Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest micro-organism responsible for cholangitis is: A. Streptococcus faecalis B. Salmonella C. E. coli D. Klebsiella pneumoniae 2 / 50 2. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. Offensive in odour C. At least 60 ml of blood is required D. Black tarry semisolid stool 3 / 50 3. All are major components of intestinal gas except: A. Methane B. H2S C. CO2 D. N2 4 / 50 4. The water content of adult stool is approximately: A. 50-60% B. 40-50% C. More than 60% D. 20-30% 5 / 50 5. The commonest type of pancreatic carcinoma is: A. Mucinous carcinoma B. Ductal adenocarcinoma C. Cystadenocarcinoma D. Islet cell carcinoma 6 / 50 6. Which of the following is false regarding pernicious anaemia? A. 90% have anti-parietal cell antibody B. It is a common cause of haemolytic anaemia in the West C. Gastric polyp is common D. 60% have anti-intrinsic factor antibody 7 / 50 7. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Peliosis hepatis C. Budd-chiari syndrome D. Hepatic granulomas 8 / 50 8. Fatty liver may be produced by: A. Oral contraceptives B. Tetracycline C. Chloramphenicol D. Anabolic steroids 9 / 50 9. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Contrast-enhanced echocardiography B. MRI scan of liver C. Pulmonary angiography D. CT scan of liver 10 / 50 10. Which of the following pancreatic islet cells synthesizes glucagon? A. Alpha B. Delta C. Beta D. Non-beta 11 / 50 11. Which part of the colonic carcinoma is very easily overlooked? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Caecum 12 / 50 12. All are recognised complications of inflammatory bowel disease except: A. Aphthous stomatitis B. Gallstone formation C. Erythema marginatum D. Pyoderma gangrenosum 13 / 50 13. Carbenoxolone sodium may be associated with all of the following features except: A. May be associated with milk-alkali syndrome B. Complicated by oedema C. Development of potassium depletion D. Development of systemic hypertension 14 / 50 14. Achalasia cardia gives rise to all except: A. Chest pain B. Dysphagia C. Heartburn D. Regurgitation 15 / 50 15. Sialorrhoea is associated with all of the following except: A. Carcinoma of the tongue B. Achalasia cardia C. Post-encephalitic parkinsonism D. Wilson's disease 16 / 50 16. Acute pancreatitis is not associated with: A. Pancreatic carcinoma B. Pancreatic islet cell tumour C. Biliary tract disease D. Hyperparathyroidism 17 / 50 17. The most reliable screening test for patients suffering from malabsorption is: A. Quantitative determination of faecal fat B. Radioactive triolein absorption (breath) test C. D-xylose absorption test D. Small intestinal X-rays 18 / 50 18. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Pancreatic insufficiency C. Coeliac sprue D. Whipple's disease 19 / 50 19. High transaminase levels may be found in all except: A. Chronic pancreatitis B. Right-sided heart failure C. Acute myocardial infarction D. Acute viral hepatitis 20 / 50 20. Normal portal venous pressure is: A. >12mmHg B. 7-10 mmHg C. 5-7mmHg D. <5mmHg 21 / 50 21. Jejunal diverticula may be associated with: A. Cirrhosis of liver B. Hypochlorhydria C. Chronic pancreatitis D. Vitamin B12 malabsorpfion 22 / 50 22. 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. 7th day B. 1st day C. 2nd day D. 3rd day 23 / 50 23. Regarding Meckel’s diverticulum, which one is false? A. May contain oesophageal or rectal mucosa B. Present in 2% population C. Present within 100 cm of the ileocaecal valve D. Usually 5 cm long 24 / 50 24. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Slurred speech C. Grimacing D. Chorea 25 / 50 25. Calcification of spleen is seen in: A. Tropical splenomegaly syndrome B. Hydatid cyst C. Thalassemia D. Malaria 26 / 50 26. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. Leptospira C. Brucella abortus D. LD body 27 / 50 27. Which endocrine disorder is associated with exudative ascites? A. Hypothyroidism B. Hyperparathyroidism C. Conn's syndrome D. Addison's disease 28 / 50 28. Secretin is produced in largest quantities in: A. Jejunum B. Duodenum C. Stomach D. Ileum 29 / 50 29. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Three-quarter gastric resection B. Vagotomy with pyloroplasty C. Vagotomy with gastroenterostomy D. Gastroenterostomy 30 / 50 30. Lower oesophageal sphincter is relaxed by: A. Metoclopramide B. Beta-adrenergic agonist C. Protein meal D. Gastrin 31 / 50 31. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Gilbert's syndrome C. Crigler-Najjar syndrome D. Shunt hyperbilirubinaemia 32 / 50 32. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Majority of tumours are biologically malignant C. Pancreatic gastrinomas are most common in the head of the pancreas D. Solitary primary tumours are very common 33 / 50 33. Which organ does not move at all with respiration? A. Pancreas B. Stomach C. Kidney D. Transverse colon 34 / 50 34. The valvular heart disease common in carcinoid syndrome is: A. Tricuspid incompetence B. Pulmonary incompetence C. Mitral stenosis D. Aortic incompetence 35 / 50 35. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Inflammation of duodenal and jejunal mucosa C. Malabsorption D. Lactose intolerance 36 / 50 36. Malabsorption may produce all of the following except: A. Loss of libido B. Peripheral neuropathy C. Achlorhydria D. Cheilosis 37 / 50 37. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Offensive stool C. Onset with purging D. Absence of tenesmus 38 / 50 38. Geographic tongue is ideally treated by: A. Vitamin B-complex B. Folic acid C. None of the above D. Iron 39 / 50 39. All of the following may be associated with hypoglobulinaemia except: A. Severe combined immunodeficiency B. AIDS C. Multiple myeloma D. Chronic lymphatic leukaemia 40 / 50 40. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgM C. IgD D. IgA 41 / 50 41. Endopeptidases include all except: A. Carboxypeptidase B. Elastase C. Trypsin D. Chymotrypsin 42 / 50 42. The classical triad in carcinoid syndrome is: A. Dyspnoea, flushing, valvular heart disease B. Pruritus, wheezing, diarrhoea C. Telangiectasias, flushing, diarrhoea D. Flushing, diarrhoea, valvular heart disease 43 / 50 43. Extraintestinal amoebiasis may involve all except: A. Heart B. Meninges with encephalon C. Vulva D. Skin 44 / 50 44. Features of Mallory-Weiss syndrome comprise all except: A. In majority of patients, bleeding stops spontaneously B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. May produce melaena D. Commonly precipitated by vomiting and retching 45 / 50 45. Auto-vagotomy may be observed in: A. Parkinsonism B. Amyloidosis C. Progressive systemic sclerosis D. Diabetes mellitus 46 / 50 46. Gastric diverticula are: A. A premalignant condition B. Need immediate upper GI endoscopy C. Commonly seen D. Clinically not significant 47 / 50 47. The commonest site of carcinoma of the stomach is: A. Body of the stomach B. Prepyloric C. Lesser curvature D. Greater curvature 48 / 50 48. WBC in stool is not found in: A. Shigella B. Campylobacter C. Giardiasis D. Entero-invasive E. coli 49 / 50 49. The commonest cause of chronic relapsing pancreatitis is: A. Infection B. Gallstones C. Trauma D. Alcohol abuse 50 / 50 50. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. beta-adrenergic agonist C. H1 + H2 receptor antagonist D. Serotonin antagonist LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology