Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgA C. IgG D. IgM 2 / 50 2. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May cause mild elevation of serum transaminases and creatinine levels C. May produce benign intracranial hypertension D. Tender gynecomastia may be a complication after prolonged use 3 / 50 3. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Cholestasis C. Paget's disease D. Metastasis in liver 4 / 50 4. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Columnar cells C. Villus D. Crypts 5 / 50 5. Normal faecal fat is defined as: A. < 12 g for 24 hrs B. < 15 g for 24 hr C. < 6 g for 24 hrs D. < 9 g for 24 hrs 6 / 50 6. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Meckel's diverticulum C. Ampulla of Vater D. Right colic flexure 7 / 50 7. Octreotide can be used in all except: A. Pancreatic ascites B. Short bowel syndrome C. Ulcerative colitis D. Oesophageal variceal bleeding 8 / 50 8. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Osteomalacia C. Osteoporosis D. Paget's disease of bone 9 / 50 9. Gluten-free diet is beneficial in: A. Pemphigus B. Atopic eczema C. Psoriasis D. Dermatitis herpetiformis 10 / 50 10. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Biliary dyspepsia C. Irritable bowel syndrome D. Tropical sprue 11 / 50 11. Pruritus associated with cholestasis is mostly seen: A. At daytime B. On the palms and soles C. After a cold bath D. In males 12 / 50 12. Which of the following has the highest acid secretory effect? A. Carbohydrate B. Fat C. Iron D. Protein 13 / 50 13. All are examples of APUDomas except: A. Hepatoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Phaeochromocytoma 14 / 50 14. Protein-losing enteropathy maybe feature of all except: A. Atrial septal defect B. Intestinal tuberculosis C. Chronic cor pulmonale D. Juvenile polyposis coli 15 / 50 15. Ulcerative colitis involves the rectal mucosa in: A. 70-80% B. 30-40% C. 90-100% D. 50-60% 16 / 50 16. Which segment of the Gl tract is most susceptible to volvulus? A. Small intestine B. Sigmoid colon C. Caecum D. Stomach 17 / 50 17. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Wegener's granulomatosis B. Primary sclerosing cholangitis C. Ulcerative colitis D. Crescentic glomerulonephritis 18 / 50 18. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Abdominal distension C. Sense of complete evacuation D. Colicky pain abdomen 19 / 50 19. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Quantitative faecal fat estimation C. Quantitative pilocarpine iontophoresis test D. Serum lipase 20 / 50 20. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Scleroderma C. Diabetes mellitus D. Imipramine 21 / 50 21. Which of the following clotting factors is not produced in the liver? A. V B. IV C. VII D. II 22 / 50 22. Acute viral hepatitis may develop from all of the following except: A. Infectious mononucleosis B. Yellow fever C. Cytomegalovirus D. Herpes zoster virus 23 / 50 23. All of the following are true in irritable bowel syndrome except: A. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 24 / 50 24. Botulism may be associated with all of the following except: A. Descending paralysis B. Increased salivation C. Diplopia D. Constipation 25 / 50 25. Which of the following does not produce secretory diarrhoea? A. Zollinger-Ellison syndrome B. Carcinoid syndrome C. Hyperparathyroidism D. Medullary carcinoma of the thyroid gland 26 / 50 26. Which one of the following is not an ocular complication of ulcerative colitis? A. Uveitis B. Cataract C. Scleromalacia perforans D. Episcleritis 27 / 50 27. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Massive dose of estrogen C. Amiodarone D. Nifedipine 28 / 50 28. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. MRI scan of liver B. CT scan of liver C. Pulmonary angiography D. Contrast-enhanced echocardiography 29 / 50 29. Which of the following is not a cause of hyperamylasaemia? A. Burns B. Renal insufficiency C. Pseudopancreatic cyst D. Acute intermittent porphyria 30 / 50 30. 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. Solitary primary tumours are very common D. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas 31 / 50 31. Chronicity in hepatitis C virus infection is: A. 80% B. 30% C. 10% D. 50% 32 / 50 32. Calcification of spleen is seen in: A. Malaria B. Hydatid cyst C. Tropical splenomegaly syndrome D. Thalassemia 33 / 50 33. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Induction of vomiting B. Consumption of food C. Attacks of emotional stress D. Change of posture 34 / 50 34. Which of the following pancreatic islet cells synthesizes glucagon? A. Alpha B. Delta C. Beta D. Non-beta 35 / 50 35. All of the following can be associated with obstructive jaundice except: A. Secondary carcinoma of liver B. Crigler-Najjar type II C. Oral contraceptives D. Pregnancy 36 / 50 36. The commonest manifestation of radiation proctitis is: A. Diarrhoea B. Mucous discharge C. Bleeding per rectum D. Pruritus ani 37 / 50 37. Which indicates chronicity in hepatitis B virus infection? A. DNA polymerase B. Anti-HBs C. HBeAg D. IgG anti-HBc 38 / 50 38. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Domperidone C. Cisapride D. Metoclopramide 39 / 50 39. Which is true regarding irritable bowel syndrome? A. Temporary relief of pain by the passage of flatus or stool B. Nocturnal pain abdomen is frequent complaint C. Pain abdomen usually lasts for 1/2 hour D. Periodicity is common 40 / 50 40. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Medullary carcinoma of thyroid B. Pituitary adenomas C. Hyperparathyroidism D. Phaeochromocytoma 41 / 50 41. Crohn’s disease may produce all of the following except: A. Jejuno-colic fistula B. Rectovesical fistula C. Vesicovaginal fistula D. Perianal fistula 42 / 50 42. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Tertiary peristaltic wave C. Secondary peristaltic wave D. Voluntary phase of deglutition 43 / 50 43. All are recognised complications of acute pancreatitis except: A. Pancreatic pseudocyst B. Pancreatic malignancy C. Pancreatic ascites D. Pancreatic phlegmon 44 / 50 44. Which of the following is not included in the classical triad of chronic pancreatitis? A. Steatorrhoea B. Diabetes mellitus C. Abdominal pain D. Pancreatic calcification 45 / 50 45. Malignant potential is least in: A. Ulcerative colitis B. Peutz-Jeghers syndrome C. Villous adenoma of colon D. Familial colonic polyposis 46 / 50 46. Secretory diarrhoea has no association with: A. Pancreatic insufficiency B. Zollinger-Ellison syndrome C. Medullary carcinoma of thyroid D. Villous adenoma of rectum 47 / 50 47. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Primary sclerosing cholangitis C. Hereditary oxalosis D. Tyrosinaemia 48 / 50 48. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Dilatation B. Coarsening of mucosal folds C. Loss of mucosal pattern D. Segmentation and clumping 49 / 50 49. Which of the following is not a disorder of intestinal motility? A. Irritable bowel syndrome B. Diverticulosis C. Intestinal pseudo-obstruction D. Ulcerative colitis 50 / 50 50. Chronic active hepatitis may have all the following features except: A. Jaundice B. Arthralgia C. Haematemesis D. Amenorrhoea LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
