GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Hiatal hernia C. Reflux oesophagitis D. Oesophageal carcinoma 2 / 50 2. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Massive dose of estrogen C. Amiodarone D. Nifedipine 3 / 50 3. The Kayser-Fleischer (KF) ring is: A. Hampers vision B. The inferior pole of cornea is first affected C. Copper deposition in Descemet's membrane D. Broader laterally and medially 4 / 50 4. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Constipation C. Pain abdomen D. Rectal pain 5 / 50 5. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Malabsorption C. Inflammation of duodenal and jejunal mucosa D. Lactose intolerance 6 / 50 6. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Pancreatic calcification C. Steatorrhoea D. Abdominal pain 7 / 50 7. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Cirrhosis of liver C. Vitamin B12 malabsorpfion D. Hypochlorhydria 8 / 50 8. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Serum lipase C. Quantitative pilocarpine iontophoresis test D. Quantitative faecal fat estimation 9 / 50 9. Chronic gastritis may be characterised by all except: A. Gastric polyp B. Haematemesis C. Incessant vomiting D. Anorexia 10 / 50 10. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Gilbert's syndrome C. Dubin-Johnson syndrome D. Crigler-Najjar syndrome 11 / 50 11. All of the following endocrine disorders are associated with malabsorption except: A. Adrenal insufficiency B. Carcinoid syndrome C. Hyperparathyroidism D. Diabetes mellitus 12 / 50 12. Gluten-free diet is beneficial in: A. Dermatitis herpetiformis B. Atopic eczema C. Pemphigus D. Psoriasis 13 / 50 13. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Coeliac sprue C. Whipple's disease D. Pancreatic insufficiency 14 / 50 14. Which of the following is not a variety of osmotic diarrhoea? A. Laxative abuse B. Lactase deficiency C. Whipple's disease D. Coeliac disease 15 / 50 15. The most reliable method of measuring steatorrhoea is: A. Fecal fat estimation B. Small intestinal mucosal biopsy C. Schilling test D. D-xylose absorption test 16 / 50 16. WBC in stool is not found in: A. Campylobacter B. Shigella C. Entero-invasive E. coli D. Giardiasis 17 / 50 17. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Trauma C. Haemophilia D. Anticoagulant therapy 18 / 50 18. Protein-losing enteropathy maybe feature of all except: A. Atrial septal defect B. Intestinal tuberculosis C. Juvenile polyposis coli D. Chronic cor pulmonale 19 / 50 19. Secretin is produced in largest quantities in: A. Duodenum B. Stomach C. Ileum D. Jejunum 20 / 50 20. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May cause mild elevation of serum transaminases and creatinine levels C. May produce benign intracranial hypertension D. Tender gynecomastia may be a complication after prolonged use 21 / 50 21. Acute pancreatitis is not associated with: A. Hyperparathyroidism B. Pancreatic carcinoma C. Biliary tract disease D. Pancreatic islet cell tumour 22 / 50 22. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Commonly in the posterior wall of rectum C. Rectal prolapse and straining by patient are common associations D. Rectal bleeding and tenesmus are common 23 / 50 23. The commonest cause of colonic obstruction is: A. Hernia B. Volvulus C. Neoplasm D. Adhesions 24 / 50 24. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Over the first 4-6 weeks of life B. During the first 10 days of life C. At birth D. Within the first 24 hours of birth 25 / 50 25. The best way to diagnose Gilbert’s syndrome is: A. 48 hours fasting with only 300 cal/ day B. Testing for red blood cell survival C. Liver biopsy D. Bromsulphalein (BSP) excretion test 26 / 50 26. Serum alkaline phosphatase is increased in alt except: A. Osteomalacia B. Sclerosing cholangitis C. Osteoporosis D. Paget's disease of bone 27 / 50 27. Acid peptic disease is rarely found in: A. Chronic obstructive pulmonary disease B. Polycythaemia vera C. Pregnancy D. Cushing's syndrome 28 / 50 28. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 50% of the total serum bilirubin is unconjugated B. > 60% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 85% of the total serum bilirubin is unconjugated 29 / 50 29. Which of the following is false regarding Gaucher’s disease? A. Hepatosplenomegaly B. Pre-malignant C. High serum acid phosphatase level D. Elevated serum angiotensin-converting enzyme 30 / 50 30. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Medullary sponge kidney C. Endocardial fibroelastosis D. Retroperitoneal fibrosis 31 / 50 31. Major organ responsible for the removal of gastrin is: A. Lung B. Intestine C. Kidney D. Liver 32 / 50 32. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Carbohydrate metabolism C. Fat metabolism D. Vitamins and minerals absorption 33 / 50 33. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. 50% of magnesium is absorbed by the small intestine B. Suitable for patients with renal impairment C. Produces loose stool D. Stronger than H2-receptor blockers 34 / 50 34. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Crescentic glomerulonephritis B. Wegener's granulomatosis C. Ulcerative colitis D. Primary sclerosing cholangitis 35 / 50 35. The most common gastrointestinal disorder in a community is: A. Reflux oesophagitis B. Duodenal ulcer C. Diverticulitis D. Irritable bowel syndrome 36 / 50 36. Which one is true in relation to Barrett’s oesophagus? A. Hiatal hernia may be present in 20% of patients 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. Risk of adenocarcinoma increases 10-fold 37 / 50 37. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Calcium infusion test C. Feeding of a standard mea D. Secretin injection test 38 / 50 38. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Tricuspid incompetence C. Aortic incompetence D. Mitral stenosis 39 / 50 39. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypophosphataemia B. Elevated blood urea nitrogen C. Hypercalcaemia D. Increased bicarbonate level in serum 40 / 50 40. Pregnancy predisposes to all except: A. Chronic hepatitis B. Steatosis C. Cholestasis D. Acute hepatic failure 41 / 50 41. Acute pancreatitis may eventually lead to all of the following except: A. Disseminated intravascular coagulation B. Acute lung injury C. Renal failure D. Fulminant hepatocellular failure 42 / 50 42. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Zollinger-Ellison syndrome D. Pancreatic insufficiency 43 / 50 43. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Imipramine C. Diabetes mellitus D. Scleroderma 44 / 50 44. All are recognised complications of acute viral hepatitis except: A. Myocarditis B. Meningitis C. Polyarteritis nodosa D. Aplastic anaemia 45 / 50 45. What is true about Weil’s disease? A. Liver biopsy is diagnostic B. Low glucose in CSF C. Myocarditis may be a complication D. Leucopenia 46 / 50 46. Macroglossia is not found in: A. Myxoedema B. Primary amyloidosis C. Bulbar palsy D. Hurler syndrome 47 / 50 47. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Duodenal ulcer 48 / 50 48. Latent jaundice may be a feature of all except: A. Congestive cardiac failure B. Tropical sprue C. Acute pulmonary thromboembolism D. Pernicious anaemia 49 / 50 49. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Amenorrhoea C. Arthralgia D. Jaundice 50 / 50 50. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Gastrinoma C. Insulinoma D. Glucagonoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology