Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Paget's disease of bone C. Osteomalacia D. Osteoporosis 2 / 50 2. Raspberry tongue is found in: A. Scarlet fever B. Glandular fever C. Yellow fever D. Rheumatic fever 3 / 50 3. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Feeding of a standard mea B. Histamine injection test C. Secretin injection test D. Calcium infusion test 4 / 50 4. Which one of the following is false regarding primary biliary cirrhosis? A. Clubbing B. Moderate to severe jaundice C. Starts with pruritus D. Female preponderance 5 / 50 5. Minimal fluid required to have classical shifting dullness in ascites is: A. 500-1000 ml B. More than 1 litre C. 250-500 ml D. 100-250 ml 6 / 50 6. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Offensive stool C. Absence of tenesmus D. Onset with purging 7 / 50 7. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Jejunoileal bypass B. Gastric bypass C. Vagotomy D. Pyloroplasty 8 / 50 8. Gastric diverticula are: A. A premalignant condition B. Need immediate upper GI endoscopy C. Commonly seen D. Clinically not significant 9 / 50 9. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities D. Rectal ampulla is empty but tender sigmoid is full of faeces 10 / 50 10. 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 11 / 50 11. Mucosal immunity is mainly due to: A. IgD B. IgG C. IgA D. IgM 12 / 50 12. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Midgut B. Bronchus C. Hindgut D. Stomach 13 / 50 13. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. CREST syndrome C. Renal tubular acidosis D. Wilson's disease 14 / 50 14. The causative agent of tropical sprue is: A. Shigella B. Yersinia C. Unknown D. Campylobacter 15 / 50 15. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Massive dose of estrogen C. Tetracycline D. Nifedipine 16 / 50 16. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Duodenal ulcer 17 / 50 17. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Temporary relief of pain by the passage of flatus or stool C. Pain abdomen usually lasts for 1/2 hour D. Nocturnal pain abdomen is frequent complaint 18 / 50 18. Commonest cause of duodenal haematoma is: A. Anticoagulant therapy B. Acute leukaemia C. Trauma D. Haemophilia 19 / 50 19. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Cirrhosis of liver C. Chronic pancreatitis D. Protein-losing enteropathy 20 / 50 20. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Oral contraceptives C. Sarcoidosis D. Chronic arsenic ingestion 21 / 50 21. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin B12 B. Vitamin D C. Folic acid D. Vitamin A 22 / 50 22. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 50% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 70% of the total serum bilirubin is unconjugated 23 / 50 23. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Disseminated intravascular coagulation C. Fulminant hepatocellular failure D. Acute lung injury 24 / 50 24. The commonest site of carcinoid tumour is: A. Stomach B. Ileum C. Colon D. Appendix 25 / 50 25. NSAID-induced ulcers are best treated by: A. Prostaglandins like misoprostol B. H2-receptor antagonists C. Coating agents like sucralfate D. Proton pump inhibitors 26 / 50 26. All are examples of APUDomas except: A. Phaeochromocytoma B. Hepatoma C. Melanoma D. Medullary carcinoma of thyroid gland 27 / 50 27. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatocellular failure B. Ascites C. Hepatomegaly D. Upper GI bleeding 28 / 50 28. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Mucous diarrhoea or pencil-like pasty stools C. Sense of complete evacuation D. Colicky pain abdomen 29 / 50 29. The commonest cause of post-transfusion hepatitis is: A. Hepatitis B B. Hepatitis D C. Hepatitis E D. Hepatitis C 30 / 50 30. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Superior vena caval obstruction B. Hepatic vein thrombosis C. Portal hypertension D. Inferior vena caval obstruction 31 / 50 31. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. More common in first degree relatives of duodenal ulcer patients C. An increase in serum pepsinogen II level D. Increased frequency of blood group O and of the non-secretor status 32 / 50 32. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. May produce melaena D. In majority of patients, bleeding stops spontaneously 33 / 50 33. The commonest type of oral malignancy is: A. Adenocarcinoma B. Melanoma C. Squamous cell carcinoma D. Basal cell carcinoma 34 / 50 34. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Ileum C. Colon D. Stomach 35 / 50 35. The weight of normal daily stool of a healthy adult is: A. 300-400 g B. 100-200 g C. 500-600 g D. 700-800 g 36 / 50 36. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. Anaerobes C. Staphylococci D. E. coli 37 / 50 37. ‘String sign’ in Crohn’s disease is due to: A. Fistula B. Small ulceration C. Pseudopolyps D. Spasm 38 / 50 38. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum bilirubin assay B. Level of transaminases C. Bromsulphalein (BSP) excretion test D. Serum albumin estimation 39 / 50 39. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Colon D. Breast 40 / 50 40. What is true about Weil’s disease? A. Leucopenia B. Myocarditis may be a complication C. Liver biopsy is diagnostic D. Low glucose in CSF 41 / 50 41. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Severe periumbilical pain at the onset C. Young women are the main victims D. Barium study of the small intestine reveals 'thumbprinting' 42 / 50 42. Peritonitis may be complicated by all except: A. Renal failure B. Pelvic abscess C. Haemorrhagic pancreatitis D. Acute lung injury 43 / 50 43. All of the following are true regarding Whipple’s disease except: A. Coronary arteritis may be a feature B. Cranial nerve palsy may occur C. Gram-negative bacilli Clostridium whippeli is responsible D. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly 44 / 50 44. Spider naevi: A. May be seen in some healthy people B. Often seen in the first trimester of pregnancy C. Are pathognomonic of portal hypertension D. Correlates with the amount of urinary oestradiol excretion 45 / 50 45. The presence of diverticulosis is most commonly seen in: A. Descending colon B. Sigmoid colon C. Transverse colon D. Caecum 46 / 50 46. Gastrin is predominantly secreted from: A. 2nd part of the duodenum B. Jejunum C. Antral mucosa D. Fundus of the stomach 47 / 50 47. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Pain abdomen C. Anaemia D. Cachexia 48 / 50 48. Which of the following reflects the best prognostic marker of hepatocellular function? A. SGPT B. Alkaline phosphatase C. Prothrombin time D. Serum bilirubin 49 / 50 49. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. TIBC < 200 μg/dl C. Liver biopsy D. Plasma iron >300 μg/ dl 50 / 50 50. Ulcerative colitis involves the rectal mucosa in: A. 30-40% B. 90-100% C. 50-60% D. 70-80% LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
