Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Amino acids malabsorption is seen in: A. Homocystinuria B. Alkaptonuria C. Phenylketonuria D. Cystinuria 2 / 50 2. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. CT scan B. Ultrasonography C. ERCP D. HIDA scan 3 / 50 3. Halitosis is present in all except: A. Amoebic liver abscess B. Hepatic failure C. Gastrocolic fistula D. Atrophic rhinitis 4 / 50 4. Menetrier’s disease may have all of the following except: A. Hypochlorhydria B. Hypoproteinaemia C. Large tortuous gastric mucosal folds D. Gastritis 5 / 50 5. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Clinically not significant C. Commonly seen D. A premalignant condition 6 / 50 6. Fats are ingested primarily in the form of: A. Fatty acids B. Monoglycerides C. Diglycerides D. Triglycerides 7 / 50 7. Auto-vagotomy may be observed in: A. Progressive systemic sclerosis B. Amyloidosis C. Diabetes mellitus D. Parkinsonism 8 / 50 8. Commonest cause of antral gastritis is: A. Pernicious anaemia B. H. pylori infection C. Herpes virus infection D. Alcohol 9 / 50 9. Which is not an indication of liver transplantation? A. Hereditary oxalosis B. Primary sclerosing cholangitis C. Haemangioma of liver D. Tyrosinaemia 10 / 50 10. Which is true in halothane-induced. hepatitis? A. Marked cholestasis B. Splenomegaly C. Males are commonly susceptible D. Peripheral eosinophilia 11 / 50 11. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Pyogenic liver abscess D. Acute viral hepatitis 12 / 50 12. Pyloric stenosis is commonly associated. with all except: A. Obliteration of Traube's space tympanicity B. Distension of upper abdomen with succussion splash C. Visible peristalsis D. Bilious vomiting 13 / 50 13. All of the following may be associated with hyposplenism except: A. Haemolytic anaemia B. Dermatitis herpetiformi C. Sickle cell disease D. Coeliac disease 14 / 50 14. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. The blood may not be mixed with stool C. Passage of bright red blood per rectum D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 15 / 50 15. Hepatocellular jaundice does not result from: A. Halothane B. Copper sulphate C. Rifampicin D. Gliclazide 16 / 50 16. Chronic afferent loop syndrome producing obstruction may lead to: A. Palpitation B. Hypoglycaemia C. Recurrent ulceration D. Steatorrhoea 17 / 50 17. Acute viral hepatitis may develop from all of the following except: A. Herpes zoster virus B. Yellow fever C. Infectious mononucleosis D. Cytomegalovirus 18 / 50 18. Intestinal lymphangiectasia is characterised by all except: A. Low level of transferrin and ceruloplasmin B. Lymphocytosis C. Malabsorption D. Hypoproteinaemia and oedema 19 / 50 19. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Plasma iron >300 μg/ dl C. TIBC < 200 μg/dl D. Liver biopsy 20 / 50 20. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Jejunoileal bypass B. Gastric bypass C. Pyloroplasty D. Vagotomy 21 / 50 21. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Scleroderma C. Hyperthyroidism D. Diabetes mellitus 22 / 50 22. Gardner’s syndrome may be associated with all except: A. Fibromas B. Osteomas C. Epidermoid cyst D. Astrocytoma 23 / 50 23. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Propranolol C. Terlipressin D. Somatostatin 24 / 50 24. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Acute gastritis C. Mallory-Weiss syndrome D. Duodenal ulcer 25 / 50 25. Acute pancreatitis may eventually lead to all of the following except: A. Fulminant hepatocellular failure B. Disseminated intravascular coagulation C. Renal failure D. Acute lung injury 26 / 50 26. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Often resides in the dental plaques of the patient C. Multiflagellated D. It penetrates within the epithelial cells of the stomach 27 / 50 27. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of thyroid B. Hepatoma C. Carcinoma of breast D. Melanoma 28 / 50 28. 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' 29 / 50 29. Silvery stool signifies a lesion characteristic of: A. Right colic flexure B. Meckel's diverticulum C. Ileocaecal region D. Ampulla of Vater 30 / 50 30. Which of the following reflects the best prognostic marker of hepatocellular function? A. Prothrombin time B. Serum bilirubin C. Alkaline phosphatase D. SGPT 31 / 50 31. The commonest cause of post-transfusion hepatitis is: A. Hepatitis D B. Hepatitis E C. Hepatitis B D. Hepatitis C 32 / 50 32. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Small intestinal biopsy B. D-xylose absorption test C. Type of anaemia D. Response to treatment 33 / 50 33. Minimal hepatic encephalopathy is classically diagnosed by: A. MRI of brain B. EEG C. Evoked potential study D. Psychometric study 34 / 50 34. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. IgM anti-HBc C. IgG anti-HBc D. HBeAg 35 / 50 35. Malignant potential is least in: A. Familial colonic polyposis B. Peutz-Jeghers syndrome C. Ulcerative colitis D. Villous adenoma of colon 36 / 50 36. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Wegener's granulomatosis C. Crescentic glomerulonephritis D. Primary sclerosing cholangitis 37 / 50 37. All of the following are methods for detection of H. pylori except: A. Histology B. Rapid urease test C. Endoscopic view D. Polymerase chain reaction 38 / 50 38. Geographic tongue is ideally treated by: A. Folic acid B. Iron C. Vitamin B-complex D. None of the above 39 / 50 39. 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. Anorexia is rare D. The temperature is usually normal or slightly elevated 40 / 50 40. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Three-quarter gastric resection B. Vagotomy with gastroenterostomy C. Vagotomy with pyloroplasty D. Gastroenterostomy 41 / 50 41. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Hyperglycaemia > 200 mg/ dl B. Serum AST> 400 ID /L C. Leucocytosis > 16000/mm3 D. Serum LDH > 400 ID /L 42 / 50 42. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Hypervitaminosis D C. Paget's disease D. Metastasis in liver 43 / 50 43. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin D B. Vitamin A C. Vitamin B12 D. Folic acid 44 / 50 44. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Eosinophilic enteritis C. Intestinal lymphangiectasia D. Coeliac disease 45 / 50 45. Melanosis coli indicates: A. Crohn's disease B. Hypereosinophilic enteritis C. Anthraquinone laxative abuse D. Melanoma affecting colon 46 / 50 46. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Radioactive triolein absorption (breath) test C. Quantitative determination of faecal fat D. Small intestinal X-rays 47 / 50 47. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Anorexia nervos C. Sheehan's syndrome D. Schizophrenia 48 / 50 48. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Hepatitis B C. Cytomegalovirus D. Hepatitis C 49 / 50 49. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Hyperparathyroidism C. Pituitary adenomas D. Medullary carcinoma of thyroid 50 / 50 50. Minimal fluid required to have classical shifting dullness in ascites is: A. 250-500 ml B. 100-250 ml C. More than 1 litre D. 500-1000 ml LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology