Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Abetalipoproteinaemia C. Coeliac disease D. Radiation 2 / 50 2. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Budd-Chiari syndrome B. Congestive cardiac failure C. Tuberculous peritonitis D. Cirrhosis of liver 3 / 50 3. Hirschsprung’s disease is not manifested by: A. Distended abdomen B. Obstipation C. Vomiting D. Rectal ampulla is full of faeces while the anal sphincter is normal 4 / 50 4. Leptospirosis can be diagnosed during the 1st week of illness by: A. Urine analysis B. Dark-field examination C. Stool culture D. Agglutination test 5 / 50 5. Carcinoma of oesophagus may be predisposed by alt except: A. Lye ingestion B. Hypervitaminosis A C. Plummer-Vinson syndrome D. Chronic achalasia cardia 6 / 50 6. The commonest manifestation of radiation proctitis is: A. Diarrhoea B. Pruritus ani C. Mucous discharge D. Bleeding per rectum 7 / 50 7. Which organ does not move at all with respiration? A. Stomach B. Kidney C. Pancreas D. Transverse colon 8 / 50 8. Commonest cause of duodenal haematoma is: A. Trauma B. Haemophilia C. Anticoagulant therapy D. Acute leukaemia 9 / 50 9. Which one is true in relation to Barrett’s oesophagus? A. Hiatal hernia may be present in 20% of patients B. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus C. Risk of adenocarcinoma increases 10-fold D. A consequence of achalasia cardia 10 / 50 10. Pseudomembranous colitis is best treated by: A. Tobramycin B. Erythromycin C. Vancomycin D. Clindamycin 11 / 50 11. Passage of a bolus of food through the oesophagus is the function of: A. Tertiary peristaltic wave B. Primary peristaltic wave C. Secondary peristaltic wave D. Voluntary phase of deglutition 12 / 50 12. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. IX C. VII D. II 13 / 50 13. Which of the following is not true in lupoid hepatitis? A. Cushingoid face B. Associated with other autoimmune diseases C. ANA is positive in majority D. High risk of developing hepatoma 14 / 50 14. All are causes of chylous ascites except: A. Tuberculosis B. Filariasis C. Intra-abdominal malignancy D. Thrombosis of mesenteric artery 15 / 50 15. 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 16 / 50 16. WBC in stool is not found in: A. Entero-invasive E. coli B. Giardiasis C. Campylobacter D. Shigella 17 / 50 17. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Coexistent coeliac sprue C. Exocrine pancreatic insufficiency D. Abnormal bacterial proliferation in proximal intestine 18 / 50 18. Which part of the colonic carcinoma is very easily overlooked? A. Caecum B. Transverse colon C. Splenic flexure D. Hepatic flexure 19 / 50 19. All are major components of intestinal gas except: A. CO2 B. H2S C. Methane D. N2 20 / 50 20. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Fat C. Ca++ D. Vitamin B12 21 / 50 21. Which of the following is not included in the classical triad of chronic pancreatitis? A. Pancreatic calcification B. Abdominal pain C. Steatorrhoea D. Diabetes mellitus 22 / 50 22. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 30-40% C. 50-60% D. 70-80% 23 / 50 23. The commonest cause of post-transfusion hepatitis is: A. Hepatitis D B. Hepatitis C C. Hepatitis B D. Hepatitis E 24 / 50 24. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas C. Majority of tumours are biologically malignant D. Pancreatic gastrinomas are most common in the head of the pancreas 25 / 50 25. All are characteristic features of Wilson’s disease except: A. Chorea B. Slurred speech C. Grimacing D. Sensory loss 26 / 50 26. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. CT scan B. ERCP C. Ultrasonography D. HIDA scan 27 / 50 27. Superficial venous flow in portal hypertension is: A. Below upwards B. Away from the umbilicus C. Above downwards D. Towards umbilicus 28 / 50 28. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Periodicity is common C. Temporary relief of pain by the passage of flatus or stool D. Pain abdomen usually lasts for 1/2 hour 29 / 50 29. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. Hepatosplenomegaly C. High serum acid phosphatase level D. Elevated serum angiotensin-converting enzyme 30 / 50 30. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DQ1 C. HLA-DR4 D. HLA-B8 31 / 50 31. Late dumping syndrome may be manifested by all except: A. Diaphoresis B. Confusion C. Postural hypertension D. Dizziness 32 / 50 32. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Perihepatitis C. Hepatoma D. Portal hypertension 33 / 50 33. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Pancreatic insufficiency D. Zollinger-Ellison syndrome 34 / 50 34. The Kayser-Fleischer (KF) ring is: A. Copper deposition in Descemet's membrane B. Hampers vision C. Broader laterally and medially D. The inferior pole of cornea is first affected 35 / 50 35. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Systemic mastocytosis C. Whipple's disease D. Carcinoid syndrome 36 / 50 36. Which statement is false regarding duodenal ulcer? A. More common in first degree relatives of duodenal ulcer patients B. Increased frequency of blood group O and of the non-secretor status C. An increase in serum pepsinogen II level D. Increased incidence of HLA-B5 antigen 37 / 50 37. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. Stronger than H2-receptor blockers C. Produces loose stool D. 50% of magnesium is absorbed by the small intestine 38 / 50 38. ‘String sign’ in Crohn’s disease is due to: A. Fistula B. Pseudopolyps C. Small ulceration D. Spasm 39 / 50 39. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Consumption of food C. Attacks of emotional stress D. Induction of vomiting 40 / 50 40. High transaminase levels may be found in all except: A. Acute myocardial infarction B. Right-sided heart failure C. Acute viral hepatitis D. Chronic pancreatitis 41 / 50 41. The most reliable method of measuring steatorrhoea is: A. D-xylose absorption test B. Schilling test C. Small intestinal mucosal biopsy D. Fecal fat estimation 42 / 50 42. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 7th day B. 3rd day C. 2nd day D. 1st day 43 / 50 43. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Dysphagia starts with solid foods C. Commonest site of affection is lower third D. Tracheo-esophageal fistula may occur in advanced disease 44 / 50 44. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. HBeAg implies high infectivity C. Anti-HBs appear to reflect immunity D. IgG anti-HBc indicates acute hepatitis B virus infection 45 / 50 45. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 300-400 g C. 500-600 g D. 100-200 g 46 / 50 46. Chronic afferent loop syndrome producing obstruction may lead to: A. Palpitation B. Hypoglycaemia C. Recurrent ulceration D. Steatorrhoea 47 / 50 47. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Pneumatosis cystoides intestinalis C. Pseudomyxoma peritonei D. Diverticulosis of colon 48 / 50 48. Lower oesophageal sphincter is relaxed by: A. Gastrin B. Protein meal C. Beta-adrenergic agonist D. Metoclopramide 49 / 50 49. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Contrast-enhanced echocardiography B. CT scan of liver C. Pulmonary angiography D. MRI scan of liver 50 / 50 50. Which of the following infections commonly produces hepatic granuloma? A. LD body B. Pneumococcus C. Leptospira D. 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