Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Exocrine pancreatic insufficiency C. Coexistent coeliac sprue D. Abnormal bacterial proliferation in proximal intestine 2 / 50 2. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Phenylketonuria D. Alkaptonuria 3 / 50 3. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Haemorrhoids C. Gastro-esophageal reflux disease D. Pancreatitis 4 / 50 4. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Glucagonoma C. Carcinoid syndrome D. Insulinoma 5 / 50 5. Which of the following is not included in the classical triad of chronic pancreatitis? A. Abdominal pain B. Pancreatic calcification C. Diabetes mellitus D. Steatorrhoea 6 / 50 6. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Histology C. Rapid urease test D. Endoscopic view 7 / 50 7. Fats are ingested primarily in the form of: A. Triglycerides B. Fatty acids C. Diglycerides D. Monoglycerides 8 / 50 8. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Squamous cell carcinoma C. Haemangioendothelioma D. Adenocarcinoma 9 / 50 9. Which ion is necessary for the active transport of sugars? A. Sodium B. Calcium C. Potassium D. Magnesium 10 / 50 10. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Pancreatic insufficiency C. Medullary carcinoma of thyroid D. Villous adenoma of rectum 11 / 50 11. Leptospirosis can be diagnosed during the 1st week of illness by: A. Agglutination test B. Stool culture C. Dark-field examination D. Urine analysis 12 / 50 12. The inheritance of cystic fibrosis is: A. Sex-linked recessive B. Autosomal recessive C. Sex-linked dominant D. Autosomal dominant 13 / 50 13. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Prostate C. Breast D. Colon 14 / 50 14. A ‘white patch’ in the throat may be due to all except: A. Streptococcal infection B. Infectious mononucleosis C. Diphtheria D. Ludwig's angina 15 / 50 15. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Liver biopsy C. TIBC < 200 μg/dl D. Plasma iron >300 μg/ dl 16 / 50 16. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Intestinal metaplasia C. Antibodies to parietal cells D. Gastric atrophy 17 / 50 17. The commonest cause of colonic obstruction is: A. Adhesions B. Neoplasm C. Hernia D. Volvulus 18 / 50 18. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Hyperkalaemia C. Hyperchloraemia D. Acidosis 19 / 50 19. The best way to diagnose Gilbert’s syndrome is: A. Bromsulphalein (BSP) excretion test B. Testing for red blood cell survival C. Liver biopsy D. 48 hours fasting with only 300 cal/ day 20 / 50 20. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Broad-spectrum antibiotics B. Folic acid C. Vitamin D. Iron 21 / 50 21. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Pseudoxanthoma elasticum C. Ehlers-Danlos syndrome D. Peutz-Jeghers syndrome 22 / 50 22. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Right atrial myxoma B. Antiphospholipid syndrome C. Congenital hepatic fibrosis D. Oral contraceptive pills 23 / 50 23. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. Retroperitoneal fibrosis 24 / 50 24. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Level of transaminases B. Serum bilirubin assay C. Serum albumin estimation D. Bromsulphalein (BSP) excretion test 25 / 50 25. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. HBV DNA C. IgG anti-HBc D. HBeAg 26 / 50 26. Which is true in familial polyposis coli? A. The rectum is spared B. The patient may not have any symptoms until a carcinoma has developed C. X-linked recessive inheritance D. Polyps are present since birth 27 / 50 27. Granulomatous hepatitis is not a feature of: A. Metastatic carcinoma B. Tuberculosis C. Sarcoidosis D. Blastomycosis 28 / 50 28. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. In majority of patients, bleeding stops spontaneously C. Commonly precipitated by vomiting and retching D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 29 / 50 29. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Lesser curvature C. Cardia D. Antrum 30 / 50 30. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Corticosteroids C. Folic acid D. Antibiotics 31 / 50 31. Botulism may be associated with all of the following except: A. Diplopia B. Constipation C. Increased salivation D. Descending paralysis 32 / 50 32. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Paralytic ileus B. Worsening ascites C. Worsening jaundice D. Ascitic pH < blood pH 33 / 50 33. Gardner’s syndrome may be associated with all except: A. Epidermoid cyst B. Osteomas C. Astrocytoma D. Fibromas 34 / 50 34. The major immunoglobulin in primary biliary cirrhosis is: A. IgG B. IgA C. IgD D. IgM 35 / 50 35. Weil’s disease is associated with: A. Jaundice in all B. Severe muscle pain C. Absence of renal involvement D. Leucopenia with lymphocytosis 36 / 50 36. Which of the following may develop into intestinal lymphoma? A. Coeliac disease B. Eosinophilic enteritis C. Ulcerative colitis D. Intestinal lymphangiectasia 37 / 50 37. Which of the following does not produce secretory diarrhoea? A. Hyperparathyroidism B. Carcinoid syndrome C. Zollinger-Ellison syndrome D. Medullary carcinoma of the thyroid gland 38 / 50 38. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Osteoporosis C. Osteomalacia D. Paget's disease of bone 39 / 50 39. Which of the following infections may produce features like cardiospasm? A. Trypanosomiasis B. Leishmaniasis C. Trichinosis D. Schistosomiasis 40 / 50 40. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 41 / 50 41. Normal portal venous pressure is: A. 5-7mmHg B. >12mmHg C. <5mmHg D. 7-10 mmHg 42 / 50 42. Carcinoid syndrome: A. More common in women B. Produces jaundice C. Increases BP D. Is multiple in 1/5th cases 43 / 50 43. Symptoms of carcinoma of the left colon include all except: A. Melena B. Cramps in the abdomen C. Low back pain D. Altered bowel habits 44 / 50 44. All of the following are true regarding diverticulitis except: A. Males are affected more than females B. Right side of colon is less affected than the left C. Perforation is a serious complication D. Massive rectal bleeding is very common 45 / 50 45. Carcinoma of oesophagus may be predisposed by alt except: A. Plummer-Vinson syndrome B. Chronic achalasia cardia C. Hypervitaminosis A D. Lye ingestion 46 / 50 46. Which of the following is not responsible for food poisoning? A. Bacillus cereus B. Clostridium perfringens C. Streptococcus (Group A) D. Clostridium botulinum 47 / 50 47. Pseudomembranous colitis is not produced by: A. Ampicillin B. Streptomycin C. Clindamycin D. Chloramphenicol 48 / 50 48. Which one is true in relation to Barrett’s oesophagus? A. Hiatal hernia may be present in 20% of patients B. A consequence of achalasia cardia C. Risk of adenocarcinoma increases 10-fold D. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus 49 / 50 49. The commonest type of oral malignancy is: A. Melanoma B. Adenocarcinoma C. Basal cell carcinoma D. Squamous cell carcinoma 50 / 50 50. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Acute viral hepatitis D. Pyogenic liver abscess LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology