Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Insulinoma C. Glucagonoma D. Carcinoid syndrome 2 / 50 2. Jejunal diverticula may be associated with: A. Cirrhosis of liver B. Chronic pancreatitis C. Vitamin B12 malabsorpfion D. Hypochlorhydria 3 / 50 3. Which of the following is not associated with leucocytosis? A. Weil's disease B. Toxic hepatitis C. Acute viral hepatitis D. Amoebic liver abscess 4 / 50 4. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Non-beta C. Alpha D. Beta 5 / 50 5. Diarrhoea may be associated with all except: A. Digitalis B. Colchicine C. Clindamycin D. Sucralfate 6 / 50 6. Primary biliary cirrhosis may be associated with all except: A. CREST syndrome B. Autoimmune thyroiditis C. Renal tubular acidosis D. Wilson's disease 7 / 50 7. Among the following drugs, which one is thought to be the safest in pregnancy? A. Sucralfate B. Misoprostol C. Omeprazole D. Carbenoxolone 8 / 50 8. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Protein-losing enteropathy C. Chronic pancreatitis D. Irritable bowel syndrome 9 / 50 9. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Ludwig's angina C. Infectious mononucleosis D. Streptococcal infection 10 / 50 10. The commonest type of pancreatic carcinoma is: A. Ductal adenocarcinoma B. Mucinous carcinoma C. Islet cell carcinoma D. Cystadenocarcinoma 11 / 50 11. Achalasia cardia gives rise to all except: A. Chest pain B. Heartburn C. Regurgitation D. Dysphagia 12 / 50 12. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Prepyloric C. Body of the stomach D. Greater curvature 13 / 50 13. Giardiasis is characterised by all except: A. Malabsorption B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Inflammation of duodenal and jejunal mucosa D. Lactose intolerance 14 / 50 14. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Rectal biopsy C. Lymph node biopsy D. Stomach biopsy 15 / 50 15. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Congenital hepatic fibrosis is an example B. Raised wedged hepatic venous pressure C. Blocked hepatic vein D. Commonest cause of portal hypertension 16 / 50 16. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. Suitable for patients with renal impairment C. Produces loose stool D. 50% of magnesium is absorbed by the small intestine 17 / 50 17. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Radiation C. Abetalipoproteinaemia D. Coeliac disease 18 / 50 18. All of the following may be associated with hypoglobulinaemia except: A. Severe combined immunodeficiency B. Chronic lymphatic leukaemia C. Multiple myeloma D. AIDS 19 / 50 19. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Barium study of the small intestine reveals 'thumbprinting' C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Young women are the main victims 20 / 50 20. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Hemolysis C. Vitamin B12 deficiency D. Iron deficiency 21 / 50 21. Raspberry tongue is found in: A. Yellow fever B. Glandular fever C. Rheumatic fever D. Scarlet fever 22 / 50 22. Crohn’s disease may produce all of the following except: A. Rectovesical fistula B. Vesicovaginal fistula C. Perianal fistula D. Jejuno-colic fistula 23 / 50 23. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Pancreatic insufficiency C. Villous adenoma of rectum D. Medullary carcinoma of thyroid 24 / 50 24. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 15 ml B. 100 ml C. 30 ml D. 75 ml 25 / 50 25. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Tracheo-esophageal fistula may occur in advanced disease C. Commonest site of affection is lower third D. Odynophagia may be a symptom 26 / 50 26. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Whipple's disease C. Pancreatic insufficiency D. Coeliac sprue 27 / 50 27. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgG C. IgD D. IgA 28 / 50 28. 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 29 / 50 29. Which is true with respect to irritable bowel syndrome? A. Commonly affects middle-aged males B. Nocturnal diarrhoea is common C. Most common GI disorder in practice D. Easily treatable 30 / 50 30. The best way to diagnose Gilbert’s syndrome is: A. Liver biopsy B. Bromsulphalein (BSP) excretion test C. Testing for red blood cell survival D. 48 hours fasting with only 300 cal/ day 31 / 50 31. Which of the following clotting factors is not produced in the liver? A. IV B. II C. V D. VII 32 / 50 32. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Antiphospholipid syndrome B. Congenital hepatic fibrosis C. Oral contraceptive pills D. Right atrial myxoma 33 / 50 33. The commonest cause of colonic obstruction is: A. Neoplasm B. Adhesions C. Hernia D. Volvulus 34 / 50 34. Non-cirrhotic portal fibrosis may be associated with: A. Oral contraceptives B. Chronic arsenic ingestion C. Sarcoidosis D. Umbilical sepsis 35 / 50 35. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Steatorrhoea C. Pancreatic calcification D. Abdominal pain 36 / 50 36. Carbenoxolone sodium may be associated with all of the following features except: A. May be associated with milk-alkali syndrome B. Development of potassium depletion C. Development of systemic hypertension D. Complicated by oedema 37 / 50 37. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphoma B. Cardnoid syndrome C. Whipple's disease D. Intestinal lymphangiectasia 38 / 50 38. All of the following are true regarding diverticulitis except: A. Massive rectal bleeding is very common B. Right side of colon is less affected than the left C. Males are affected more than females D. Perforation is a serious complication 39 / 50 39. Menetrier’s disease may have all of the following except: A. Hypoproteinaemia B. Hypochlorhydria C. Gastritis D. Large tortuous gastric mucosal folds 40 / 50 40. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Loss of axillary and pubic hair C. Amenorrhoea D. Carotenaemia 41 / 50 41. Hepatic rub may be found in: A. Hepatic neoplasm B. Acute viral hepatitis C. Hemangioma of liver D. Pyogenic liver abscess 42 / 50 42. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Retroperitoneal fibrosis C. Atrial septal defect D. Medullary sponge kidney 43 / 50 43. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Glucagonoma C. Insulinoma D. Gastrinoma 44 / 50 44. Octreotide can be used in all except: A. Pancreatic ascites B. Oesophageal variceal bleeding C. Short bowel syndrome D. Ulcerative colitis 45 / 50 45. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Type of anaemia B. Small intestinal biopsy C. Response to treatment D. D-xylose absorption test 46 / 50 46. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Serotonin antagonist B. H1 + H2 receptor antagonist C. beta-adrenergic agonist D. Methylxanthine bronchodilator 47 / 50 47. Which of the following is not included in the list of high-folate diet? A. Fruits B. Vegetables C. Liver D. Milk 48 / 50 48. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Cachexia C. Pain abdomen D. Anaemia 49 / 50 49. Which is not true so far as definition of cirrhosis of liver is concerned? A. Regeneration B. Fatty infiltration C. Necrosis D. Fibrosis 50 / 50 50. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Broad-spectrum antibiotics B. Folic acid C. Iron D. 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