Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which one is true in relation to Barrett’s oesophagus? A. Risk of adenocarcinoma increases 10-fold B. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus C. A consequence of achalasia cardia D. Hiatal hernia may be present in 20% of patients 2 / 50 2. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Blocked hepatic vein 3 / 50 3. Congenital hepatic fibrosis may be associated with: A. Medullary sponge kidney B. Atrial septal defect C. Endocardial fibroelastosis D. Retroperitoneal fibrosis 4 / 50 4. All of the following are true in irritable bowel syndrome except: A. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough B. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Rectal ampulla is empty but tender sigmoid is full of faeces 5 / 50 5. Acute pancreatitis may be caused by: A. Measles B. Propranolol C. Legionella pneumoniae D. Thiazides 6 / 50 6. Water is minimally absorbed from: A. Descending colon B. Transverse colon C. Caecum D. Ascending colon 7 / 50 7. Which of the following is false regarding cholera? A. Absence of tenesmus B. Subnormal Surface temperature C. Onset with purging D. Offensive stool 8 / 50 8. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Hemolysis C. Iron deficiency D. Vitamin B12 deficiency 9 / 50 9. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Glucagonoma C. Gastrinoma D. Somatostatinoma 10 / 50 10. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Ascending colon 11 / 50 11. Which one is false regarding irritable bowel syndrome? A. Colicky pain abdomen B. Sense of complete evacuation C. Mucous diarrhoea or pencil-like pasty stools D. Abdominal distension 12 / 50 12. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Calcium infusion test C. Histamine injection test D. Feeding of a standard mea 13 / 50 13. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Peliosis hepatis B. Hepatic granulomas C. Budd-chiari syndrome D. Benign adenomas in liver 14 / 50 14. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Portal hypertension B. Hepatic vein thrombosis C. Superior vena caval obstruction D. Inferior vena caval obstruction 15 / 50 15. Which of the following is not a variety of osmotic diarrhoea? A. Laxative abuse B. Coeliac disease C. Whipple's disease D. Lactase deficiency 16 / 50 16. Crohn’s disease may produce all of the following except: A. Perianal fistula B. Jejuno-colic fistula C. Vesicovaginal fistula D. Rectovesical fistula 17 / 50 17. Which is true in familial polyposis coli? A. X-linked recessive inheritance B. The patient may not have any symptoms until a carcinoma has developed C. The rectum is spared D. Polyps are present since birth 18 / 50 18. Intestinal lymphangiectasia is characterised by all except: A. Lymphocytosis B. Hypoproteinaemia and oedema C. Malabsorption D. Low level of transferrin and ceruloplasmin 19 / 50 19. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Psoriasis C. Pemphigus D. Atopic eczema 20 / 50 20. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. Wilson's disease C. CREST syndrome D. Renal tubular acidosis 21 / 50 21. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteomalacia C. Osteoporosis D. Sclerosing cholangitis 22 / 50 22. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Folic acid B. Broad-spectrum antibiotics C. Vitamin D. Iron 23 / 50 23. The commonest cause of metastasis to the wall of the stomach is: A. Hepatoma B. Carcinoma of breast C. Melanoma D. Carcinoma of thyroid 24 / 50 24. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Vitamin B12 C. Fe++ D. Folate 25 / 50 25. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. Tender gynecomastia may be a complication after prolonged use C. May cause mild elevation of serum transaminases and creatinine levels D. May produce benign intracranial hypertension 26 / 50 26. The water content of adult stool is approximately: A. More than 60% B. 40-50% C. 50-60% D. 20-30% 27 / 50 27. Hepatic rub may be found in: A. Acute viral hepatitis B. Hemangioma of liver C. Hepatic neoplasm D. Pyogenic liver abscess 28 / 50 28. All are recognised complications of acute viral hepatitis except: A. Myocarditis B. Aplastic anaemia C. Polyarteritis nodosa D. Meningitis 29 / 50 29. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Hyperglycaemia > 200 mg/ dl C. Leucocytosis > 16000/mm3 D. Serum AST> 400 ID /L 30 / 50 30. Which of the following infections commonly produces hepatic granuloma? A. Brucella abortus B. Leptospira C. LD body D. Pneumococcus 31 / 50 31. Chronic gastritis may be characterised by all except: A. Anorexia B. Gastric polyp C. Haematemesis D. Incessant vomiting 32 / 50 32. A ‘white patch’ in the throat may be due to all except: A. Ludwig's angina B. Infectious mononucleosis C. Diphtheria D. Streptococcal infection 33 / 50 33. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum bilirubin C. Serum transaminases D. Serum albumin 34 / 50 34. Continued infectivity in HBV infection is diagnosed by: A. IgM anti-HBc B. HBV DNA C. Anti-HBs D. HBsAg 35 / 50 35. Chronic afferent loop syndrome producing obstruction may lead to: A. Hypoglycaemia B. Steatorrhoea C. Palpitation D. Recurrent ulceration 36 / 50 36. Which of the following does not give rise to haematemesis? A. Mallory-Weiss syndrome B. Duodenal diverticula C. Ca stomach D. Stomatostatinoma 37 / 50 37. Sialorrhoea is associated with all of the following except: A. Post-encephalitic parkinsonism B. Wilson's disease C. Carcinoma of the tongue D. Achalasia cardia 38 / 50 38. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Zollinger-Ellison syndrome C. Irritable bowel syndrome D. Villous adenoma of the colon 39 / 50 39. Melanosis coli indicates: A. Melanoma affecting colon B. Hypereosinophilic enteritis C. Anthraquinone laxative abuse D. Crohn's disease 40 / 50 40. Malignant potential is least in: A. Peutz-Jeghers syndrome B. Villous adenoma of colon C. Familial colonic polyposis D. Ulcerative colitis 41 / 50 41. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. HBeAg C. IgG anti-HBc D. IgM anti-HBc 42 / 50 42. Treatment modalities of Wilson’s disease include all except: A. Colchicine B. Penicillamine C. Tetrathiomolybdate D. Elemental zinc 43 / 50 43. Non-cirrhotic portal fibrosis may be associated with: A. Sarcoidosis B. Umbilical sepsis C. Chronic arsenic ingestion D. Oral contraceptives 44 / 50 44. Late dumping syndrome may be manifested by all except: A. Postural hypertension B. Confusion C. Dizziness D. Diaphoresis 45 / 50 45. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Quantitative pilocarpine iontophoresis test C. Serum lipase D. Quantitative faecal fat estimation 46 / 50 46. NSAID-induced ulcers are best treated by: A. Coating agents like sucralfate B. Prostaglandins like misoprostol C. H2-receptor antagonists D. Proton pump inhibitors 47 / 50 47. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Medullary carcinoma of thyroid B. Phaeochromocytoma C. Hyperparathyroidism D. Pituitary adenomas 48 / 50 48. Ulcerative colitis involves the rectal mucosa in: A. 30-40% B. 50-60% C. 70-80% D. 90-100% 49 / 50 49. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Ca++ C. Salt and water D. Vitamin B12 50 / 50 50. Which endocrine disorder is associated with exudative ascites? A. Conn's syndrome B. Hypothyroidism C. Addison's disease D. 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