Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Peliosis hepatis B. Hepatic granulomas C. Budd-chiari syndrome D. Benign adenomas in liver 2 / 50 2. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. An increase in serum pepsinogen II level C. More common in first degree relatives of duodenal ulcer patients D. Increased frequency of blood group O and of the non-secretor status 3 / 50 3. Which segment of the colon is commonly affected by vascular insufficiency? A. Hepatic flexure B. Splenic flexure C. Transverse colon D. Ascending colon 4 / 50 4. 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 5 / 50 5. Water is minimally absorbed from: A. Caecum B. Descending colon C. Transverse colon D. Ascending colon 6 / 50 6. Which is true regarding irritable bowel syndrome? A. Pain abdomen usually lasts for 1/2 hour B. Periodicity is common C. Temporary relief of pain by the passage of flatus or stool D. Nocturnal pain abdomen is frequent complaint 7 / 50 7. Symptoms of carcinoma of the left colon include all except: A. Altered bowel habits B. Melena C. Low back pain D. Cramps in the abdomen 8 / 50 8. Gardner’s syndrome may be associated with all except: A. Osteomas B. Fibromas C. Astrocytoma D. Epidermoid cyst 9 / 50 9. Which of the following is false regarding pernicious anaemia? A. It is a common cause of haemolytic anaemia in the West B. 90% have anti-parietal cell antibody C. Gastric polyp is common D. 60% have anti-intrinsic factor antibody 10 / 50 10. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Bone scan B. USG of liver C. Gamma-glutamyl transpeptidase (GGT) estimation D. Protein electrophoresis 11 / 50 11. 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 12 / 50 12. Late dumping syndrome may be manifested by all except: A. Postural hypertension B. Dizziness C. Confusion D. Diaphoresis 13 / 50 13. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Meckel's diverticulitis is one of the close differential diagnosis C. The temperature is usually normal or slightly elevated D. Anorexia is rare 14 / 50 14. The most common cause of Budd-Chiari syndrome is: A. Valve in hepatic veins B. Paroxysmal nocturnal hemoglobinuria C. Hepatoma D. Oral contraceptives 15 / 50 15. Which of the following is false regarding cholera? A. Offensive stool B. Subnormal Surface temperature C. Absence of tenesmus D. Onset with purging 16 / 50 16. Passage of a bolus of food through the oesophagus is the function of: A. Voluntary phase of deglutition B. Primary peristaltic wave C. Tertiary peristaltic wave D. Secondary peristaltic wave 17 / 50 17. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Above downwards C. Towards umbilicus D. Below upwards 18 / 50 18. The basic defect in coeliac sprue lies in: A. Vitamins and minerals absorption B. Carbohydrate metabolism C. Fat metabolism D. Protein metabolism 19 / 50 19. Which of the following is not effective to eradicate H. pylori? A. Cefixime B. Pantoprazole C. Tinidazole D. Clarithromycin 20 / 50 20. Which segment of the Gl tract is most susceptible to volvulus? A. Sigmoid colon B. Small intestine C. Caecum D. Stomach 21 / 50 21. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgA C. IgM D. IgG 22 / 50 22. The commonest cause of metastasis to the wall of the stomach is: A. Hepatoma B. Carcinoma of breast C. Carcinoma of thyroid D. Melanoma 23 / 50 23. Pneumaturia is an established feature of: A. Coeliac disease B. Irritable bowel syndrome C. Crohn's disease D. Intestinal lymphoma 24 / 50 24. Which cardiovascular disorder is not associated with steatorrhoea? A. Congestive cardiac failure B. Constrictive pericarditis C. Left atrial myxoma D. Mesenteric vascular insufficiency 25 / 50 25. Crohn’s disease may produce all of the following except: A. Rectovesical fistula B. Perianal fistula C. Vesicovaginal fistula D. Jejuno-colic fistula 26 / 50 26. Chronic gastritis may be associated with all except: A. Antibodies to parietal cells B. Gastric atrophy C. Intestinal metaplasia D. Gastro-oesophageal reflux disease 27 / 50 27. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Elevated blood urea nitrogen B. Hypercalcaemia C. Increased bicarbonate level in serum D. Hypophosphataemia 28 / 50 28. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Squamous cell carcinoma C. Haemangioendothelioma D. Adenocarcinoma 29 / 50 29. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Glucocorticoid helps cure B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Occasionally progresses to cirrhosis and liver failure D. Jejunoileal bypass may be an aetiology 30 / 50 30. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Nephropathy C. Retinopathy D. Macroangiopathy 31 / 50 31. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Anaemia C. Pain abdomen D. Cachexia 32 / 50 32. Malabsorption may produce all of the following except: A. Peripheral neuropathy B. Cheilosis C. Achlorhydria D. Loss of libido 33 / 50 33. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Sinus tachycardia B. Discordance between subjective symptoms and objective findings C. Bloody diarrhoea D. Fever 34 / 50 34. Spider naevi: A. Often seen in the first trimester of pregnancy B. May be seen in some healthy people C. Correlates with the amount of urinary oestradiol excretion D. Are pathognomonic of portal hypertension 35 / 50 35. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 30 ml C. 15 ml D. 75 ml 36 / 50 36. The commonest hepatic lesion in haemochromatosis is: A. Macronodular cirrhosis B. Micronodular cirrhosis C. Fatty liver D. Haemosiderosis 37 / 50 37. Weil’s disease is associated with: A. Absence of renal involvement B. Leucopenia with lymphocytosis C. Jaundice in all D. Severe muscle pain 38 / 50 38. The smallest absorbing unit of the small intestinal mucosa is: A. Crypts B. Columnar cells C. Villus D. Microvillus 39 / 50 39. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A late complication of vagotomy C. A cause of dysphagia D. A cause of haematemesis and/ or melaena 40 / 50 40. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum transaminases C. Serum cholesterol D. Serum bilirubin 41 / 50 41. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Colchicine C. Tetrathiomolybdate D. Penicillamine 42 / 50 42. The water content of adult stool is approximately: A. 20-30% B. 50-60% C. 40-50% D. More than 60% 43 / 50 43. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Produces constipation C. May contribute to osteomalacia D. Phosphate depletion is a complication 44 / 50 44. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Level of transaminases C. Serum bilirubin assay D. Bromsulphalein (BSP) excretion test 45 / 50 45. Which indicates chronicity in hepatitis B virus infection? A. HBeAg B. IgG anti-HBc C. DNA polymerase D. Anti-HBs 46 / 50 46. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Majority of tumours are biologically malignant C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Pancreatic gastrinomas are most common in the head of the pancreas 47 / 50 47. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Sclerosing cholangitis C. Arthritis D. Uveitis 48 / 50 48. Which of the following clotting factors is not produced in the liver? A. IV B. V C. VII D. II 49 / 50 49. Fats are ingested primarily in the form of: A. Monoglycerides B. Fatty acids C. Triglycerides D. Diglycerides 50 / 50 50. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Sheehan's syndrome C. Anorexia nervos D. Schizophrenia LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
