Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which is true with respect to irritable bowel syndrome? A. Nocturnal diarrhoea is common B. Most common GI disorder in practice C. Easily treatable D. Commonly affects middle-aged males 2 / 50 2. Latent jaundice may be a feature of all except: A. Tropical sprue B. Congestive cardiac failure C. Acute pulmonary thromboembolism D. Pernicious anaemia 3 / 50 3. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Pyloroplasty B. Jejunoileal bypass C. Gastric bypass D. Vagotomy 4 / 50 4. Botulism may be associated with all of the following except: A. Diplopia B. Constipation C. Increased salivation D. Descending paralysis 5 / 50 5. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Segmentation and clumping B. Loss of mucosal pattern C. Coarsening of mucosal folds D. Dilatation 6 / 50 6. Which is true regarding Vincent’s angina? A. Gum is the principal site of affection B. May be complicated by angina pectoris C. Superficial ulcers in mouth D. Hiatus hernia may be associated with 7 / 50 7. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal bleeding and tenesmus are common B. Rectal prolapse and straining by patient are common associations C. Surgery by resection rectopexy may be done D. Commonly in the posterior wall of rectum 8 / 50 8. Commonest cause of antral gastritis is: A. Herpes virus infection B. Alcohol C. Pernicious anaemia D. H. pylori infection 9 / 50 9. Oral mucous membrane may be affected in all except: A. Stevens-Johnson syndrome B. Pemphigus Vulgaris C. Lichen planus D. Dermatitis herpetiformis 10 / 50 10. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DR4 C. HLA-DQ1 D. HLA-B8 11 / 50 11. Commonest cause of hepatoma is: A. alpha1-antitrypsin deficiency B. Cirrhosis of liver C. Haemochromatosis D. Alcohol 12 / 50 12. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. Klebsiella pneumoniae C. Streptococcus faecalis D. E. coli 13 / 50 13. Menetrier’s disease may have all of the following except: A. Hypoproteinaemia B. Gastritis C. Hypochlorhydria D. Large tortuous gastric mucosal folds 14 / 50 14. All of the following may cause traveller’s diarrhoea except: A. Clostridium difficile B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Rota and Norwalk viruses 15 / 50 15. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 50-60% C. 70-80% D. 90-100% 16 / 50 16. ‘Sago spleen’ is found in: A. Focal amyloidosis B. Chronic active hepatitis C. Felty's syndrome D. Chronic myeloid leukaemia 17 / 50 17. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Pseudoxanthoma elasticum C. Peutz-Jeghers syndrome D. Ehlers-Danlos syndrome 18 / 50 18. Carbenoxolone sodium may be associated with all of the following features except: A. Complicated by oedema B. May be associated with milk-alkali syndrome C. Development of systemic hypertension D. Development of potassium depletion 19 / 50 19. Tropical sprue may be associated with all except: A. Treatment is done satisfactorily by intestinal resection B. Malabsorption C. Patchy lesion D. Partial villous atrophy is more common than subtotal villous atrophy 20 / 50 20. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Oesophageal carcinoma C. Reflux oesophagitis D. Alcoholism 21 / 50 21. What percentage of Zollinger-Ellison syndrome are malignant? A. 60% B. 40% C. 20% D. 30% 22 / 50 22. All are causes of chylous ascites except: A. Thrombosis of mesenteric artery B. Intra-abdominal malignancy C. Tuberculosis D. Filariasis 23 / 50 23. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. CT scan of liver C. MRI scan of liver D. Contrast-enhanced echocardiography 24 / 50 24. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Jejunoileal bypass may be an aetiology C. Glucocorticoid helps cure D. Occasionally progresses to cirrhosis and liver failure 25 / 50 25. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Type of anaemia C. D-xylose absorption test D. Small intestinal biopsy 26 / 50 26. Normal portal venous pressure is: A. >12mmHg B. <5mmHg C. 5-7mmHg D. 7-10 mmHg 27 / 50 27. Intestinal lymphangiectasia is characterised by all except: A. Malabsorption B. Hypoproteinaemia and oedema C. Lymphocytosis D. Low level of transferrin and ceruloplasmin 28 / 50 28. Bentiromide test diagnoses? A. Exocrine pancreatic function B. Pancreatic carcinoma C. Pancreatic ductal obstruction D. Endocrine pancreatic function 29 / 50 29. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Pituitary adenomas B. Hyperparathyroidism C. Medullary carcinoma of thyroid D. Phaeochromocytoma 30 / 50 30. Necrolytic migratory erythema is a feature of: A. Insulinoma B. Hepatoblastoma C. Carcinoid syndrome D. Glucagonoma 31 / 50 31. In gastroparesis, the following drugs are helpful except: A. Metoclopramide B. Cisapride C. Domperidone D. Tetracycline 32 / 50 32. Regarding diffuse oesophageal spasm, which of the following is true? A. Chest pain mimics angina pectoris B. Usually a disease of teen age C. Invariably requires surgery D. 'Nutcracker' oesophagus is the mildest form 33 / 50 33. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Rectal ampulla is empty but tender sigmoid is full of faeces C. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 34 / 50 34. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Melanoma C. Basal cell carcinoma D. Adenocarcinoma 35 / 50 35. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Metastatic tumour C. Cyst D. Amyloid 36 / 50 36. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Grimacing C. Sensory loss D. Chorea 37 / 50 37. Crohn’s disease is caused by: A. Autoimmunity B. Toxin elaborated by infectious microorganisms C. Nutritional deficiency D. Not known 38 / 50 38. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Ileum B. Jejunum C. Stomach D. Colon 39 / 50 39. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Haemosiderosis C. Micronodular cirrhosis D. Macronodular cirrhosis 40 / 50 40. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Uveitis C. Cataract D. Scleromalacia perforans 41 / 50 41. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Villous adenoma of the colon C. Zollinger-Ellison syndrome D. Irritable bowel syndrome 42 / 50 42. Extraintestinal amoebiasis may involve all except: A. Skin B. Heart C. Meninges with encephalon D. Vulva 43 / 50 43. All of the following are true regarding Whipple’s disease except: A. Gram-negative bacilli Clostridium whippeli is responsible B. Cranial nerve palsy may occur C. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly D. Coronary arteritis may be a feature 44 / 50 44. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Hyperglycaemia > 200 mg/ dl C. Serum AST> 400 ID /L D. Leucocytosis > 16000/mm3 45 / 50 45. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Coexistent coeliac sprue C. Abnormal bacterial proliferation in proximal intestine D. Exocrine pancreatic insufficiency 46 / 50 46. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. IgM anti-HBc C. HBsAg D. Anti-HBs 47 / 50 47. Regarding ischaemic colitis, which one is true? A. Affects young population B. Angiography is not helpful C. Almost always an occlusive disease of mesenteric vessels D. Rectal bleeding is a rare complication 48 / 50 48. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Hyperthyroidism C. Alcohol abuse D. Protein-energy malnutrition 49 / 50 49. Minimal fluid required to have classical shifting dullness in ascites is: A. 500-1000 ml B. 250-500 ml C. More than 1 litre D. 100-250 ml 50 / 50 50. Which segment of the Gl tract is most susceptible to volvulus? A. Small intestine B. Caecum C. Sigmoid colon D. Stomach LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology