Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Bromsulphalein (BSP) excretion test C. Serum bilirubin assay D. Level of transaminases 2 / 50 2. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 70ml C. 270ml D. 200ml 3 / 50 3. Regarding haematochezia, which one is false? A. Passage of bright red blood per rectum B. Bleeding source is proximal to ligament of Treitz C. The blood may not be mixed with stool D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 4 / 50 4. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Ruptured oesophageal varices C. Acute gastritis D. Duodenal ulcer 5 / 50 5. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hypergastrinaemia C. Hyperamylasaemia D. Hyperlipidaemia 6 / 50 6. The inheritance of cystic fibrosis is: A. Autosomal dominant B. Sex-linked recessive C. Sex-linked dominant D. Autosomal recessive 7 / 50 7. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of breast B. Carcinoma of thyroid C. Hepatoma D. Melanoma 8 / 50 8. All are major components of intestinal gas except: A. H2S B. CO2 C. N2 D. Methane 9 / 50 9. Major organ responsible for the removal of gastrin is: A. Intestine B. Kidney C. Lung D. Liver 10 / 50 10. All are absorbed maximally in the upper small intestine except: A. Folate B. Ca++ C. Fe++ D. Vitamin B12 11 / 50 11. Which of the following infections may produce features like cardiospasm? A. Leishmaniasis B. Trypanosomiasis C. Trichinosis D. Schistosomiasis 12 / 50 12. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Gastrin C. Metoclopramide D. Protein meal 13 / 50 13. All of the following are methods for detection of H. pylori except: A. Rapid urease test B. Polymerase chain reaction C. Histology D. Endoscopic view 14 / 50 14. Regarding ulcerative colitis, which is true? A. Malignancy never follows even in long-standing disease B. Granuloma and fistula formation are characteristic C. Segmental involvement is common D. Crypt abscesses are typical 15 / 50 15. Carcinoid syndrome: A. Is multiple in 1/5th cases B. Increases BP C. More common in women D. Produces jaundice 16 / 50 16. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Crescentic glomerulonephritis B. Wegener's granulomatosis C. Ulcerative colitis D. Primary sclerosing cholangitis 17 / 50 17. Continued infectivity in HBV infection is diagnosed by: A. HBsAg B. IgM anti-HBc C. Anti-HBs D. HBV DNA 18 / 50 18. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Flushing, diarrhoea, valvular heart disease C. Pruritus, wheezing, diarrhoea D. Dyspnoea, flushing, valvular heart disease 19 / 50 19. All of the following are true regarding Whipple’s disease except: A. Gram-negative bacilli Clostridium whippeli is responsible B. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly C. Cranial nerve palsy may occur D. Coronary arteritis may be a feature 20 / 50 20. The major immunoglobulin in primary biliary cirrhosis is: A. IgM B. IgA C. IgG D. IgD 21 / 50 21. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Cardia C. Lesser curvature D. Antrum 22 / 50 22. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Cardnoid syndrome B. Intestinal lymphoma C. Intestinal lymphangiectasia D. Whipple's disease 23 / 50 23. All of the following may be associated with hyposplenism except: A. Haemolytic anaemia B. Coeliac disease C. Dermatitis herpetiformi D. Sickle cell disease 24 / 50 24. Fatty liver may be produced by: A. Oral contraceptives B. Tetracycline C. Chloramphenicol D. Anabolic steroids 25 / 50 25. Diabetic diarrhoea may be encountered in the presence of: A. Macroangiopathy B. Nephropathy C. Retinopathy D. Neuropathy 26 / 50 26. All of the following endocrine disorders are associated with malabsorption except: A. Carcinoid syndrome B. Adrenal insufficiency C. Diabetes mellitus D. Hyperparathyroidism 27 / 50 27. Achalasia cardia gives rise to all except: A. Regurgitation B. Chest pain C. Heartburn D. Dysphagia 28 / 50 28. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Hyperparathyroidism B. Phaeochromocytoma C. Medullary carcinoma of thyroid D. Pituitary adenomas 29 / 50 29. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Alkaptonuria D. Phenylketonuria 30 / 50 30. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. VII C. II D. IX 31 / 50 31. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Ehlers-Danlos syndrome C. Pseudoxanthoma elasticum D. Render-Weber-Osler disease 32 / 50 32. 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 33 / 50 33. Normally in health, the venous flow in abdominal superficial veins is: A. Towards the umbilicus B. From below upwards C. From above downwards D. Away from the umbilicus 34 / 50 34. Protein-losing enteropathy maybe feature of all except: A. Chronic cor pulmonale B. Intestinal tuberculosis C. Juvenile polyposis coli D. Atrial septal defect 35 / 50 35. Giardia lamblia infestation produces a syndrome mimicking: A. Tropical sprue B. Irritable bowel syndrome C. Biliary dyspepsia D. Peptic ulcer disease 36 / 50 36. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Anaemia C. Cachexia D. Pain abdomen 37 / 50 37. Pyloric stenosis is commonly associated. with all except: A. Visible peristalsis B. Distension of upper abdomen with succussion splash C. Obliteration of Traube's space tympanicity D. Bilious vomiting 38 / 50 38. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin D B. Folic acid C. Vitamin B12 D. Vitamin A 39 / 50 39. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Glucocorticoid helps cure B. Occasionally progresses to cirrhosis and liver failure C. Typically occurs in overweight, diabetic, hyperlipidemic subjects D. Jejunoileal bypass may be an aetiology 40 / 50 40. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. The temperature is usually normal or slightly elevated C. Meckel's diverticulitis is one of the close differential diagnosis D. Anorexia is rare 41 / 50 41. The causative agent of tropical sprue is: A. Yersinia B. Campylobacter C. Shigella D. Unknown 42 / 50 42. The most common gastrointestinal disorder in a community is: A. Duodenal ulcer B. Irritable bowel syndrome C. Diverticulitis D. Reflux oesophagitis 43 / 50 43. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Schizophrenia B. Depression C. Anorexia nervos D. Sheehan's syndrome 44 / 50 44. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine to plasma osmolality ratio >1.0 C. Urine Na+ concentration >10 mEq/dl D. Urine to plasma creatinine ratio >30 45 / 50 45. Mucosal immunity is mainly due to: A. IgM B. IgD C. IgA D. IgG 46 / 50 46. Spider naevi: A. Are pathognomonic of portal hypertension B. Correlates with the amount of urinary oestradiol excretion C. May be seen in some healthy people D. Often seen in the first trimester of pregnancy 47 / 50 47. Portal hypertension associated with soft liver suggests: A. Non-cirrhotic portal fibrosis B. Cirrhosis of liver C. Extrahepatic obstruction D. Budd-Chiari syndrome 48 / 50 48. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. 60% have anti-intrinsic factor antibody C. 90% have anti-parietal cell antibody D. It is a common cause of haemolytic anaemia in the West 49 / 50 49. Halitosis is present in all except: A. Atrophic rhinitis B. Gastrocolic fistula C. Hepatic failure D. Amoebic liver abscess 50 / 50 50. Which of the following is not a recognized complication of ulcerative colitis? A. Sacroiliitis B. Autoimmune haemolytic anaemia C. Bronchiectasis D. 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