GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Nocturnal pain abdomen is frequent complaint C. Temporary relief of pain by the passage of flatus or stool D. Pain abdomen usually lasts for 1/2 hour 2 / 50 2. Macroglossia is not found in: A. Bulbar palsy B. Primary amyloidosis C. Myxoedema D. Hurler syndrome 3 / 50 3. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. beta-adrenergic agonist B. Serotonin antagonist C. Methylxanthine bronchodilator D. H1 + H2 receptor antagonist 4 / 50 4. Intestinal lymphangiectasia is characterised by all except: A. Malabsorption B. Lymphocytosis C. Low level of transferrin and ceruloplasmin D. Hypoproteinaemia and oedema 5 / 50 5. Luge gastric folds are seen in all except: A. Chronic H. pylori infection B. Gastric malignancy C. Menetrier's disease D. Sarcoidosis 6 / 50 6. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Hashimoto's thyroiditis C. Mesenteric fibrosis D. Achlorhydria 7 / 50 7. Oral mucous membrane may be affected in all except: A. Dermatitis herpetiformis B. Stevens-Johnson syndrome C. Lichen planus D. Pemphigus Vulgaris 8 / 50 8. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Leucocytosis > 16000/mm3 B. Serum LDH > 400 ID /L C. Serum AST> 400 ID /L D. Hyperglycaemia > 200 mg/ dl 9 / 50 9. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Voluntary phase of deglutition C. Secondary peristaltic wave D. Tertiary peristaltic wave 10 / 50 10. Mucosal immunity is mainly due to: A. IgA B. IgD C. IgG D. IgM 11 / 50 11. Tegaserod is used in: A. Ulcerative colitis B. Gastro-esophageal reflux disease C. Irritable bowel syndrome D. Coeliac disease 12 / 50 12. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Barium study of the small intestine reveals 'thumbprinting' D. Severe periumbilical pain at the onset 13 / 50 13. Which of the following is not associated with leucocytosis? A. Toxic hepatitis B. Amoebic liver abscess C. Acute viral hepatitis D. Weil's disease 14 / 50 14. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Fatty infiltration C. Hepatitis-like picture D. Laennec's cirrhosis 15 / 50 15. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Dubin-Johnson syndrome B. Gilbert's syndrome C. Reye's syndrome D. Rotor syndrome 16 / 50 16. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Nutritional deficiency C. Not known D. Autoimmunity 17 / 50 17. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Atrophic fundal gastritis D. Lansoprazole therapy 18 / 50 18. Which of the following is not a disorder of intestinal motility? A. Irritable bowel syndrome B. Ulcerative colitis C. Diverticulosis D. Intestinal pseudo-obstruction 19 / 50 19. Which of the following does not produce secretory diarrhoea? A. Zollinger-Ellison syndrome B. Hyperparathyroidism C. Carcinoid syndrome D. Medullary carcinoma of the thyroid gland 20 / 50 20. Aerophagia is commonly found in all except: A. Rapid eating habit B. Hypochondriac personality C. Chronic anxiety states D. Pyloric stenosis 21 / 50 21. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Hepatocellular failure C. Hepatomegaly D. Upper GI bleeding 22 / 50 22. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Congenital hepatic fibrosis is an example C. Blocked hepatic vein D. Raised wedged hepatic venous pressure 23 / 50 23. What percentage of Zollinger-Ellison syndrome are malignant? A. 60% B. 40% C. 20% D. 30% 24 / 50 24. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. Klebsiella pneumoniae C. E. coli D. Streptococcus faecalis 25 / 50 25. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Quantitative pilocarpine iontophoresis test C. Quantitative faecal fat estimation D. Serum lipase 26 / 50 26. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Eosinophilic enteritis C. Ulcerative colitis D. Coeliac disease 27 / 50 27. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Majority of tumours are biologically malignant B. Solitary primary tumours are very common C. Pancreatic gastrinomas are most common in the head of the pancreas D. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas 28 / 50 28. The major immunoglobulin in primary biliary cirrhosis is: A. IgD B. IgM C. IgG D. IgA 29 / 50 29. Malignant potential is least in: A. Familial colonic polyposis B. Peutz-Jeghers syndrome C. Ulcerative colitis D. Villous adenoma of colon 30 / 50 30. The most reliable screening test for patients suffering from malabsorption is: A. Quantitative determination of faecal fat B. D-xylose absorption test C. Small intestinal X-rays D. Radioactive triolein absorption (breath) test 31 / 50 31. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Hepatoma C. Perihepatitis D. Portal hypertension 32 / 50 32. The water content of adult stool is approximately: A. 40-50% B. 50-60% C. More than 60% D. 20-30% 33 / 50 33. The major site of bile salt absorption is: A. Proximal small intestine B. Distal small intestine C. Duodenum D. Stomach 34 / 50 34. Which of the following clotting factors is not produced in the liver? A. VII B. II C. IV D. V 35 / 50 35. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 500-600 g C. 300-400 g D. 700-800 g 36 / 50 36. Which one of the following is false regarding primary biliary cirrhosis? A. Starts with pruritus B. Moderate to severe jaundice C. Female preponderance D. Clubbing 37 / 50 37. Halitosis is present in all except: A. Atrophic rhinitis B. Gastrocolic fistula C. Hepatic failure D. Amoebic liver abscess 38 / 50 38. Features of Mallory-Weiss syndrome comprise all except: A. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction B. In majority of patients, bleeding stops spontaneously C. Commonly precipitated by vomiting and retching D. May produce melaena 39 / 50 39. Commonest cause of hepatoma is: A. Haemochromatosis B. Alcohol C. Cirrhosis of liver D. alpha1-antitrypsin deficiency 40 / 50 40. Which organ does not move at all with respiration? A. Kidney B. Pancreas C. Transverse colon D. Stomach 41 / 50 41. 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. Increased incidence of HLA-B5 antigen D. An increase in serum pepsinogen II level 42 / 50 42. Hepatitis-like features may be seen in therapy with all except: A. Zidovudine B. Ketoconazole C. INH D. Atorvastatin 43 / 50 43. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A cause of dysphagia C. A late complication of vagotomy D. A cause of haematemesis and/ or melaena 44 / 50 44. Acute pancreatitis may eventually lead to all of the following except: A. Disseminated intravascular coagulation B. Acute lung injury C. Renal failure D. Fulminant hepatocellular failure 45 / 50 45. The commonest site of carcinoma of the stomach is: A. Prepyloric B. Lesser curvature C. Greater curvature D. Body of the stomach 46 / 50 46. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypercalcaemia B. Increased bicarbonate level in serum C. Elevated blood urea nitrogen D. Hypophosphataemia 47 / 50 47. Carcinoid syndrome: A. Produces jaundice B. More common in women C. Is multiple in 1/5th cases D. Increases BP 48 / 50 48. All are major components of intestinal gas except: A. N2 B. CO2 C. Methane D. H2S 49 / 50 49. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Colon D. Breast 50 / 50 50. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum transaminases C. Serum bilirubin D. Serum cholesterol LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology