Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Fats are ingested primarily in the form of: A. Triglycerides B. Monoglycerides C. Diglycerides D. Fatty acids 2 / 50 2. Mucosal immunity is mainly due to: A. IgM B. IgA C. IgD D. IgG 3 / 50 3. One of the earliest manifestations of cystic fibrosis is: A. Malabsorption B. Meconium ileus C. Gram-negative sepsis D. Tetany 4 / 50 4. Which is not true so far as definition of cirrhosis of liver is concerned? A. Fatty infiltration B. Regeneration C. Necrosis D. Fibrosis 5 / 50 5. Leptospirosis can be diagnosed during the 1st week of illness by: A. Agglutination test B. Dark-field examination C. Stool culture D. Urine analysis 6 / 50 6. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ileocaecal region C. Right colic flexure D. Ampulla of Vater 7 / 50 7. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 250-500 ml C. 100-250 ml D. 500-1000 ml 8 / 50 8. The major site of bile salt absorption is: A. Duodenum B. Stomach C. Distal small intestine D. Proximal small intestine 9 / 50 9. Which one is false in granulomatous hepatitis? A. Jaundice B. Mild, firm hepatomegaly C. Sarcoidosis may be an aetiology D. Liver biopsy is diagnostic 10 / 50 10. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Barium study of the small intestine reveals 'thumbprinting' C. Severe periumbilical pain at the onset D. Young women are the main victims 11 / 50 11. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Domperidone C. Metoclopramide D. Cisapride 12 / 50 12. Mallory-Weiss syndrome is commonly seen accompanying: A. Reflux oesophagitis B. Hiatal hernia C. Alcoholism D. Oesophageal carcinoma 13 / 50 13. Superficial venous flow in portal hypertension is: A. Below upwards B. Towards umbilicus C. Away from the umbilicus D. Above downwards 14 / 50 14. Which of the following is not true in lupoid hepatitis? A. Associated with other autoimmune diseases B. Cushingoid face C. ANA is positive in majority D. High risk of developing hepatoma 15 / 50 15. The weight of normal daily stool of a healthy adult is: A. 500-600 g B. 100-200 g C. 300-400 g D. 700-800 g 16 / 50 16. Luge gastric folds are seen in all except: A. Chronic H. pylori infection B. Sarcoidosis C. Gastric malignancy D. Menetrier's disease 17 / 50 17. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Sigmoidoscopy C. Stool culture D. Barium enema 18 / 50 18. Which of the following is not a variety of osmotic diarrhoea? A. Coeliac disease B. Whipple's disease C. Lactase deficiency D. Laxative abuse 19 / 50 19. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Midgut B. Stomach C. Bronchus D. Hindgut 20 / 50 20. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Folate C. Ca++ D. Vitamin B12 21 / 50 21. 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. Increased frequency of blood group O and of the non-secretor status D. An increase in serum pepsinogen II level 22 / 50 22. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 70ml C. 270ml D. 200ml 23 / 50 23. All of the following are true in irritable bowel syndrome except: A. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough B. Rectal ampulla is empty but tender sigmoid is full of faeces C. Usually have 3 clinical components: spastic, diarrhoeal and both D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 24 / 50 24. Giardiasis is characterised by all except: A. Lactose intolerance B. Malabsorption C. Inflammation of duodenal and jejunal mucosa D. Infection usually occurs by ingesting contaminated water containing the flagellate form 25 / 50 25. Aluminium hydroxide as an antacid may have all characteristics except: A. Phosphate depletion is a complication B. May lead to Brunner's gland hyperplasia C. Produces constipation D. May contribute to osteomalacia 26 / 50 26. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. HIDA scan B. CT scan C. ERCP D. Ultrasonography 27 / 50 27. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Microsporidia B. Cryptosporidium C. Isospora belli D. Mycobacterium avium-intracellulare 28 / 50 28. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Cirrhosis of liver C. Budd-Chiari syndrome D. Congestive cardiac failure 29 / 50 29. ‘String sign’ in Crohn’s disease is due to: A. Spasm B. Fistula C. Small ulceration D. Pseudopolyps 30 / 50 30. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Acute intermittent porphyria C. Pseudopancreatic cyst D. Burns 31 / 50 31. Which of the following infections may produce features like cardiospasm? A. Schistosomiasis B. Trypanosomiasis C. Trichinosis D. Leishmaniasis 32 / 50 32. H. pylori is usually not associated with: A. Antral gastritis B. Non-ulcer dyspepsia C. Gastric lymphoma D. Zollinger-Ellison syndrome 33 / 50 33. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. May cause mild elevation of serum transaminases and creatinine levels C. Related structurally to histamine D. May produce benign intracranial hypertension 34 / 50 34. Which of the following does not give rise to haematemesis? A. Ca stomach B. Stomatostatinoma C. Duodenal diverticula D. Mallory-Weiss syndrome 35 / 50 35. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Nephrolithiasis C. Electrolyte imbalance D. Arthritis 36 / 50 36. Continued infectivity in HBV infection is diagnosed by: A. HBsAg B. HBV DNA C. IgM anti-HBc D. Anti-HBs 37 / 50 37. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 85% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 38 / 50 38. Regarding ulcerative colitis, which is true? A. Granuloma and fistula formation are characteristic B. Crypt abscesses are typical C. Malignancy never follows even in long-standing disease D. Segmental involvement is common 39 / 50 39. Raspberry tongue is found in: A. Yellow fever B. Glandular fever C. Scarlet fever D. Rheumatic fever 40 / 50 40. All are recognised complications of acute viral hepatitis except: A. Meningitis B. Myocarditis C. Aplastic anaemia D. Polyarteritis nodosa 41 / 50 41. Regarding angiodysplasia of colon, which one is false? A. Aortic stenosis may be associated with it B. It looks like spider angiomas of the skin C. Haemotochezia is common D. Left colon is commonly affected 42 / 50 42. The water content of adult stool is approximately: A. More than 60% B. 40-50% C. 20-30% D. 50-60% 43 / 50 43. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Acute lung injury C. Fulminant hepatocellular failure D. Disseminated intravascular coagulation 44 / 50 44. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Ruptured oesophageal varices C. Duodenal ulcer D. Mallory-Weiss syndrome 45 / 50 45. Which light source produces best photodecomposition of bilirubin? A. Fluorescent B. Sunlight C. Ultraviolet D. Moonlight 46 / 50 46. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Protein-energy malnutrition C. Alcohol abuse D. Hyperthyroidism 47 / 50 47. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Periodicity is common C. Pain abdomen usually lasts for 1/2 hour D. Temporary relief of pain by the passage of flatus or stool 48 / 50 48. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Ca++ B. Vitamin B12 C. Salt and water D. Fat 49 / 50 49. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. Just before meals C. Immediately after meals D. With the meals 50 / 50 50. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum bilirubin assay B. Serum albumin estimation C. Bromsulphalein (BSP) excretion test D. Level of transaminases LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology