Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Endoscopic sphincterotomy and stone removal B. Best visualisation of cystic duct C. Biliary manometry D. Bile or pancreatic cytology 2 / 50 2. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diagnosis with certainty by BAO /MAO ratio B. Vitamin B12 malabsorption C. Diarrhoea and steatorrhoea D. Recalcitrant upper GI ulcers 3 / 50 3. Endopeptidases include all except: A. Trypsin B. Chymotrypsin C. Elastase D. Carboxypeptidase 4 / 50 4. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Irritable bowel syndrome C. Protein-losing enteropathy D. Cirrhosis of liver 5 / 50 5. Among the following drugs, which one is thought to be the safest in pregnancy? A. Omeprazole B. Misoprostol C. Sucralfate D. Carbenoxolone 6 / 50 6. Which is true with respect to irritable bowel syndrome? A. Easily treatable B. Nocturnal diarrhoea is common C. Most common GI disorder in practice D. Commonly affects middle-aged males 7 / 50 7. The commonest type of oral malignancy is: A. Melanoma B. Basal cell carcinoma C. Adenocarcinoma D. Squamous cell carcinoma 8 / 50 8. Which indicates chronicity in hepatitis B virus infection? A. DNA polymerase B. IgG anti-HBc C. Anti-HBs D. HBeAg 9 / 50 9. Which of the following is false regarding pernicious anaemia? A. 60% have anti-intrinsic factor antibody B. 90% have anti-parietal cell antibody C. Gastric polyp is common D. It is a common cause of haemolytic anaemia in the West 10 / 50 10. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Systemic mastocytosis C. Whipple's disease D. Coeliac sprue 11 / 50 11. The presenting feature of non-cirrhotic portal fibrosis is: A. Upper GI bleeding B. Hepatocellular failure C. Ascites D. Hepatomegaly 12 / 50 12. Regarding cimetidine, all of the following are true except: A. May cause mild elevation of serum transaminases and creatinine levels B. Related structurally to histamine C. May produce benign intracranial hypertension D. Tender gynecomastia may be a complication after prolonged use 13 / 50 13. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Atrial septal defect C. Juvenile polyposis coli D. Chronic cor pulmonale 14 / 50 14. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Somatostatin C. Terlipressin D. Propranolol 15 / 50 15. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Campylobacter B. Yersinia C. Rota virus D. Shigella 16 / 50 16. 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. Solitary primary tumours are very common C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Majority of tumours are biologically malignant 17 / 50 17. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Domperidone C. Cisapride D. Metoclopramide 18 / 50 18. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of haemoglobin B. Rotor syndrome C. Breakdown of myoglobin D. Ineffective erythropoiesis 19 / 50 19. WBC in stool is not found in: A. Campylobacter B. Shigella C. Giardiasis D. Entero-invasive E. coli 20 / 50 20. Michaelis-Gutmann bodies are found in: A. Pseudomyxoma peritonei B. Pneumatosis cystoides intestinalis C. Diverticulosis of colon D. Malakoplakia of colon 21 / 50 21. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Sinus tachycardia B. Bloody diarrhoea C. Fever D. Discordance between subjective symptoms and objective findings 22 / 50 22. 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 23 / 50 23. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Polymyositis C. Diffuse oesophageal spasm D. Achalasia cardia 24 / 50 24. Gum hypertrophy is not a feature of: A. Scurvy B. Carbamazepine therapy C. Acute monocytic leukaemia D. Amlodipine therapy 25 / 50 25. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgG anti-HBc B. HBV DNA C. HBeAg D. IgM anti-HBc 26 / 50 26. 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. Coronary arteritis may be a feature D. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly 27 / 50 27. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. H1 + H2 receptor antagonist B. Methylxanthine bronchodilator C. Serotonin antagonist D. beta-adrenergic agonist 28 / 50 28. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Congestive cardiac failure C. Left atrial myxoma D. Mesenteric vascular insufficiency 29 / 50 29. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Perihepatitis C. Portal hypertension D. Hepatoma 30 / 50 30. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Macronodular cirrhosis C. Fatty liver D. Haemosiderosis 31 / 50 31. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Pancreatic carcinoma C. Hyperthyroidism D. Protein-energy malnutrition 32 / 50 32. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Coeliac disease C. Haemolytic anaemia D. Sickle cell disease 33 / 50 33. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Clostridium difficile 34 / 50 34. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Chronic obstructive pulmonary disease C. Polycythaemia vera D. Pregnancy 35 / 50 35. In coeliac sprue, which of the following is non-deficient in the body? A. Serum albumin B. Vitamin B12 C. Folic acid D. Iron 36 / 50 36. Major organ responsible for the removal of gastrin is: A. Kidney B. Lung C. Intestine D. Liver 37 / 50 37. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. E. coli C. Anaerobes D. Staphylococci 38 / 50 38. Which one is true in relation to Barrett’s oesophagus? A. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus B. Risk of adenocarcinoma increases 10-fold C. A consequence of achalasia cardia D. Hiatal hernia may be present in 20% of patients 39 / 50 39. The commonest type of pancreatic carcinoma is: A. Mucinous carcinoma B. Ductal adenocarcinoma C. Islet cell carcinoma D. Cystadenocarcinoma 40 / 50 40. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Schizophrenia C. Anorexia nervos D. Sheehan's syndrome 41 / 50 41. Whipple’s triad is found in: A. Glucagonoma B. Somatostatinoma C. Insulinoma D. Carcinoid syndrome 42 / 50 42. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypergastrinaemia B. Hyperamylasaemia C. Hypercalcaemia D. Hyperlipidaemia 43 / 50 43. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Clindamycin C. Ampicillin D. Streptomycin 44 / 50 44. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Colchicine C. Theophylline D. Sorbitol 45 / 50 45. Acute viral hepatitis may develop from all of the following except: A. Herpes zoster virus B. Cytomegalovirus C. Yellow fever D. Infectious mononucleosis 46 / 50 46. Octreotide can be used in all except: A. Short bowel syndrome B. Pancreatic ascites C. Ulcerative colitis D. Oesophageal variceal bleeding 47 / 50 47. Pyloric stenosis may be complicated by: A. Hyperchloraemia B. Hyperkalaemia C. Acidosis D. Hypochloraemic alkalosis 48 / 50 48. 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 49 / 50 49. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Exocrine pancreatic insufficiency B. Abnormal bacterial proliferation in proximal intestine C. Coexistent coeliac sprue D. Associated vasculitis 50 / 50 50. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgA B. IgM C. IgD D. IgG LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology