Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Offensive in odour C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 2 / 50 2. Which of the following is not a disorder of intestinal motility? A. Diverticulosis B. Intestinal pseudo-obstruction C. Ulcerative colitis D. Irritable bowel syndrome 3 / 50 3. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Hypochlorhydria C. Cirrhosis of liver D. Vitamin B12 malabsorpfion 4 / 50 4. Acute pancreatitis may be caused by: A. Propranolol B. Thiazides C. Measles D. Legionella pneumoniae 5 / 50 5. Weil’s disease is associated with: A. Severe muscle pain B. Jaundice in all C. Absence of renal involvement D. Leucopenia with lymphocytosis 6 / 50 6. Major organ responsible for the removal of gastrin is: A. Liver B. Intestine C. Lung D. Kidney 7 / 50 7. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Mesenteric vascular insufficiency C. Left atrial myxoma D. Congestive cardiac failure 8 / 50 8. Pseudomembranous colitis is not produced by: A. Clindamycin B. Ampicillin C. Chloramphenicol D. Streptomycin 9 / 50 9. 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 10 / 50 10. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 250-500 ml C. 100-250 ml D. 500-1000 ml 11 / 50 11. Crohn’s disease may be complicated by all except: A. Hydroureter B. Clubbing C. Amyloidosis D. Chronic cholecystitis 12 / 50 12. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. In majority of patients, bleeding stops spontaneously C. May produce melaena D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 13 / 50 13. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Hindgut C. Bronchus D. Midgut 14 / 50 14. Among the following drugs, which one is thought to be the safest in pregnancy? A. Carbenoxolone B. Sucralfate C. Omeprazole D. Misoprostol 15 / 50 15. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. Serotonin antagonist C. beta-adrenergic agonist D. H1 + H2 receptor antagonist 16 / 50 16. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Presence of ankle clonus C. Babinski's sign D. Flaccid muscles 17 / 50 17. Which of the following does not produce secretory diarrhoea? A. Hyperparathyroidism B. Carcinoid syndrome C. Zollinger-Ellison syndrome D. Medullary carcinoma of the thyroid gland 18 / 50 18. Normally in health, the venous flow in abdominal superficial veins is: A. Away from the umbilicus B. Towards the umbilicus C. From below upwards D. From above downwards 19 / 50 19. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. Ultrasonography C. HIDA scan D. CT scan 20 / 50 20. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Small intestinal biopsy C. Type of anaemia D. D-xylose absorption test 21 / 50 21. Commonest cause of antral gastritis is: A. H. pylori infection B. Pernicious anaemia C. Herpes virus infection D. Alcohol 22 / 50 22. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Exocrine pancreatic insufficiency C. Associated vasculitis D. Coexistent coeliac sprue 23 / 50 23. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Carbohydrate metabolism C. Fat metabolism D. Vitamins and minerals absorption 24 / 50 24. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Right colic flexure C. Ampulla of Vater D. Meckel's diverticulum 25 / 50 25. Intestinal lymphangiectasia is characterised by all except: A. Hypoproteinaemia and oedema B. Low level of transferrin and ceruloplasmin C. Malabsorption D. Lymphocytosis 26 / 50 26. Gastric diverticula are: A. Commonly seen B. Clinically not significant C. Need immediate upper GI endoscopy D. A premalignant condition 27 / 50 27. All of the following endocrine disorders are associated with malabsorption except: A. Hyperparathyroidism B. Diabetes mellitus C. Carcinoid syndrome D. Adrenal insufficiency 28 / 50 28. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Cirrhosis of liver C. Protein-losing enteropathy D. Chronic pancreatitis 29 / 50 29. Raspberry tongue is found in: A. Rheumatic fever B. Yellow fever C. Scarlet fever D. Glandular fever 30 / 50 30. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Primary sclerosing cholangitis B. Crescentic glomerulonephritis C. Ulcerative colitis D. Wegener's granulomatosis 31 / 50 31. Hour-glass stomach is usually produced by: A. Gastric ulcer B. Syphilis C. Developmental anomaly D. Lymphoma 32 / 50 32. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatitis-like picture B. Laennec's cirrhosis C. Fatty infiltration D. Hepatic vein thrombosis 33 / 50 33. Malabsorption may produce all of the following except: A. Cheilosis B. Loss of libido C. Achlorhydria D. Peripheral neuropathy 34 / 50 34. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Prostaglandins like misoprostol C. Coating agents like sucralfate D. H2-receptor antagonists 35 / 50 35. Which is true in halothane-induced. hepatitis? A. Peripheral eosinophilia B. Marked cholestasis C. Splenomegaly D. Males are commonly susceptible 36 / 50 36. The presence of diverticulosis is most commonly seen in: A. Sigmoid colon B. Descending colon C. Transverse colon D. Caecum 37 / 50 37. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 90-100% C. 70-80% D. 50-60% 38 / 50 38. Botulism may be associated with all of the following except: A. Descending paralysis B. Constipation C. Increased salivation D. Diplopia 39 / 50 39. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Greater curvature C. Prepyloric D. Body of the stomach 40 / 50 40. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 75 ml C. 15 ml D. 30 ml 41 / 50 41. In coeliac sprue, which of the following is non-deficient in the body? A. Folic acid B. Vitamin B12 C. Iron D. Serum albumin 42 / 50 42. Normal portal venous pressure is: A. >12mmHg B. 7-10 mmHg C. 5-7mmHg D. <5mmHg 43 / 50 43. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Hashimoto's thyroiditis C. Achlorhydria D. Mesenteric fibrosis 44 / 50 44. The inheritance of cystic fibrosis is: A. Autosomal dominant B. Sex-linked recessive C. Sex-linked dominant D. Autosomal recessive 45 / 50 45. Which of the following is false regarding acute appendicitis? A. Meckel's diverticulitis is one of the close differential diagnosis B. Nausea and vomiting occur in 50-60% of cases C. Anorexia is rare D. The temperature is usually normal or slightly elevated 46 / 50 46. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Reye's syndrome B. Gilbert's syndrome C. Dubin-Johnson syndrome D. Rotor syndrome 47 / 50 47. Which of the following is false regarding autoimmune hepatitis? A. Very high bilirubin level B. AST and ALT levels fluctuate within 100-1000 units C. Hyperglobulinaemia is common D. Hypoalbuminaemia is very active disease 48 / 50 48. All of the following are true regarding diverticulitis except: A. Right side of colon is less affected than the left B. Massive rectal bleeding is very common C. Perforation is a serious complication D. Males are affected more than females 49 / 50 49. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Autoimmunity C. Not known D. Nutritional deficiency 50 / 50 50. Hepatic rub may be found in: A. Hepatic neoplasm B. Hemangioma of liver C. Acute viral hepatitis D. Pyogenic liver abscess LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
