Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Right colic flexure C. Ampulla of Vater D. Ileocaecal region 2 / 50 2. The commonest site of carcinoid tumour is: A. Appendix B. Ileum C. Stomach D. Colon 3 / 50 3. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal bleeding and tenesmus are common B. Surgery by resection rectopexy may be done C. Rectal prolapse and straining by patient are common associations D. Commonly in the posterior wall of rectum 4 / 50 4. Minimal fluid required to have classical shifting dullness in ascites is: A. 250-500 ml B. 500-1000 ml C. More than 1 litre D. 100-250 ml 5 / 50 5. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Starts with pruritus C. Clubbing D. Female preponderance 6 / 50 6. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hypergastrinaemia C. Hyperlipidaemia D. Hyperamylasaemia 7 / 50 7. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Abnormal bacterial proliferation in proximal intestine C. Coexistent coeliac sprue D. Exocrine pancreatic insufficiency 8 / 50 8. All of the following produce hypergastrinemia except: A. Lansoprazole therapy B. Atrophic fundal gastritis C. Zollinger-Ellison syndrome D. Duodenal ulcer 9 / 50 9. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Chenodeoxycholic acid B. Cholic acid C. Deoxycholic acid D. Lithocholic acid 10 / 50 10. Which segment of the colon is commonly affected by vascular insufficiency? A. Hepatic flexure B. Ascending colon C. Transverse colon D. Splenic flexure 11 / 50 11. Which ion is necessary for the active transport of sugars? A. Potassium B. Calcium C. Sodium D. Magnesium 12 / 50 12. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Diabetes mellitus C. Scleroderma D. Imipramine 13 / 50 13. Regarding haematochezia, which one is false? A. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon B. Passage of bright red blood per rectum C. The blood may not be mixed with stool D. Bleeding source is proximal to ligament of Treitz 14 / 50 14. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. 50% of magnesium is absorbed by the small intestine C. Produces loose stool D. Suitable for patients with renal impairment 15 / 50 15. Regarding cimetidine, all of the following are true except: A. May produce benign intracranial hypertension B. Related structurally to histamine C. May cause mild elevation of serum transaminases and creatinine levels D. Tender gynecomastia may be a complication after prolonged use 16 / 50 16. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Hypoalbuminaemia is very active disease C. Very high bilirubin level D. Hyperglobulinaemia is common 17 / 50 17. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Gastric atrophy C. Intestinal metaplasia D. Antibodies to parietal cells 18 / 50 18. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Vitamins and minerals absorption C. Protein metabolism D. Fat metabolism 19 / 50 19. All are recognised complications of acute viral hepatitis except: A. Polyarteritis nodosa B. Myocarditis C. Meningitis D. Aplastic anaemia 20 / 50 20. Which is not an indication of liver transplantation? A. Primary sclerosing cholangitis B. Tyrosinaemia C. Haemangioma of liver D. Hereditary oxalosis 21 / 50 21. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgM C. IgA D. IgG 22 / 50 22. Carcinoma of the large intestine is mostly found in: A. Sigmoid colon B. Ascending colon C. Caecum D. Transverse colon 23 / 50 23. All are recognised complications of inflammatory bowel disease except: A. Pyoderma gangrenosum B. Gallstone formation C. Aphthous stomatitis D. Erythema marginatum 24 / 50 24. Superficial venous flow in portal hypertension is: A. Below upwards B. Away from the umbilicus C. Towards umbilicus D. Above downwards 25 / 50 25. Commonest cause of duodenal haematoma is: A. Trauma B. Anticoagulant therapy C. Haemophilia D. Acute leukaemia 26 / 50 26. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 70% of the total serum bilirubin is unconjugated B. > 50% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 60% of the total serum bilirubin is unconjugated 27 / 50 27. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Jejunoileal bypass B. Gastric bypass C. Vagotomy D. Pyloroplasty 28 / 50 28. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Hepatic granulomas B. Budd-chiari syndrome C. Benign adenomas in liver D. Peliosis hepatis 29 / 50 29. Amino acids malabsorption is seen in: A. Alkaptonuria B. Phenylketonuria C. Cystinuria D. Homocystinuria 30 / 50 30. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Mycobacterium avium-intracellulare B. Cryptosporidium C. Isospora belli D. Microsporidia 31 / 50 31. Crohn’s disease is caused by: A. Nutritional deficiency B. Toxin elaborated by infectious microorganisms C. Not known D. Autoimmunity 32 / 50 32. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Pain abdomen C. Anaemia D. Cachexia 33 / 50 33. Carcinoid syndrome: A. Produces jaundice B. Increases BP C. Is multiple in 1/5th cases D. More common in women 34 / 50 34. The single most important point which differentiates tropical sprue from coeliac sprue is: A. D-xylose absorption test B. Response to treatment C. Small intestinal biopsy D. Type of anaemia 35 / 50 35. The water content of adult stool is approximately: A. More than 60% B. 40-50% C. 50-60% D. 20-30% 36 / 50 36. Pyrosis is better known as: A. Retching B. Heartburn C. Singultus D. Water brash 37 / 50 37. In gastroparesis, the following drugs are helpful except: A. Domperidone B. Tetracycline C. Cisapride D. Metoclopramide 38 / 50 38. The best way to diagnose Gilbert’s syndrome is: A. Liver biopsy B. Testing for red blood cell survival C. 48 hours fasting with only 300 cal/ day D. Bromsulphalein (BSP) excretion test 39 / 50 39. Which of the following infections commonly produces hepatic granuloma? A. Leptospira B. LD body C. Pneumococcus D. Brucella abortus 40 / 50 40. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A fluctuating clinical course B. The disease process is improving C. Means nothing to clinical course D. A bad prognosis 41 / 50 41. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Arthralgia C. Amenorrhoea D. Jaundice 42 / 50 42. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Gluten-free diet C. Antibiotics D. Folic acid 43 / 50 43. Regarding ischaemic colitis, which one is true? A. Rectal bleeding is a rare complication B. Affects young population C. Angiography is not helpful D. Almost always an occlusive disease of mesenteric vessels 44 / 50 44. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Palpitation C. Hypoglycaemia D. Steatorrhoea 45 / 50 45. Which of the following is not associated with leucocytosis? A. Toxic hepatitis B. Amoebic liver abscess C. Acute viral hepatitis D. Weil's disease 46 / 50 46. Calcification of spleen is seen in: A. Thalassemia B. Tropical splenomegaly syndrome C. Malaria D. Hydatid cyst 47 / 50 47. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 70ml B. 270ml C. 120ml D. 200ml 48 / 50 48. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Systemic mastocytosis B. Coeliac sprue C. Whipple's disease D. Carcinoid syndrome 49 / 50 49. Pyloric stenosis may be complicated by: A. Acidosis B. Hyperkalaemia C. Hypochloraemic alkalosis D. Hyperchloraemia 50 / 50 50. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. Black tarry semisolid stool C. At least 60 ml of blood is required D. Offensive in odour LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology