Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Peutz-Jeghers syndrome C. Ehlers-Danlos syndrome D. Pseudoxanthoma elasticum 2 / 50 2. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Breast C. Prostate D. Colon 3 / 50 3. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. Associated with other autoimmune diseases C. Cushingoid face D. High risk of developing hepatoma 4 / 50 4. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. Anti-HBs appear to reflect immunity C. HBeAg implies high infectivity D. IgG anti-HBc indicates acute hepatitis B virus infection 5 / 50 5. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Black tarry semisolid stool C. Blood should remain at least 4 hours within the gut D. Offensive in odour 6 / 50 6. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Chronic anxiety states C. Hypochondriac personality D. Rapid eating habit 7 / 50 7. Which of the following reflects the best prognostic marker of hepatocellular function? A. SGPT B. Prothrombin time C. Serum bilirubin D. Alkaline phosphatase 8 / 50 8. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Towards umbilicus C. Above downwards D. Below upwards 9 / 50 9. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. Anti-HBs C. HBsAg D. IgM anti-HBc 10 / 50 10. Melanosis coli indicates: A. Anthraquinone laxative abuse B. Crohn's disease C. Hypereosinophilic enteritis D. Melanoma affecting colon 11 / 50 11. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Crypt abscess B. Transmural involvement C. Fibrosis D. Granuloma 12 / 50 12. H. pylori is usually not associated with: A. Zollinger-Ellison syndrome B. Gastric lymphoma C. Antral gastritis D. Non-ulcer dyspepsia 13 / 50 13. Fatty liver may be produced by: A. Anabolic steroids B. Chloramphenicol C. Oral contraceptives D. Tetracycline 14 / 50 14. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Descending colon C. Caecum D. Sigmoid colon 15 / 50 15. Hyperdefaecation is found in all except: A. Proctitis B. Hyperthyroidism C. Diabetes mellitus D. Irritable bowel syndrome 16 / 50 16. Achalasia cardia may lead to all except: A. Pneumonia B. Emphysema C. Lung abscess D. Fibrosis of the lung 17 / 50 17. Fats are ingested primarily in the form of: A. Triglycerides B. Diglycerides C. Fatty acids D. Monoglycerides 18 / 50 18. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Raised wedged hepatic venous pressure B. Congenital hepatic fibrosis is an example C. Commonest cause of portal hypertension D. Blocked hepatic vein 19 / 50 19. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Zollinger-Ellison syndrome C. Villous adenoma of the colon D. Irritable bowel syndrome 20 / 50 20. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum transaminases C. Serum bilirubin D. Serum albumin 21 / 50 21. Normal portal venous pressure is: A. <5mmHg B. >12mmHg C. 5-7mmHg D. 7-10 mmHg 22 / 50 22. The commonest cause of pancreatic calcification is: A. Hyperthyroidism B. Protein-energy malnutrition C. Alcohol abuse D. Pancreatic carcinoma 23 / 50 23. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Gilbert's syndrome C. Crigler-Najjar syndrome D. Shunt hyperbilirubinaemia 24 / 50 24. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Lesser curvature C. Cardia D. Antrum 25 / 50 25. The water content of adult stool is approximately: A. More than 60% B. 40-50% C. 20-30% D. 50-60% 26 / 50 26. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Body of the stomach C. Prepyloric D. Greater curvature 27 / 50 27. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 200ml B. 270ml C. 120ml D. 70ml 28 / 50 28. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Young women are the main victims C. Barium study of the small intestine reveals 'thumbprinting' D. Abdominal distension with normal peristaltic sound, even with severe infarction 29 / 50 29. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A bad prognosis C. Means nothing to clinical course D. A fluctuating clinical course 30 / 50 30. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Pancreatic gastrinomas are most common in the head of the pancreas C. Majority of tumours are biologically malignant D. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas 31 / 50 31. Gardner’s syndrome may be associated with all except: A. Fibromas B. Astrocytoma C. Epidermoid cyst D. Osteomas 32 / 50 32. Intestinal lymphangiectasia is characterised by all except: A. Malabsorption B. Low level of transferrin and ceruloplasmin C. Hypoproteinaemia and oedema D. Lymphocytosis 33 / 50 33. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Pruritus, wheezing, diarrhoea C. Dyspnoea, flushing, valvular heart disease D. Flushing, diarrhoea, valvular heart disease 34 / 50 34. Pseudomembranous colitis is not produced by: A. Clindamycin B. Ampicillin C. Streptomycin D. Chloramphenicol 35 / 50 35. The inheritance of cystic fibrosis is: A. Autosomal dominant B. Sex-linked dominant C. Sex-linked recessive D. Autosomal recessive 36 / 50 36. Aluminium hydroxide as an antacid may have all characteristics except: A. May contribute to osteomalacia B. Phosphate depletion is a complication C. Produces constipation D. May lead to Brunner's gland hyperplasia 37 / 50 37. All are major components of intestinal gas except: A. H2S B. N2 C. Methane D. CO2 38 / 50 38. Macroglossia is not found in: A. Hurler syndrome B. Primary amyloidosis C. Bulbar palsy D. Myxoedema 39 / 50 39. Hirschsprung’s disease is not manifested by: A. Distended abdomen B. Vomiting C. Rectal ampulla is full of faeces while the anal sphincter is normal D. Obstipation 40 / 50 40. Which is true in familial polyposis coli? A. The rectum is spared B. Polyps are present since birth C. X-linked recessive inheritance D. The patient may not have any symptoms until a carcinoma has developed 41 / 50 41. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Elevated blood urea nitrogen B. Increased bicarbonate level in serum C. Hypercalcaemia D. Hypophosphataemia 42 / 50 42. Extraintestinal amoebiasis may involve all except: A. Skin B. Meninges with encephalon C. Heart D. Vulva 43 / 50 43. WBC in stool is not found in: A. Giardiasis B. Campylobacter C. Entero-invasive E. coli D. Shigella 44 / 50 44. Leptospirosis can be diagnosed during the 1st week of illness by: A. Stool culture B. Agglutination test C. Urine analysis D. Dark-field examination 45 / 50 45. Symptoms of carcinoma of the left colon include all except: A. Low back pain B. Melena C. Cramps in the abdomen D. Altered bowel habits 46 / 50 46. High transaminase levels may be found in all except: A. Acute viral hepatitis B. Right-sided heart failure C. Chronic pancreatitis D. Acute myocardial infarction 47 / 50 47. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Sinus tachycardia C. Fever D. Bloody diarrhoea 48 / 50 48. Which one is false in granulomatous hepatitis? A. Liver biopsy is diagnostic B. Sarcoidosis may be an aetiology C. Jaundice D. Mild, firm hepatomegaly 49 / 50 49. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. 250-500 ml D. More than 1 litre 50 / 50 50. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Meckel's diverticulum C. Ampulla of Vater D. Right colic flexure LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology