Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 30 ml B. 75 ml C. 15 ml D. 100 ml 2 / 50 2. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Nifedipine C. Massive dose of estrogen D. Tetracycline 3 / 50 3. Which of the following is not responsible for food poisoning? A. Clostridium botulinum B. Bacillus cereus C. Clostridium perfringens D. Streptococcus (Group A) 4 / 50 4. 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 5 / 50 5. The smallest absorbing unit of the small intestinal mucosa is: A. Villus B. Columnar cells C. Microvillus D. Crypts 6 / 50 6. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Tracheo-esophageal fistula may occur in advanced disease C. Dysphagia starts with solid foods D. Commonest site of affection is lower third 7 / 50 7. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Antibiotics C. Gluten-free diet D. Folic acid 8 / 50 8. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 250-500 ml C. 500-1000 ml D. 100-250 ml 9 / 50 9. The causative agent of tropical sprue is: A. Unknown B. Shigella C. Campylobacter D. Yersinia 10 / 50 10. Pyrosis is better known as: A. Retching B. Singultus C. Water brash D. Heartburn 11 / 50 11. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Bronchus B. Midgut C. Hindgut D. Stomach 12 / 50 12. Chronic gastritis may be associated with all except: A. Antibodies to parietal cells B. Gastro-oesophageal reflux disease C. Intestinal metaplasia D. Gastric atrophy 13 / 50 13. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Sickle cell disease C. Coeliac disease D. Haemolytic anaemia 14 / 50 14. Extraintestinal amoebiasis may involve all except: A. Meninges with encephalon B. Heart C. Vulva D. Skin 15 / 50 15. Calcification of spleen is seen in: A. Thalassemia B. Tropical splenomegaly syndrome C. Malaria D. Hydatid cyst 16 / 50 16. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. H1 + H2 receptor antagonist B. beta-adrenergic agonist C. Methylxanthine bronchodilator D. Serotonin antagonist 17 / 50 17. Severe kwashiorkor may have a hepatic lesion in the form of: A. Fatty infiltration B. Laennec's cirrhosis C. Hepatic vein thrombosis D. Hepatitis-like picture 18 / 50 18. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Uveitis C. Pyoderma gangrenosum D. Sclerosing cholangitis 19 / 50 19. Major organ responsible for the removal of gastrin is: A. Intestine B. Lung C. Kidney D. Liver 20 / 50 20. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. Psychometric study C. EEG D. MRI of brain 21 / 50 21. Regarding Meckel’s diverticulum, which one is false? A. Present within 100 cm of the ileocaecal valve B. May contain oesophageal or rectal mucosa C. Usually 5 cm long D. Present in 2% population 22 / 50 22. Weil’s disease is associated with: A. Severe muscle pain B. Jaundice in all C. Absence of renal involvement D. Leucopenia with lymphocytosis 23 / 50 23. The commonest cause of post-transfusion hepatitis is: A. Hepatitis C B. Hepatitis E C. Hepatitis D D. Hepatitis B 24 / 50 24. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Autoimmune haemolytic anaemia C. Bronchiectasis D. Sacroiliitis 25 / 50 25. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum bilirubin B. Serum cholesterol C. Serum albumin D. Serum transaminases 26 / 50 26. Water is minimally absorbed from: A. Ascending colon B. Descending colon C. Caecum D. Transverse colon 27 / 50 27. Acid peptic disease is rarely found in: A. Polycythaemia vera B. Cushing's syndrome C. Pregnancy D. Chronic obstructive pulmonary disease 28 / 50 28. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Hyperglobulinaemia is common C. Hypoalbuminaemia is very active disease D. Very high bilirubin level 29 / 50 29. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic ascites C. Pancreatic phlegmon D. Pancreatic pseudocyst 30 / 50 30. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Microsporidia C. Isospora belli D. Mycobacterium avium-intracellulare 31 / 50 31. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Gilbert's syndrome B. Reye's syndrome C. Rotor syndrome D. Dubin-Johnson syndrome 32 / 50 32. Gum hypertrophy is not a feature of: A. Amlodipine therapy B. Acute monocytic leukaemia C. Carbamazepine therapy D. Scurvy 33 / 50 33. Cholangiocarcinoma may be associated with: A. Tinea echinococcus infestation B. Cholelithiasis C. Biliary atresia D. Ulcerative colitis 34 / 50 34. Passage of a bolus of food through the oesophagus is the function of: A. Secondary peristaltic wave B. Tertiary peristaltic wave C. Voluntary phase of deglutition D. Primary peristaltic wave 35 / 50 35. The commonest manifestation of radiation proctitis is: A. Bleeding per rectum B. Mucous discharge C. Diarrhoea D. Pruritus ani 36 / 50 36. Chronicity in hepatitis C virus infection is: A. 10% B. 30% C. 80% D. 50% 37 / 50 37. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Crescentic glomerulonephritis C. Wegener's granulomatosis D. Primary sclerosing cholangitis 38 / 50 38. Mid-zonal necrosis of liver is caused by: A. Carbon tetrachloride B. Yellow fever C. Phosphorus poisoning D. Eclampsia 39 / 50 39. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 15 g for 24 hr C. < 12 g for 24 hrs D. < 6 g for 24 hrs 40 / 50 40. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Anorexia nervos C. Schizophrenia D. Sheehan's syndrome 41 / 50 41. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Yersinia B. Campylobacter C. Rota virus D. Shigella 42 / 50 42. Mucosal immunity is mainly due to: A. IgM B. IgG C. IgA D. IgD 43 / 50 43. Which of the following infections commonly produces hepatic granuloma? A. Brucella abortus B. LD body C. Leptospira D. Pneumococcus 44 / 50 44. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Folic acid D. Iron 45 / 50 45. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Gastro-esophageal reflux disease B. Pancreatitis C. Diverticulosis D. Haemorrhoids 46 / 50 46. Continued infectivity in HBV infection is diagnosed by: A. Anti-HBs B. HBV DNA C. IgM anti-HBc D. HBsAg 47 / 50 47. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Sensory loss C. Chorea D. Grimacing 48 / 50 48. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Paget's disease C. Metastasis in liver D. Cholestasis 49 / 50 49. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Glucocorticoid helps cure C. Jejunoileal bypass may be an aetiology D. Occasionally progresses to cirrhosis and liver failure 50 / 50 50. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. 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