Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Folic acid C. Gluten-free diet D. Antibiotics 2 / 50 2. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Pemphigus C. Atopic eczema D. Psoriasis 3 / 50 3. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Pancreatic calcification C. Abdominal pain D. Steatorrhoea 4 / 50 4. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Occasionally progresses to cirrhosis and liver failure C. Glucocorticoid helps cure D. Typically occurs in overweight, diabetic, hyperlipidemic subjects 5 / 50 5. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Crescentic glomerulonephritis B. Primary sclerosing cholangitis C. Ulcerative colitis D. Wegener's granulomatosis 6 / 50 6. The most reliable screening test for patients suffering from malabsorption is: A. Small intestinal X-rays B. D-xylose absorption test C. Quantitative determination of faecal fat D. Radioactive triolein absorption (breath) test 7 / 50 7. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 8 / 50 8. All of the following are true regarding Whipple’s disease except: A. Cranial nerve palsy may occur B. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly C. Gram-negative bacilli Clostridium whippeli is responsible D. Coronary arteritis may be a feature 9 / 50 9. WBC in stool is not found in: A. Shigella B. Campylobacter C. Giardiasis D. Entero-invasive E. coli 10 / 50 10. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Midgut C. Hindgut D. Bronchus 11 / 50 11. Which of the following pancreatic islet cells synthesizes glucagon? A. Alpha B. Delta C. Non-beta D. Beta 12 / 50 12. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Gilbert's syndrome B. Dubin-Johnson syndrome C. Rotor syndrome D. Reye's syndrome 13 / 50 13. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Tropical sprue C. Irritable bowel syndrome D. Biliary dyspepsia 14 / 50 14. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Clostridium difficile C. Enterotoxigenic E. coli D. Campylobacter jejuni 15 / 50 15. The single most important point which differentiates tropical sprue from coeliac sprue is: A. D-xylose absorption test B. Response to treatment C. Small intestinal biopsy D. Type of anaemia 16 / 50 16. All are examples of APUDomas except: A. Hepatoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Phaeochromocytoma 17 / 50 17. Regarding ischaemic colitis, which one is true? A. Affects young population B. Rectal bleeding is a rare complication C. Almost always an occlusive disease of mesenteric vessels D. Angiography is not helpful 18 / 50 18. What is true about Weil’s disease? A. Liver biopsy is diagnostic B. Myocarditis may be a complication C. Low glucose in CSF D. Leucopenia 19 / 50 19. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic phlegmon C. Pancreatic ascites D. Pancreatic pseudocyst 20 / 50 20. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 70-80% C. 30-40% D. 90-100% 21 / 50 21. Minimal fluid required to have classical shifting dullness in ascites is: A. 500-1000 ml B. 250-500 ml C. 100-250 ml D. More than 1 litre 22 / 50 22. Serum alkaline phosphatase level may be increased in all except: A. Paget's disease B. Cholestasis C. Hypervitaminosis D D. Metastasis in liver 23 / 50 23. Regarding carcinoma of oesophagus, all are true except: A. Commonest site of affection is lower third B. Tracheo-esophageal fistula may occur in advanced disease C. Odynophagia may be a symptom D. Dysphagia starts with solid foods 24 / 50 24. Chronic afferent loop syndrome producing obstruction may lead to: A. Palpitation B. Recurrent ulceration C. Hypoglycaemia D. Steatorrhoea 25 / 50 25. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Hepatomegaly C. Hepatocellular failure D. Upper GI bleeding 26 / 50 26. Water is minimally absorbed from: A. Caecum B. Ascending colon C. Transverse colon D. Descending colon 27 / 50 27. Pregnancy predisposes to all except: A. Cholestasis B. Acute hepatic failure C. Steatosis D. Chronic hepatitis 28 / 50 28. Which is not true so far as definition of cirrhosis of liver is concerned? A. Necrosis B. Fibrosis C. Fatty infiltration D. Regeneration 29 / 50 29. Which segment of the Gl tract is most susceptible to volvulus? A. Caecum B. Small intestine C. Stomach D. Sigmoid colon 30 / 50 30. Halitosis is present in all except: A. Amoebic liver abscess B. Atrophic rhinitis C. Gastrocolic fistula D. Hepatic failure 31 / 50 31. Among the following drugs, which one is thought to be the safest in pregnancy? A. Carbenoxolone B. Omeprazole C. Sucralfate D. Misoprostol 32 / 50 32. The commonest malignant tumour of the gallbladder is: A. Haemangioendothelioma B. Adenocarcinoma C. Squamous cell carcinoma D. Sarcoma 33 / 50 33. Which indicates chronicity in hepatitis B virus infection? A. DNA polymerase B. HBeAg C. Anti-HBs D. IgG anti-HBc 34 / 50 34. Which statement is false regarding duodenal ulcer? A. More common in first degree relatives of duodenal ulcer patients B. Increased incidence of HLA-B5 antigen C. Increased frequency of blood group O and of the non-secretor status D. An increase in serum pepsinogen II level 35 / 50 35. Cholangiocarcinoma may be associated with: A. Biliary atresia B. Tinea echinococcus infestation C. Ulcerative colitis D. Cholelithiasis 36 / 50 36. Lower oesophageal sphincter is relaxed by: A. Protein meal B. Gastrin C. Metoclopramide D. Beta-adrenergic agonist 37 / 50 37. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Oral contraceptives C. Sarcoidosis D. Chronic arsenic ingestion 38 / 50 38. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Ehlers-Danlos syndrome C. Pseudoxanthoma elasticum D. Render-Weber-Osler disease 39 / 50 39. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. IgM anti-HBc C. Anti-HBs D. HBsAg 40 / 50 40. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Anorexia is rare C. Meckel's diverticulitis is one of the close differential diagnosis D. The temperature is usually normal or slightly elevated 41 / 50 41. Malabsorption may produce all of the following except: A. Peripheral neuropathy B. Cheilosis C. Loss of libido D. Achlorhydria 42 / 50 42. Mucosal immunity is mainly due to: A. IgM B. IgA C. IgD D. IgG 43 / 50 43. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Autoimmunity C. Not known D. Nutritional deficiency 44 / 50 44. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Best visualisation of cystic duct B. Biliary manometry C. Endoscopic sphincterotomy and stone removal D. Bile or pancreatic cytology 45 / 50 45. The commonest cause of post-transfusion hepatitis is: A. Hepatitis E B. Hepatitis C C. Hepatitis D D. Hepatitis B 46 / 50 46. Diarrhoea may be associated with all except: A. Colchicine B. Digitalis C. Clindamycin D. Sucralfate 47 / 50 47. Diabetic diarrhoea may be encountered in the presence of: A. Retinopathy B. Macroangiopathy C. Neuropathy D. Nephropathy 48 / 50 48. All of the following are true regarding diverticulitis except: A. Massive rectal bleeding is very common B. Males are affected more than females C. Right side of colon is less affected than the left D. Perforation is a serious complication 49 / 50 49. 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 50 / 50 50. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Diverticulosis C. Irritable bowel syndrome D. Ulcerative colitis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
