Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is not included in the classical triad of chronic pancreatitis? A. Abdominal pain B. Steatorrhoea C. Diabetes mellitus D. Pancreatic calcification 2 / 50 2. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Rectal biopsy B. Stomach biopsy C. Liver biopsy D. Lymph node biopsy 3 / 50 3. Regarding melena, which statement is false? A. Black tarry semisolid stool B. Blood should remain at least 4 hours within the gut C. Offensive in odour D. At least 60 ml of blood is required 4 / 50 4. Crohn’s disease is caused by: A. Nutritional deficiency B. Not known C. Autoimmunity D. Toxin elaborated by infectious microorganisms 5 / 50 5. Fatty liver may be produced by: A. Oral contraceptives B. Tetracycline C. Anabolic steroids D. Chloramphenicol 6 / 50 6. Pyloric stenosis may be complicated by: A. Acidosis B. Hyperkalaemia C. Hyperchloraemia D. Hypochloraemic alkalosis 7 / 50 7. Which is true in familial polyposis coli? A. The rectum is spared B. Polyps are present since birth C. The patient may not have any symptoms until a carcinoma has developed D. X-linked recessive inheritance 8 / 50 8. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diarrhoea and steatorrhoea B. Vitamin B12 malabsorption C. Diagnosis with certainty by BAO /MAO ratio D. Recalcitrant upper GI ulcers 9 / 50 9. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. Related structurally to histamine C. May cause mild elevation of serum transaminases and creatinine levels D. May produce benign intracranial hypertension 10 / 50 10. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. Passage of bright red blood per rectum C. The blood may not be mixed with stool D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 11 / 50 11. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Crescentic glomerulonephritis C. Primary sclerosing cholangitis D. Wegener's granulomatosis 12 / 50 12. Which ion is necessary for the active transport of sugars? A. Magnesium B. Potassium C. Sodium D. Calcium 13 / 50 13. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Malakoplakia of colon C. Pseudomyxoma peritonei D. Diverticulosis of colon 14 / 50 14. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Pyoderma gangrenosum C. Sclerosing cholangitis D. Uveitis 15 / 50 15. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Colon C. Prostate D. Thyroid 16 / 50 16. Mucosal immunity is mainly due to: A. IgD B. IgA C. IgM D. IgG 17 / 50 17. The commonest cause of pancreatic calcification is: A. Protein-energy malnutrition B. Alcohol abuse C. Pancreatic carcinoma D. Hyperthyroidism 18 / 50 18. 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 19 / 50 19. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. MRI of brain C. Psychometric study D. EEG 20 / 50 20. Commonest organism causing pyogenic liver abscess is: A. Anaerobes B. Streptococcus faecalis C. E. coli D. Staphylococci 21 / 50 21. Botulism may be associated with all of the following except: A. Descending paralysis B. Constipation C. Increased salivation D. Diplopia 22 / 50 22. The major immunoglobulin in primary biliary cirrhosis is: A. IgA B. IgG C. IgM D. IgD 23 / 50 23. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Transmural involvement B. Granuloma C. Crypt abscess D. Fibrosis 24 / 50 24. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Sigmoidoscopy B. Stool culture C. Stool smear D. Barium enema 25 / 50 25. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Coeliac disease C. Crohn's disease D. Intestinal lymphoma 26 / 50 26. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DR3 C. HLA-DQ1 D. HLA-DR4 27 / 50 27. The basic defect in coeliac sprue lies in: A. Fat metabolism B. Carbohydrate metabolism C. Protein metabolism D. Vitamins and minerals absorption 28 / 50 28. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 1st day B. 7th day C. 3rd day D. 2nd day 29 / 50 29. Which of the following is false regarding acute appendicitis? A. The temperature is usually normal or slightly elevated B. Nausea and vomiting occur in 50-60% of cases C. Anorexia is rare D. Meckel's diverticulitis is one of the close differential diagnosis 30 / 50 30. Symptoms of carcinoma of the left colon include all except: A. Low back pain B. Cramps in the abdomen C. Melena D. Altered bowel habits 31 / 50 31. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Pancreatitis B. Diverticulosis C. Gastro-esophageal reflux disease D. Haemorrhoids 32 / 50 32. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Chenodeoxycholic acid C. Cholic acid D. Lithocholic acid 33 / 50 33. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Adenocarcinoma C. Basal cell carcinoma D. Melanoma 34 / 50 34. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Gilbert's syndrome C. Crigler-Najjar syndrome D. Dubin-Johnson syndrome 35 / 50 35. Gastrin is predominantly secreted from: A. Fundus of the stomach B. Antral mucosa C. Jejunum D. 2nd part of the duodenum 36 / 50 36. The ideal time to give antacids in peptic ulcer disease is: A. Immediately after meals B. One hour after meals and at bedtime C. With the meals D. Just before meals 37 / 50 37. Granulomatous hepatitis is not a feature of: A. Metastatic carcinoma B. Sarcoidosis C. Blastomycosis D. Tuberculosis 38 / 50 38. The major site of bile salt absorption is: A. Duodenum B. Stomach C. Distal small intestine D. Proximal small intestine 39 / 50 39. The most reliable method of measuring steatorrhoea is: A. Fecal fat estimation B. Schilling test C. Small intestinal mucosal biopsy D. D-xylose absorption test 40 / 50 40. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Secretin injection test C. Feeding of a standard mea D. Histamine injection test 41 / 50 41. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Quantitative determination of faecal fat C. Small intestinal X-rays D. Radioactive triolein absorption (breath) test 42 / 50 42. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Folic acid C. Corticosteroids D. Antibiotics 43 / 50 43. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. Streptococcus faecalis C. E. coli D. Salmonella 44 / 50 44. Portal hypertension associated with soft liver suggests: A. Budd-Chiari syndrome B. Cirrhosis of liver C. Non-cirrhotic portal fibrosis D. Extrahepatic obstruction 45 / 50 45. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Lansoprazole therapy C. Atrophic fundal gastritis D. Zollinger-Ellison syndrome 46 / 50 46. Raspberry tongue is found in: A. Rheumatic fever B. Glandular fever C. Yellow fever D. Scarlet fever 47 / 50 47. All are recognised complications of acute pancreatitis except: A. Pancreatic pseudocyst B. Pancreatic ascites C. Pancreatic phlegmon D. Pancreatic malignancy 48 / 50 48. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Oesophageal carcinoma C. Reflux oesophagitis D. Alcoholism 49 / 50 49. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Isospora belli B. Microsporidia C. Cryptosporidium D. Mycobacterium avium-intracellulare 50 / 50 50. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Electrolyte imbalance B. Arthritis C. Emphysema D. Nephrolithiasis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology