Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Quantitative faecal fat estimation C. Serum lipase D. Quantitative pilocarpine iontophoresis test 2 / 50 2. The most common cause of Budd-Chiari syndrome is: A. Valve in hepatic veins B. Paroxysmal nocturnal hemoglobinuria C. Oral contraceptives D. Hepatoma 3 / 50 3. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Breakdown of myoglobin C. Rotor syndrome D. Breakdown of haemoglobin 4 / 50 4. Which one of the following is false regarding type B hepatitis serology? A. IgG anti-HBc indicates acute hepatitis B virus infection B. Anti-HBs appear to reflect immunity C. HBeAg implies high infectivity D. Persistence of HBsAg>6 months implies carrier state 5 / 50 5. The major site of bile salt absorption is: A. Duodenum B. Proximal small intestine C. Distal small intestine D. Stomach 6 / 50 6. Non-cirrhotic portal fibrosis may be associated with: A. Chronic arsenic ingestion B. Sarcoidosis C. Umbilical sepsis D. Oral contraceptives 7 / 50 7. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Sinus tachycardia B. Discordance between subjective symptoms and objective findings C. Fever D. Bloody diarrhoea 8 / 50 8. Which is true in halothane-induced. hepatitis? A. Peripheral eosinophilia B. Marked cholestasis C. Splenomegaly D. Males are commonly susceptible 9 / 50 9. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Reye's syndrome B. Rotor syndrome C. Gilbert's syndrome D. Dubin-Johnson syndrome 10 / 50 10. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Somatostatin C. Terlipressin D. Propranolol 11 / 50 11. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Beta C. Alpha D. Non-beta 12 / 50 12. Acute pancreatitis is not associated with: A. Hyperparathyroidism B. Pancreatic carcinoma C. Pancreatic islet cell tumour D. Biliary tract disease 13 / 50 13. Regarding cimetidine, all of the following are true except: A. May produce benign intracranial hypertension B. Tender gynecomastia may be a complication after prolonged use C. Related structurally to histamine D. May cause mild elevation of serum transaminases and creatinine levels 14 / 50 14. Incidence of gastric carcinoid is increased in all except: A. Mesenteric fibrosis B. Achlorhydria C. Pernicious anaemia D. Hashimoto's thyroiditis 15 / 50 15. Regarding H. pylori, which statement is false? A. It penetrates within the epithelial cells of the stomach B. Gram-negative bacillus C. Often resides in the dental plaques of the patient D. Multiflagellated 16 / 50 16. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Irritable bowel syndrome C. Ulcerative colitis D. Diverticulosis 17 / 50 17. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Lansoprazole therapy C. Duodenal ulcer D. Zollinger-Ellison syndrome 18 / 50 18. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Tropical sprue C. Biliary dyspepsia D. Irritable bowel syndrome 19 / 50 19. Which statement is false regarding duodenal ulcer? A. An increase in serum pepsinogen II level B. More common in first degree relatives of duodenal ulcer patients C. Increased incidence of HLA-B5 antigen D. Increased frequency of blood group O and of the non-secretor status 20 / 50 20. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Antiphospholipid syndrome B. Oral contraceptive pills C. Congenital hepatic fibrosis D. Right atrial myxoma 21 / 50 21. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Microsporidia D. Isospora belli 22 / 50 22. Acute pancreatitis may be caused by: A. Legionella pneumoniae B. Propranolol C. Measles D. Thiazides 23 / 50 23. Major organ responsible for the removal of gastrin is: A. Lung B. Kidney C. Intestine D. Liver 24 / 50 24. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Below upwards C. Above downwards D. Towards umbilicus 25 / 50 25. Bentiromide test diagnoses? A. Endocrine pancreatic function B. Pancreatic carcinoma C. Exocrine pancreatic function D. Pancreatic ductal obstruction 26 / 50 26. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Basal cell carcinoma C. Melanoma D. Adenocarcinoma 27 / 50 27. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Clubbing C. Starts with pruritus D. Female preponderance 28 / 50 28. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Clindamycin C. Streptomycin D. Ampicillin 29 / 50 29. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 50% of the total serum bilirubin is unconjugated B. > 60% 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 30 / 50 30. Luge gastric folds are seen in all except: A. Chronic H. pylori infection B. Menetrier's disease C. Gastric malignancy D. Sarcoidosis 31 / 50 31. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Invariably requires surgery C. Chest pain mimics angina pectoris D. Usually a disease of teen age 32 / 50 32. Carcinoma of the large intestine is mostly found in: A. Sigmoid colon B. Ascending colon C. Transverse colon D. Caecum 33 / 50 33. Pregnancy predisposes to all except: A. Chronic hepatitis B. Cholestasis C. Steatosis D. Acute hepatic failure 34 / 50 34. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Endoscopic sphincterotomy and stone removal C. Best visualisation of cystic duct D. Bile or pancreatic cytology 35 / 50 35. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. CT scan B. Ultrasonography C. ERCP D. HIDA scan 36 / 50 36. Regarding ulcerative colitis, which is true? A. Segmental involvement is common B. Malignancy never follows even in long-standing disease C. Crypt abscesses are typical D. Granuloma and fistula formation are characteristic 37 / 50 37. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. CREST syndrome C. Renal tubular acidosis D. Autoimmune thyroiditis 38 / 50 38. 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 39 / 50 39. NSAID-induced ulcers are best treated by: A. Prostaglandins like misoprostol B. H2-receptor antagonists C. Proton pump inhibitors D. Coating agents like sucralfate 40 / 50 40. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Sclerosing cholangitis C. Pyoderma gangrenosum D. Arthritis 41 / 50 41. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Iron B. Vitamin C. Broad-spectrum antibiotics D. Folic acid 42 / 50 42. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Feeding of a standard mea C. Secretin injection test D. Histamine injection test 43 / 50 43. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. E. coli C. Klebsiella pneumoniae D. Streptococcus faecalis 44 / 50 44. The commonest complaint by a patient with Ca rectum is: A. Pain abdomen B. Rectal pain C. Constipation D. Haematochezia 45 / 50 45. All of the following endocrine disorders are associated with malabsorption except: A. Hyperparathyroidism B. Adrenal insufficiency C. Diabetes mellitus D. Carcinoid syndrome 46 / 50 46. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. High serum acid phosphatase level C. Elevated serum angiotensin-converting enzyme D. Hepatosplenomegaly 47 / 50 47. The commonest site of carcinoid tumour is: A. Appendix B. Stomach C. Colon D. Ileum 48 / 50 48. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. The inferior pole of cornea is first affected C. Copper deposition in Descemet's membrane D. Hampers vision 49 / 50 49. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. 48 hours fasting with only 300 cal/ day C. Bromsulphalein (BSP) excretion test D. Liver biopsy 50 / 50 50. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Mesenteric vascular insufficiency C. Congestive cardiac failure D. Left atrial myxoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology