Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Lansoprazole therapy C. Zollinger-Ellison syndrome D. Atrophic fundal gastritis 2 / 50 2. All are recognised complications of acute pancreatitis except: A. Pancreatic pseudocyst B. Pancreatic ascites C. Pancreatic phlegmon D. Pancreatic malignancy 3 / 50 3. Hepatic rub may be found in: A. Hemangioma of liver B. Acute viral hepatitis C. Pyogenic liver abscess D. Hepatic neoplasm 4 / 50 4. Whipple’s triad is found in: A. Glucagonoma B. Somatostatinoma C. Carcinoid syndrome D. Insulinoma 5 / 50 5. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Crigler-Najjar syndrome B. Gilbert's syndrome C. Shunt hyperbilirubinaemia D. Dubin-Johnson syndrome 6 / 50 6. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgM C. IgG D. IgA 7 / 50 7. 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 8 / 50 8. Which of the following may develop into intestinal lymphoma? A. Coeliac disease B. Ulcerative colitis C. Intestinal lymphangiectasia D. Eosinophilic enteritis 9 / 50 9. Amino acids malabsorption is seen in: A. Alkaptonuria B. Cystinuria C. Homocystinuria D. Phenylketonuria 10 / 50 10. Latent jaundice may be a feature of all except: A. Pernicious anaemia B. Congestive cardiac failure C. Tropical sprue D. Acute pulmonary thromboembolism 11 / 50 11. The most common cause of Budd-Chiari syndrome is: A. Hepatoma B. Valve in hepatic veins C. Oral contraceptives D. Paroxysmal nocturnal hemoglobinuria 12 / 50 12. The Zollinger-Ellison syndrome is associated with all of the following except: A. Recalcitrant upper GI ulcers B. Vitamin B12 malabsorption C. Diarrhoea and steatorrhoea D. Diagnosis with certainty by BAO /MAO ratio 13 / 50 13. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Irritable bowel syndrome C. Tropical sprue D. Biliary dyspepsia 14 / 50 14. Which of the following is false regarding autoimmune hepatitis? A. Very high bilirubin level B. Hyperglobulinaemia is common C. Hypoalbuminaemia is very active disease D. AST and ALT levels fluctuate within 100-1000 units 15 / 50 15. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal prolapse and straining by patient are common associations B. Commonly in the posterior wall of rectum C. Rectal bleeding and tenesmus are common D. Surgery by resection rectopexy may be done 16 / 50 16. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Pain abdomen C. Rectal pain D. Constipation 17 / 50 17. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Hashimoto's thyroiditis C. Mesenteric fibrosis D. Achlorhydria 18 / 50 18. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. IX C. II D. VII 19 / 50 19. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Diverticulosis of colon C. Pseudomyxoma peritonei D. Pneumatosis cystoides intestinalis 20 / 50 20. Mucosal immunity is mainly due to: A. IgG B. IgA C. IgM D. IgD 21 / 50 21. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. May contribute to osteomalacia C. Phosphate depletion is a complication D. Produces constipation 22 / 50 22. Which is true in halothane-induced. hepatitis? A. Marked cholestasis B. Males are commonly susceptible C. Splenomegaly D. Peripheral eosinophilia 23 / 50 23. 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 24 / 50 24. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Colon C. Thyroid D. Prostate 25 / 50 25. Fats are ingested primarily in the form of: A. Triglycerides B. Diglycerides C. Monoglycerides D. Fatty acids 26 / 50 26. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Chorea C. Sensory loss D. Grimacing 27 / 50 27. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Occasionally progresses to cirrhosis and liver failure B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Jejunoileal bypass may be an aetiology D. Glucocorticoid helps cure 28 / 50 28. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Clostridium difficile 29 / 50 29. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Pancreatic gastrinomas are most common in the head of the pancreas B. Majority of tumours are biologically malignant C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Solitary primary tumours are very common 30 / 50 30. Normal faecal fat is defined as: A. < 15 g for 24 hr B. < 6 g for 24 hrs C. < 12 g for 24 hrs D. < 9 g for 24 hrs 31 / 50 31. Acute viral hepatitis may develop from all of the following except: A. Infectious mononucleosis B. Cytomegalovirus C. Yellow fever D. Herpes zoster virus 32 / 50 32. Gardner’s syndrome may be associated with all except: A. Epidermoid cyst B. Fibromas C. Osteomas D. Astrocytoma 33 / 50 33. Hirschsprung’s disease is not manifested by: A. Distended abdomen B. Obstipation C. Vomiting D. Rectal ampulla is full of faeces while the anal sphincter is normal 34 / 50 34. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis D C. Hepatitis B D. Hepatitis C 35 / 50 35. Regarding ulcerative colitis, which is true? A. Granuloma and fistula formation are characteristic B. Crypt abscesses are typical C. Segmental involvement is common D. Malignancy never follows even in long-standing disease 36 / 50 36. The classical triad in carcinoid syndrome is: A. Dyspnoea, flushing, valvular heart disease B. Flushing, diarrhoea, valvular heart disease C. Telangiectasias, flushing, diarrhoea D. Pruritus, wheezing, diarrhoea 37 / 50 37. Halitosis is present in all except: A. Amoebic liver abscess B. Atrophic rhinitis C. Gastrocolic fistula D. Hepatic failure 38 / 50 38. Passage of a bolus of food through the oesophagus is the function of: A. Tertiary peristaltic wave B. Secondary peristaltic wave C. Voluntary phase of deglutition D. Primary peristaltic wave 39 / 50 39. Severe kwashiorkor may have a hepatic lesion in the form of: A. Laennec's cirrhosis B. Fatty infiltration C. Hepatitis-like picture D. Hepatic vein thrombosis 40 / 50 40. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Within the first 24 hours of birth B. During the first 10 days of life C. At birth D. Over the first 4-6 weeks of life 41 / 50 41. The most reliable method of measuring steatorrhoea is: A. Fecal fat estimation B. Small intestinal mucosal biopsy C. Schilling test D. D-xylose absorption test 42 / 50 42. Chronicity in hepatitis C virus infection is: A. 50% B. 30% C. 10% D. 80% 43 / 50 43. Auto-vagotomy may be observed in: A. Parkinsonism B. Progressive systemic sclerosis C. Amyloidosis D. Diabetes mellitus 44 / 50 44. Macroglossia is not found in: A. Hurler syndrome B. Primary amyloidosis C. Myxoedema D. Bulbar palsy 45 / 50 45. Symptoms of carcinoma of the left colon include all except: A. Melena B. Altered bowel habits C. Cramps in the abdomen D. Low back pain 46 / 50 46. Primary biliary cirrhosis may be associated with all except: A. CREST syndrome B. Wilson's disease C. Renal tubular acidosis D. Autoimmune thyroiditis 47 / 50 47. Which cardiovascular disorder is not associated with steatorrhoea? A. Congestive cardiac failure B. Left atrial myxoma C. Constrictive pericarditis D. Mesenteric vascular insufficiency 48 / 50 48. Which of the following does not produce secretory diarrhoea? A. Carcinoid syndrome B. Medullary carcinoma of the thyroid gland C. Zollinger-Ellison syndrome D. Hyperparathyroidism 49 / 50 49. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Commonest site of affection is lower third C. Dysphagia starts with solid foods D. Odynophagia may be a symptom 50 / 50 50. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Somatostatin C. Propranolol D. 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