Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Young women are the main victims D. Barium study of the small intestine reveals 'thumbprinting' 2 / 50 2. Acid peptic disease is rarely found in: A. Polycythaemia vera B. Cushing's syndrome C. Pregnancy D. Chronic obstructive pulmonary disease 3 / 50 3. Protein-losing enteropathy maybe feature of all except: A. Atrial septal defect B. Juvenile polyposis coli C. Chronic cor pulmonale D. Intestinal tuberculosis 4 / 50 4. Non-cirrhotic portal fibrosis may be associated with: A. Oral contraceptives B. Sarcoidosis C. Chronic arsenic ingestion D. Umbilical sepsis 5 / 50 5. The presence of diverticulosis is most commonly seen in: A. Descending colon B. Sigmoid colon C. Caecum D. Transverse colon 6 / 50 6. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Insulinoma C. Gastrinoma D. Glucagonoma 7 / 50 7. Serum alkaline phosphatase is increased in alt except: A. Osteomalacia B. Paget's disease of bone C. Sclerosing cholangitis D. Osteoporosis 8 / 50 8. Which of the following infections commonly produces hepatic granuloma? A. Leptospira B. Brucella abortus C. LD body D. Pneumococcus 9 / 50 9. The commonest type of oral malignancy is: A. Basal cell carcinoma B. Melanoma C. Squamous cell carcinoma D. Adenocarcinoma 10 / 50 10. Which of the following is false regarding acute appendicitis? A. Meckel's diverticulitis is one of the close differential diagnosis B. Anorexia is rare C. The temperature is usually normal or slightly elevated D. Nausea and vomiting occur in 50-60% of cases 11 / 50 11. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Within the first 24 hours of birth B. At birth C. During the first 10 days of life D. Over the first 4-6 weeks of life 12 / 50 12. Sialorrhoea is associated with all of the following except: A. Carcinoma of the tongue B. Post-encephalitic parkinsonism C. Wilson's disease D. Achalasia cardia 13 / 50 13. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Arthritis C. Uveitis D. Sclerosing cholangitis 14 / 50 14. Botulism may be associated with all of the following except: A. Diplopia B. Increased salivation C. Descending paralysis D. Constipation 15 / 50 15. Continued infectivity in HBV infection is diagnosed by: A. IgM anti-HBc B. HBsAg C. HBV DNA D. Anti-HBs 16 / 50 16. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening jaundice C. Worsening ascites D. Paralytic ileus 17 / 50 17. All of the following may be associated with hypoglobulinaemia except: A. Chronic lymphatic leukaemia B. Severe combined immunodeficiency C. AIDS D. Multiple myeloma 18 / 50 18. Which is true in halothane-induced. hepatitis? A. Males are commonly susceptible B. Splenomegaly C. Marked cholestasis D. Peripheral eosinophilia 19 / 50 19. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 270ml C. 200ml D. 70ml 20 / 50 20. Which of the following is false regarding Gaucher’s disease? A. Elevated serum angiotensin-converting enzyme B. High serum acid phosphatase level C. Pre-malignant D. Hepatosplenomegaly 21 / 50 21. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Abdominal pain C. Pancreatic calcification D. Steatorrhoea 22 / 50 22. Amino acids malabsorption is seen in: A. Alkaptonuria B. Cystinuria C. Phenylketonuria D. Homocystinuria 23 / 50 23. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Budd-Chiari syndrome C. Congestive cardiac failure D. Cirrhosis of liver 24 / 50 24. The smallest absorbing unit of the small intestinal mucosa is: A. Columnar cells B. Villus C. Crypts D. Microvillus 25 / 50 25. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Gastroenterostomy B. Three-quarter gastric resection C. Vagotomy with gastroenterostomy D. Vagotomy with pyloroplasty 26 / 50 26. Which of the following primaries is uncommonly associated with bony metastasis? A. Colon B. Thyroid C. Breast D. Prostate 27 / 50 27. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum bilirubin assay B. Level of transaminases C. Bromsulphalein (BSP) excretion test D. Serum albumin estimation 28 / 50 28. All of the following are methods for detection of H. pylori except: A. Endoscopic view B. Histology C. Polymerase chain reaction D. Rapid urease test 29 / 50 29. All of the following are true regarding Whipple’s disease except: A. Coronary arteritis may be a feature B. Cranial nerve palsy may occur C. Gram-negative bacilli Clostridium whippeli is responsible D. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly 30 / 50 30. Tegaserod is used in: A. Coeliac disease B. Irritable bowel syndrome C. Gastro-esophageal reflux disease D. Ulcerative colitis 31 / 50 31. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. Means nothing to clinical course B. A fluctuating clinical course C. A bad prognosis D. The disease process is improving 32 / 50 32. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. Very high bilirubin level C. AST and ALT levels fluctuate within 100-1000 units D. Hypoalbuminaemia is very active disease 33 / 50 33. Chronic gastritis may be characterised by all except: A. Incessant vomiting B. Haematemesis C. Gastric polyp D. Anorexia 34 / 50 34. Latent jaundice may be a feature of all except: A. Pernicious anaemia B. Acute pulmonary thromboembolism C. Tropical sprue D. Congestive cardiac failure 35 / 50 35. The commonest malignant tumour of the gallbladder is: A. Squamous cell carcinoma B. Haemangioendothelioma C. Adenocarcinoma D. Sarcoma 36 / 50 36. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. In majority of patients, bleeding stops spontaneously D. May produce melaena 37 / 50 37. The major immunoglobulin in primary biliary cirrhosis is: A. IgA B. IgD C. IgM D. IgG 38 / 50 38. Luge gastric folds are seen in all except: A. Menetrier's disease B. Chronic H. pylori infection C. Gastric malignancy D. Sarcoidosis 39 / 50 39. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Nifedipine B. Tetracycline C. Amiodarone D. Massive dose of estrogen 40 / 50 40. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 6 g for 24 hrs C. < 15 g for 24 hr D. < 12 g for 24 hrs 41 / 50 41. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. Hampers vision C. The inferior pole of cornea is first affected D. Copper deposition in Descemet's membrane 42 / 50 42. Geographic tongue is ideally treated by: A. None of the above B. Iron C. Vitamin B-complex D. Folic acid 43 / 50 43. Commonest cause of hepatoma is: A. Cirrhosis of liver B. Alcohol C. Haemochromatosis D. alpha1-antitrypsin deficiency 44 / 50 44. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. Invariably requires surgery C. 'Nutcracker' oesophagus is the mildest form D. Chest pain mimics angina pectoris 45 / 50 45. Which part of the colonic carcinoma is very easily overlooked? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Caecum 46 / 50 46. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 70-80% C. 30-40% D. 90-100% 47 / 50 47. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Isospora belli D. Microsporidia 48 / 50 48. Which of the following clotting factors retains its activity in hepatocellular disorder? A. II B. VIII C. IX D. VII 49 / 50 49. WBC in stool is not found in: A. Giardiasis B. Shigella C. Entero-invasive E. coli D. Campylobacter 50 / 50 50. The causative agent of tropical sprue is: A. Unknown B. Yersinia C. Shigella D. Campylobacter LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology