Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Congestive cardiac failure B. Tuberculous peritonitis C. Budd-Chiari syndrome D. Cirrhosis of liver 2 / 50 2. One of the earliest manifestations of cystic fibrosis is: A. Tetany B. Gram-negative sepsis C. Meconium ileus D. Malabsorption 3 / 50 3. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Biliary tract disease C. Hyperparathyroidism D. Pancreatic carcinoma 4 / 50 4. Which segment of the colon is commonly affected by vascular insufficiency? A. Transverse colon B. Splenic flexure C. Hepatic flexure D. Ascending colon 5 / 50 5. The smallest absorbing unit of the small intestinal mucosa is: A. Columnar cells B. Microvillus C. Villus D. Crypts 6 / 50 6. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 30 ml C. 75 ml D. 15 ml 7 / 50 7. Chronic gastritis may be characterised by all except: A. Anorexia B. Gastric polyp C. Haematemesis D. Incessant vomiting 8 / 50 8. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. HBV DNA C. IgG anti-HBc D. HBeAg 9 / 50 9. High transaminase levels may be found in all except: A. Acute viral hepatitis B. Right-sided heart failure C. Acute myocardial infarction D. Chronic pancreatitis 10 / 50 10. Acute pancreatitis may be caused by: A. Measles B. Thiazides C. Propranolol D. Legionella pneumoniae 11 / 50 11. Hour-glass stomach is usually produced by: A. Lymphoma B. Syphilis C. Developmental anomaly D. Gastric ulcer 12 / 50 12. Among the following drugs, which one is thought to be the safest in pregnancy? A. Sucralfate B. Carbenoxolone C. Omeprazole D. Misoprostol 13 / 50 13. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Duodenal ulcer C. Zollinger-Ellison syndrome D. Lansoprazole therapy 14 / 50 14. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 70-80% C. 90-100% D. 50-60% 15 / 50 15. All of the following can be associated with obstructive jaundice except: A. Secondary carcinoma of liver B. Pregnancy C. Oral contraceptives D. Crigler-Najjar type II 16 / 50 16. Fats are ingested primarily in the form of: A. Diglycerides B. Triglycerides C. Fatty acids D. Monoglycerides 17 / 50 17. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Pituitary adenomas B. Phaeochromocytoma C. Hyperparathyroidism D. Medullary carcinoma of thyroid 18 / 50 18. Manometric study of the lower oesophagus is important in all except: A. Achalasia cardia B. Diffuse oesophageal spasm C. Polymyositis D. Mallory-Weiss syndrome 19 / 50 19. Which one of the following is false in hepatorenal syndrome? A. Urine Na+ concentration >10 mEq/dl B. Urine to plasma creatinine ratio >30 C. Urine to plasma osmolality ratio >1.0 D. Slow-onset azotaemia in chronic liver disease 20 / 50 20. What is true about Weil’s disease? A. Low glucose in CSF B. Myocarditis may be a complication C. Leucopenia D. Liver biopsy is diagnostic 21 / 50 21. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Coeliac sprue B. Gastric retention C. Pancreatic insufficiency D. Whipple's disease 22 / 50 22. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Inferior vena caval obstruction B. Hepatic vein thrombosis C. Portal hypertension D. Superior vena caval obstruction 23 / 50 23. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. Elevated serum angiotensin-converting enzyme C. High serum acid phosphatase level D. Hepatosplenomegaly 24 / 50 24. Which light source produces best photodecomposition of bilirubin? A. Fluorescent B. Ultraviolet C. Moonlight D. Sunlight 25 / 50 25. Minimal hepatic encephalopathy is classically diagnosed by: A. MRI of brain B. EEG C. Psychometric study D. Evoked potential study 26 / 50 26. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. Very high bilirubin level C. AST and ALT levels fluctuate within 100-1000 units D. Hyperglobulinaemia is common 27 / 50 27. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Cardnoid syndrome B. Intestinal lymphangiectasia C. Intestinal lymphoma D. Whipple's disease 28 / 50 28. Bentiromide test diagnoses? A. Exocrine pancreatic function B. Pancreatic carcinoma C. Endocrine pancreatic function D. Pancreatic ductal obstruction 29 / 50 29. Which of the following is not a variety of osmotic diarrhoea? A. Laxative abuse B. Whipple's disease C. Coeliac disease D. Lactase deficiency 30 / 50 30. Which of the following clotting factors retains its activity in hepatocellular disorder? A. II B. VIII C. VII D. IX 31 / 50 31. Pyrosis is better known as: A. Singultus B. Retching C. Water brash D. Heartburn 32 / 50 32. The most reliable screening test for patients suffering from malabsorption is: A. Small intestinal X-rays B. D-xylose absorption test C. Radioactive triolein absorption (breath) test D. Quantitative determination of faecal fat 33 / 50 33. Constipation may develop from all except: A. Calcium-channel blocker B. Cholestyramine C. Colchicine D. Clonidine 34 / 50 34. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Bromsulphalein (BSP) excretion test C. Level of transaminases D. Serum bilirubin assay 35 / 50 35. 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. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Rectal ampulla is empty but tender sigmoid is full of faeces 36 / 50 36. 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 37 / 50 37. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Zollinger-Ellison syndrome D. Pancreatic insufficiency 38 / 50 38. 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 39 / 50 39. Which of the following has the highest acid secretory effect? A. Fat B. Carbohydrate C. Protein D. Iron 40 / 50 40. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Congenital hepatic fibrosis B. Oral contraceptive pills C. Antiphospholipid syndrome D. Right atrial myxoma 41 / 50 41. The major site of bile salt absorption is: A. Stomach B. Distal small intestine C. Duodenum D. Proximal small intestine 42 / 50 42. Secretin is produced in largest quantities in: A. Jejunum B. Duodenum C. Ileum D. Stomach 43 / 50 43. Which of the following is false regarding cholera? A. Offensive stool B. Subnormal Surface temperature C. Onset with purging D. Absence of tenesmus 44 / 50 44. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Pruritus, wheezing, diarrhoea C. Dyspnoea, flushing, valvular heart disease D. Flushing, diarrhoea, valvular heart disease 45 / 50 45. Which of the following reflects the best prognostic marker of hepatocellular function? A. Serum bilirubin B. Prothrombin time C. Alkaline phosphatase D. SGPT 46 / 50 46. The inheritance of cystic fibrosis is: A. Autosomal recessive B. Sex-linked recessive C. Sex-linked dominant D. Autosomal dominant 47 / 50 47. Michaelis-Gutmann bodies are found in: A. Diverticulosis of colon B. Malakoplakia of colon C. Pseudomyxoma peritonei D. Pneumatosis cystoides intestinalis 48 / 50 48. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Alcohol abuse C. Infection D. Gallstones 49 / 50 49. Which of the following is not a recognized complication of ulcerative colitis? A. Sacroiliitis B. Bronchiectasis C. Autoimmune haemolytic anaemia D. Pyoderma gangrenosum 50 / 50 50. Which is not true so far as definition of cirrhosis of liver is concerned? A. Fibrosis B. Necrosis C. Regeneration D. Fatty infiltration LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology