Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Pancreatitis C. Haemorrhoids D. Gastro-esophageal reflux disease 2 / 50 2. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 3 / 50 3. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. In majority of patients, bleeding stops spontaneously C. May produce melaena D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 4 / 50 4. Which light source produces best photodecomposition of bilirubin? A. Fluorescent B. Moonlight C. Ultraviolet D. Sunlight 5 / 50 5. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Campylobacter C. Yersinia D. Rota virus 6 / 50 6. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Anorexia is rare C. The temperature is usually normal or slightly elevated D. Meckel's diverticulitis is one of the close differential diagnosis 7 / 50 7. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Hyperparathyroidism B. Phaeochromocytoma C. Pituitary adenomas D. Medullary carcinoma of thyroid 8 / 50 8. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. Leptospira C. Brucella abortus D. LD body 9 / 50 9. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 200ml C. 70ml D. 120ml 10 / 50 10. Gastrin is predominantly secreted from: A. Fundus of the stomach B. 2nd part of the duodenum C. Antral mucosa D. Jejunum 11 / 50 11. Fats are ingested primarily in the form of: A. Triglycerides B. Monoglycerides C. Diglycerides D. Fatty acids 12 / 50 12. All are examples of APUDomas except: A. Hepatoma B. Melanoma C. Phaeochromocytoma D. Medullary carcinoma of thyroid gland 13 / 50 13. The presence of diverticulosis is most commonly seen in: A. Descending colon B. Caecum C. Transverse colon D. Sigmoid colon 14 / 50 14. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Induction of vomiting C. Consumption of food D. Attacks of emotional stress 15 / 50 15. Macroglossia is not found in: A. Bulbar palsy B. Primary amyloidosis C. Hurler syndrome D. Myxoedema 16 / 50 16. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Periodicity is common C. Pain abdomen usually lasts for 1/2 hour D. Temporary relief of pain by the passage of flatus or stool 17 / 50 17. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Insulinoma D. Somatostatinoma 18 / 50 18. Gluten-free diet is beneficial in: A. Psoriasis B. Dermatitis herpetiformis C. Pemphigus D. Atopic eczema 19 / 50 19. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. Hepatosplenomegaly C. Elevated serum angiotensin-converting enzyme D. High serum acid phosphatase level 20 / 50 20. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Pyoderma gangrenosum C. Erythema marginatum D. Aphthous stomatitis 21 / 50 21. Granulomatous hepatitis is not a feature of: A. Sarcoidosis B. Tuberculosis C. Blastomycosis D. Metastatic carcinoma 22 / 50 22. 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. Hiatal hernia may be present in 20% of patients D. A consequence of achalasia cardia 23 / 50 23. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Chronic pancreatitis D. Protein-losing enteropathy 24 / 50 24. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Iron deficiency C. Hemolysis D. Vitamin B12 deficiency 25 / 50 25. Protein-losing enteropathy maybe feature of all except: A. Atrial septal defect B. Chronic cor pulmonale C. Juvenile polyposis coli D. Intestinal tuberculosis 26 / 50 26. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Hyperthyroidism C. Protein-energy malnutrition D. Alcohol abuse 27 / 50 27. Which endocrine disorder is associated with exudative ascites? A. Addison's disease B. Conn's syndrome C. Hypothyroidism D. Hyperparathyroidism 28 / 50 28. A ‘white patch’ in the throat may be due to all except: A. Ludwig's angina B. Diphtheria C. Streptococcal infection D. Infectious mononucleosis 29 / 50 29. Which of the following infections may produce features like cardiospasm? A. Leishmaniasis B. Trichinosis C. Schistosomiasis D. Trypanosomiasis 30 / 50 30. Which of the following is false regarding cholera? A. Absence of tenesmus B. Offensive stool C. Onset with purging D. Subnormal Surface temperature 31 / 50 31. Regarding H. pylori, which statement is false? A. Multiflagellated B. Often resides in the dental plaques of the patient C. It penetrates within the epithelial cells of the stomach D. Gram-negative bacillus 32 / 50 32. Latent jaundice may be a feature of all except: A. Congestive cardiac failure B. Acute pulmonary thromboembolism C. Pernicious anaemia D. Tropical sprue 33 / 50 33. The commonest complaint by a patient with Ca rectum is: A. Constipation B. Pain abdomen C. Haematochezia D. Rectal pain 34 / 50 34. Which is not true so far as definition of cirrhosis of liver is concerned? A. Regeneration B. Fibrosis C. Necrosis D. Fatty infiltration 35 / 50 35. In gastroparesis, the following drugs are helpful except: A. Metoclopramide B. Domperidone C. Cisapride D. Tetracycline 36 / 50 36. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. AST and ALT levels fluctuate within 100-1000 units C. Very high bilirubin level D. Hyperglobulinaemia is common 37 / 50 37. Which is true in halothane-induced. hepatitis? A. Marked cholestasis B. Splenomegaly C. Males are commonly susceptible D. Peripheral eosinophilia 38 / 50 38. The Zollinger-Ellison syndrome is associated with all of the following except: A. Recalcitrant upper GI ulcers B. Diarrhoea and steatorrhoea C. Diagnosis with certainty by BAO /MAO ratio D. Vitamin B12 malabsorption 39 / 50 39. Which of the following does not give rise to haematemesis? A. Stomatostatinoma B. Duodenal diverticula C. Mallory-Weiss syndrome D. Ca stomach 40 / 50 40. The most specific treatment in coeliac sprue is: A. Antibiotics B. Corticosteroids C. Folic acid D. Gluten-free diet 41 / 50 41. Symptoms of carcinoma of the left colon include all except: A. Altered bowel habits B. Low back pain C. Cramps in the abdomen D. Melena 42 / 50 42. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. Produces loose stool C. Stronger than H2-receptor blockers D. 50% of magnesium is absorbed by the small intestine 43 / 50 43. The causative agent of tropical sprue is: A. Shigella B. Campylobacter C. Yersinia D. Unknown 44 / 50 44. Achalasia cardia gives rise to all except: A. Heartburn B. Chest pain C. Dysphagia D. Regurgitation 45 / 50 45. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Exocrine pancreatic insufficiency C. Coexistent coeliac sprue D. Associated vasculitis 46 / 50 46. The commonest extraintestinal complication of ulcerative colitis is: A. Sclerosing cholangitis B. Pyoderma gangrenosum C. Uveitis D. Arthritis 47 / 50 47. Which of the following is not a recognized complication of ulcerative colitis? A. Autoimmune haemolytic anaemia B. Sacroiliitis C. Bronchiectasis D. Pyoderma gangrenosum 48 / 50 48. The commonest site of carcinoma of the stomach is: A. Body of the stomach B. Prepyloric C. Greater curvature D. Lesser curvature 49 / 50 49. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Black tarry semisolid stool C. Blood should remain at least 4 hours within the gut D. Offensive in odour 50 / 50 50. Diarrhoea may be associated with all except: A. Sucralfate B. Clindamycin C. 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