Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Insulinoma C. Gastrinoma D. Glucagonoma 2 / 50 2. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Plasma iron >300 μg/ dl C. Liver biopsy D. TIBC < 200 μg/dl 3 / 50 3. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Glucocorticoid helps cure C. Jejunoileal bypass may be an aetiology D. Occasionally progresses to cirrhosis and liver failure 4 / 50 4. Pseudomembranous colitis is not produced by: A. Streptomycin B. Clindamycin C. Ampicillin D. Chloramphenicol 5 / 50 5. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Rectal prolapse and straining by patient are common associations C. Commonly in the posterior wall of rectum D. Rectal bleeding and tenesmus are common 6 / 50 6. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Hyperthyroidism C. Protein-energy malnutrition D. Pancreatic carcinoma 7 / 50 7. Congestive gastropathy in portal hypertension is best treated by: A. Somatostatin B. Nitroglycerines C. Propranolol D. Terlipressin 8 / 50 8. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Abetalipoproteinaemia C. Radiation D. Coeliac disease 9 / 50 9. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Rectal biopsy B. Stomach biopsy C. Lymph node biopsy D. Liver biopsy 10 / 50 10. Water is minimally absorbed from: A. Ascending colon B. Caecum C. Transverse colon D. Descending colon 11 / 50 11. Regarding melena, which statement is false? A. Blood should remain at least 4 hours within the gut B. At least 60 ml of blood is required C. Offensive in odour D. Black tarry semisolid stool 12 / 50 12. Melanosis coli indicates: A. Melanoma affecting colon B. Crohn's disease C. Anthraquinone laxative abuse D. Hypereosinophilic enteritis 13 / 50 13. Diarrhoea may be associated with all except: A. Sucralfate B. Digitalis C. Clindamycin D. Colchicine 14 / 50 14. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Pyoderma gangrenosum C. Sclerosing cholangitis D. Arthritis 15 / 50 15. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Elevated blood urea nitrogen C. Hypercalcaemia D. Hypophosphataemia 16 / 50 16. Treatment modalities of Wilson’s disease include all except: A. Colchicine B. Tetrathiomolybdate C. Elemental zinc D. Penicillamine 17 / 50 17. Serum alkaline phosphatase level may be increased in all except: A. Paget's disease B. Cholestasis C. Hypervitaminosis D D. Metastasis in liver 18 / 50 18. All are major components of intestinal gas except: A. Methane B. H2S C. CO2 D. N2 19 / 50 19. Which of the following clotting factors is not produced in the liver? A. VII B. II C. IV D. V 20 / 50 20. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Above downwards C. Below upwards D. Towards umbilicus 21 / 50 21. Secretin is produced in largest quantities in: A. Ileum B. Stomach C. Duodenum D. Jejunum 22 / 50 22. All of the following are true regarding diverticulitis except: A. Perforation is a serious complication B. Right side of colon is less affected than the left C. Males are affected more than females D. Massive rectal bleeding is very common 23 / 50 23. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Retroperitoneal fibrosis D. Medullary sponge kidney 24 / 50 24. Protein-losing enteropathy maybe feature of all except: A. Atrial septal defect B. Chronic cor pulmonale C. Juvenile polyposis coli D. Intestinal tuberculosis 25 / 50 25. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Intestinal lymphoma C. Crohn's disease D. Coeliac disease 26 / 50 26. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Rota virus B. Campylobacter C. Shigella D. Yersinia 27 / 50 27. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Primary sclerosing cholangitis C. Wegener's granulomatosis D. Crescentic glomerulonephritis 28 / 50 28. Which statement is false regarding duodenal ulcer? A. An increase in serum pepsinogen II level B. Increased incidence of HLA-B5 antigen C. Increased frequency of blood group O and of the non-secretor status D. More common in first degree relatives of duodenal ulcer patients 29 / 50 29. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Whipple's disease B. Systemic mastocytosis C. Coeliac sprue D. Carcinoid syndrome 30 / 50 30. Which one of the following is false regarding type B hepatitis serology? A. HBeAg implies high infectivity B. Persistence of HBsAg>6 months implies carrier state C. Anti-HBs appear to reflect immunity D. IgG anti-HBc indicates acute hepatitis B virus infection 31 / 50 31. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Diverticulosis of colon C. Pseudomyxoma peritonei D. Pneumatosis cystoides intestinalis 32 / 50 32. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Hiatal hernia C. Oesophageal carcinoma D. Reflux oesophagitis 33 / 50 33. Which of the following is not a variety of osmotic diarrhoea? A. Whipple's disease B. Lactase deficiency C. Laxative abuse D. Coeliac disease 34 / 50 34. Pyloric stenosis is commonly associated. with all except: A. Obliteration of Traube's space tympanicity B. Bilious vomiting C. Visible peristalsis D. Distension of upper abdomen with succussion splash 35 / 50 35. Incidence of stress ulcers in acutely traumatised patients is: A. 90-100% B. 30-40% C. 70-80% D. 50-60% 36 / 50 36. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Schizophrenia B. Depression C. Sheehan's syndrome D. Anorexia nervos 37 / 50 37. Manometric study of the lower oesophagus is important in all except: A. Diffuse oesophageal spasm B. Polymyositis C. Mallory-Weiss syndrome D. Achalasia cardia 38 / 50 38. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Hepatitis C C. Hepatitis B D. Cytomegalovirus 39 / 50 39. Which light source produces best photodecomposition of bilirubin? A. Sunlight B. Ultraviolet C. Moonlight D. Fluorescent 40 / 50 40. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Aphthous stomatitis C. Erythema marginatum D. Pyoderma gangrenosum 41 / 50 41. Macroglossia is not found in: A. Hurler syndrome B. Primary amyloidosis C. Bulbar palsy D. Myxoedema 42 / 50 42. The Zollinger-Ellison syndrome is associated with all of the following except: A. Recalcitrant upper GI ulcers B. Diagnosis with certainty by BAO /MAO ratio C. Vitamin B12 malabsorption D. Diarrhoea and steatorrhoea 43 / 50 43. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. CREST syndrome C. Renal tubular acidosis D. Autoimmune thyroiditis 44 / 50 44. Which of the following is not included in the classical triad of chronic pancreatitis? A. Pancreatic calcification B. Diabetes mellitus C. Steatorrhoea D. Abdominal pain 45 / 50 45. Tegaserod is used in: A. Irritable bowel syndrome B. Ulcerative colitis C. Coeliac disease D. Gastro-esophageal reflux disease 46 / 50 46. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Atrophic fundal gastritis 47 / 50 47. Which of the following infections commonly produces hepatic granuloma? A. Brucella abortus B. Leptospira C. LD body D. Pneumococcus 48 / 50 48. Giardia lamblia infestation produces a syndrome mimicking: A. Biliary dyspepsia B. Peptic ulcer disease C. Tropical sprue D. Irritable bowel syndrome 49 / 50 49. ‘Sago spleen’ is found in: A. Chronic myeloid leukaemia B. Chronic active hepatitis C. Felty's syndrome D. Focal amyloidosis 50 / 50 50. Pyloric stenosis may be complicated by: A. Acidosis B. Hypochloraemic alkalosis C. Hyperkalaemia D. Hyperchloraemia LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology