Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Fever C. Bloody diarrhoea D. Sinus tachycardia 2 / 50 2. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A fluctuating clinical course B. A bad prognosis C. Means nothing to clinical course D. The disease process is improving 3 / 50 3. All of the following enzymes may be normally found in stool except: A. Lipase B. Trypsin C. Pepsin D. Amylase 4 / 50 4. Which of the following is not effective to eradicate H. pylori? A. Clarithromycin B. Pantoprazole C. Cefixime D. Tinidazole 5 / 50 5. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Peutz-Jeghers syndrome C. Ehlers-Danlos syndrome D. Pseudoxanthoma elasticum 6 / 50 6. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Starts with pruritus C. Clubbing D. Female preponderance 7 / 50 7. The smallest absorbing unit of the small intestinal mucosa is: A. Columnar cells B. Microvillus C. Villus D. Crypts 8 / 50 8. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Budd-Chiari syndrome B. Cirrhosis of liver C. Tuberculous peritonitis D. Congestive cardiac failure 9 / 50 9. Peritonitis may be complicated by all except: A. Renal failure B. Pelvic abscess C. Haemorrhagic pancreatitis D. Acute lung injury 10 / 50 10. The weight of normal daily stool of a healthy adult is: A. 500-600 g B. 300-400 g C. 700-800 g D. 100-200 g 11 / 50 11. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteoporosis C. Sclerosing cholangitis D. Osteomalacia 12 / 50 12. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. Passage of bright red blood per rectum C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. The blood may not be mixed with stool 13 / 50 13. All of the following endocrine disorders are associated with malabsorption except: A. Diabetes mellitus B. Hyperparathyroidism C. Adrenal insufficiency D. Carcinoid syndrome 14 / 50 14. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Hypophosphataemia C. Hypercalcaemia D. Elevated blood urea nitrogen 15 / 50 15. Macroglossia is not found in: A. Primary amyloidosis B. Myxoedema C. Hurler syndrome D. Bulbar palsy 16 / 50 16. Gastrin is predominantly secreted from: A. Jejunum B. Fundus of the stomach C. 2nd part of the duodenum D. Antral mucosa 17 / 50 17. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Bronchiectasis C. Sacroiliitis D. Autoimmune haemolytic anaemia 18 / 50 18. 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 19 / 50 19. Calcification of spleen is seen in: A. Tropical splenomegaly syndrome B. Thalassemia C. Malaria D. Hydatid cyst 20 / 50 20. 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. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities D. Rectal ampulla is empty but tender sigmoid is full of faeces 21 / 50 21. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Imipramine C. Hyperthyroidism D. Diabetes mellitus 22 / 50 22. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Gastric bypass B. Jejunoileal bypass C. Pyloroplasty D. Vagotomy 23 / 50 23. Commonest organism causing pyogenic liver abscess is: A. Anaerobes B. E. coli C. Staphylococci D. Streptococcus faecalis 24 / 50 24. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Descending colon C. Caecum D. Sigmoid colon 25 / 50 25. Characteristics of anorexia nervosa include all except: A. Amenorrhoea B. Loss of axillary and pubic hair C. Carotenaemia D. Hypothermia 26 / 50 26. Portal hypertension associated with soft liver suggests: A. Extrahepatic obstruction B. Non-cirrhotic portal fibrosis C. Cirrhosis of liver D. Budd-Chiari syndrome 27 / 50 27. Which statement is false regarding duodenal ulcer? A. Increased frequency of blood group O and of the non-secretor status B. Increased incidence of HLA-B5 antigen C. More common in first degree relatives of duodenal ulcer patients D. An increase in serum pepsinogen II level 28 / 50 28. The best way to diagnose Gilbert’s syndrome is: A. Liver biopsy B. Testing for red blood cell survival C. Bromsulphalein (BSP) excretion test D. 48 hours fasting with only 300 cal/ day 29 / 50 29. Commonest cause of hepatoma is: A. alpha1-antitrypsin deficiency B. Haemochromatosis C. Alcohol D. Cirrhosis of liver 30 / 50 30. All are causes of chylous ascites except: A. Filariasis B. Tuberculosis C. Thrombosis of mesenteric artery D. Intra-abdominal malignancy 31 / 50 31. Which one is false in granulomatous hepatitis? A. Liver biopsy is diagnostic B. Sarcoidosis may be an aetiology C. Jaundice D. Mild, firm hepatomegaly 32 / 50 32. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 70ml C. 120ml D. 200ml 33 / 50 33. Pyrosis is better known as: A. Water brash B. Heartburn C. Retching D. Singultus 34 / 50 34. Malignant potential is least in: A. Familial colonic polyposis B. Peutz-Jeghers syndrome C. Ulcerative colitis D. Villous adenoma of colon 35 / 50 35. WBC in stool is not found in: A. Shigella B. Entero-invasive E. coli C. Giardiasis D. Campylobacter 36 / 50 36. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. Suitable for patients with renal impairment C. Produces loose stool D. 50% of magnesium is absorbed by the small intestine 37 / 50 37. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. IgG anti-HBc C. HBeAg D. IgM anti-HBc 38 / 50 38. Crohn’s disease is caused by: A. Nutritional deficiency B. Not known C. Toxin elaborated by infectious microorganisms D. Autoimmunity 39 / 50 39. Diabetic diarrhoea may be encountered in the presence of: A. Retinopathy B. Nephropathy C. Neuropathy D. Macroangiopathy 40 / 50 40. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Protein-losing enteropathy C. Cirrhosis of liver D. Irritable bowel syndrome 41 / 50 41. Regarding melena, which statement is false? A. Offensive in odour B. At least 60 ml of blood is required C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 42 / 50 42. Achalasia cardia gives rise to all except: A. Heartburn B. Chest pain C. Regurgitation D. Dysphagia 43 / 50 43. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 7th day B. 2nd day C. 3rd day D. 1st day 44 / 50 44. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Aphthous stomatitis C. Erythema marginatum D. Pyoderma gangrenosum 45 / 50 45. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Onset with purging C. Absence of tenesmus D. Offensive stool 46 / 50 46. One of the earliest manifestations of cystic fibrosis is: A. Meconium ileus B. Gram-negative sepsis C. Malabsorption D. Tetany 47 / 50 47. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 70-80% C. 30-40% D. 50-60% 48 / 50 48. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Acute viral hepatitis D. Pyogenic liver abscess 49 / 50 49. Severe kwashiorkor may have a hepatic lesion in the form of: A. Fatty infiltration B. Hepatitis-like picture C. Hepatic vein thrombosis D. Laennec's cirrhosis 50 / 50 50. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Metastatic tumour C. Cyst D. Amyloid LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology