Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest manifestation of radiation proctitis is: A. Diarrhoea B. Bleeding per rectum C. Pruritus ani D. Mucous discharge 2 / 50 2. All of the following are true regarding diverticulitis except: A. Males are affected more than females B. Massive rectal bleeding is very common C. Perforation is a serious complication D. Right side of colon is less affected than the left 3 / 50 3. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 50-60% C. 70-80% D. 90-100% 4 / 50 4. 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 5 / 50 5. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. Retroperitoneal fibrosis 6 / 50 6. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgA C. IgD D. IgM 7 / 50 7. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Coating agents like sucralfate C. H2-receptor antagonists D. Prostaglandins like misoprostol 8 / 50 8. Which of the following clotting factors is not produced in the liver? A. V B. II C. IV D. VII 9 / 50 9. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Risk of adenocarcinoma increases 10-fold C. Hiatal hernia may be present in 20% of patients D. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus 10 / 50 10. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Mild, firm hepatomegaly C. Jaundice D. Liver biopsy is diagnostic 11 / 50 11. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Lithocholic acid C. Chenodeoxycholic acid D. Cholic acid 12 / 50 12. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. Streptococcus faecalis C. E. coli D. Anaerobes 13 / 50 13. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Chronic anxiety states C. Hypochondriac personality D. Rapid eating habit 14 / 50 14. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A fluctuating clinical course B. A bad prognosis C. The disease process is improving D. Means nothing to clinical course 15 / 50 15. Giardiasis is characterised by all except: A. Malabsorption B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Lactose intolerance D. Inflammation of duodenal and jejunal mucosa 16 / 50 16. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ampulla of Vater C. Right colic flexure D. Ileocaecal region 17 / 50 17. Peritonitis may be complicated by all except: A. Pelvic abscess B. Renal failure C. Acute lung injury D. Haemorrhagic pancreatitis 18 / 50 18. Diabetic diarrhoea may be encountered in the presence of: A. Macroangiopathy B. Nephropathy C. Retinopathy D. Neuropathy 19 / 50 19. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Haemorrhoids B. Gastro-esophageal reflux disease C. Pancreatitis D. Diverticulosis 20 / 50 20. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Tertiary peristaltic wave C. Voluntary phase of deglutition D. Secondary peristaltic wave 21 / 50 21. Secretin is produced in largest quantities in: A. Ileum B. Duodenum C. Jejunum D. Stomach 22 / 50 22. Diarrhoea may be associated with all except: A. Colchicine B. Digitalis C. Sucralfate D. Clindamycin 23 / 50 23. The commonest cause of anaemia after peptic ulcer surgery is: A. Iron deficiency B. Folic acid deficiency C. Hemolysis D. Vitamin B12 deficiency 24 / 50 24. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypercalcaemia B. Increased bicarbonate level in serum C. Elevated blood urea nitrogen D. Hypophosphataemia 25 / 50 25. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. The temperature is usually normal or slightly elevated C. Anorexia is rare D. Meckel's diverticulitis is one of the close differential diagnosis 26 / 50 26. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Multiflagellated C. It penetrates within the epithelial cells of the stomach D. Often resides in the dental plaques of the patient 27 / 50 27. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Campylobacter B. Shigella C. Rota virus D. Yersinia 28 / 50 28. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. CT scan of liver B. Pulmonary angiography C. MRI scan of liver D. Contrast-enhanced echocardiography 29 / 50 29. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Folic acid C. Iron D. Broad-spectrum antibiotics 30 / 50 30. Portal hypertension associated with soft liver suggests: A. Extrahepatic obstruction B. Non-cirrhotic portal fibrosis C. Budd-Chiari syndrome D. Cirrhosis of liver 31 / 50 31. The commonest site of carcinoid tumour is: A. Stomach B. Ileum C. Appendix D. Colon 32 / 50 32. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Paget's disease C. Cholestasis D. Metastasis in liver 33 / 50 33. The commonest type of pancreatic carcinoma is: A. Cystadenocarcinoma B. Ductal adenocarcinoma C. Islet cell carcinoma D. Mucinous carcinoma 34 / 50 34. Halitosis is present in all except: A. Atrophic rhinitis B. Amoebic liver abscess C. Hepatic failure D. Gastrocolic fistula 35 / 50 35. The major immunoglobulin in primary biliary cirrhosis is: A. IgG B. IgA C. IgM D. IgD 36 / 50 36. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 30 ml B. 15 ml C. 100 ml D. 75 ml 37 / 50 37. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. Psychometric study C. EEG D. MRI of brain 38 / 50 38. All are causes of chylous ascites except: A. Thrombosis of mesenteric artery B. Filariasis C. Tuberculosis D. Intra-abdominal malignancy 39 / 50 39. Lower oesophageal sphincter is relaxed by: A. Gastrin B. Metoclopramide C. Beta-adrenergic agonist D. Protein meal 40 / 50 40. Which of the following is not associated with leucocytosis? A. Weil's disease B. Acute viral hepatitis C. Toxic hepatitis D. Amoebic liver abscess 41 / 50 41. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Electrolyte imbalance C. Nephrolithiasis D. Arthritis 42 / 50 42. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Macronodular cirrhosis C. Fatty liver D. Haemosiderosis 43 / 50 43. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Loss of axillary and pubic hair C. Carotenaemia D. Amenorrhoea 44 / 50 44. Normal faecal fat is defined as: A. < 15 g for 24 hr B. < 6 g for 24 hrs C. < 12 g for 24 hrs D. < 9 g for 24 hrs 45 / 50 45. Incidence of gastric carcinoid is increased in all except: A. Mesenteric fibrosis B. Achlorhydria C. Pernicious anaemia D. Hashimoto's thyroiditis 46 / 50 46. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Arthralgia C. Haematemesis D. Jaundice 47 / 50 47. 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 48 / 50 48. Which of the following is not a disorder of intestinal motility? A. Irritable bowel syndrome B. Intestinal pseudo-obstruction C. Diverticulosis D. Ulcerative colitis 49 / 50 49. Which of the following is not effective to eradicate H. pylori? A. Cefixime B. Pantoprazole C. Tinidazole D. Clarithromycin 50 / 50 50. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Folic acid B. Vitamin D C. Vitamin B12 D. Vitamin A LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology