 / 50 48. Regarding ischaemic colitis, which one is true? A. Almost always an occlusive disease of mesenteric vessels B. Rectal bleeding is a rare complication C. Affects young population D. Angiography is not helpful 49 / 50 49. Which ion is necessary for the active transport of sugars? A. Calcium B. Sodium C. Magnesium D. Potassium 50 / 50 50. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Blocked hepatic vein C. Congenital hepatic fibrosis is an example D. Raised wedged hepatic venous pressure LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology