Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Serum alkaline phosphatase level may be increased in all except: A. Paget's disease B. Hypervitaminosis D C. Metastasis in liver D. Cholestasis 2 / 50 2. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Peutz-Jeghers syndrome C. Pseudoxanthoma elasticum D. Ehlers-Danlos syndrome 3 / 50 3. The major site of bile salt absorption is: A. Distal small intestine B. Duodenum C. Stomach D. Proximal small intestine 4 / 50 4. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Antibodies to parietal cells C. Intestinal metaplasia D. Gastric atrophy 5 / 50 5. Gastrin is predominantly secreted from: A. Fundus of the stomach B. 2nd part of the duodenum C. Antral mucosa D. Jejunum 6 / 50 6. Malabsorption may produce all of the following except: A. Cheilosis B. Achlorhydria C. Loss of libido D. Peripheral neuropathy 7 / 50 7. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Temporary relief of pain by the passage of flatus or stool C. Pain abdomen usually lasts for 1/2 hour D. Periodicity is common 8 / 50 8. Symptoms of carcinoma of the left colon include all except: A. Melena B. Cramps in the abdomen C. Altered bowel habits D. Low back pain 9 / 50 9. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Iron D. Folic acid 10 / 50 10. Giardiasis is characterised by all except: A. Malabsorption B. Inflammation of duodenal and jejunal mucosa C. Lactose intolerance D. Infection usually occurs by ingesting contaminated water containing the flagellate form 11 / 50 11. All of the following can be associated with obstructive jaundice except: A. Crigler-Najjar type II B. Pregnancy C. Secondary carcinoma of liver D. Oral contraceptives 12 / 50 12. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Blocked hepatic vein B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Commonest cause of portal hypertension 13 / 50 13. 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. ERCP C. Ultrasonography D. HIDA scan 14 / 50 14. Fats are ingested primarily in the form of: A. Fatty acids B. Triglycerides C. Diglycerides D. Monoglycerides 15 / 50 15. Pneumaturia is an established feature of: A. Crohn's disease B. Coeliac disease C. Irritable bowel syndrome D. Intestinal lymphoma 16 / 50 16. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Clarithromycin C. Tinidazole D. Cefixime 17 / 50 17. The commonest cause of chronic relapsing pancreatitis is: A. Alcohol abuse B. Gallstones C. Trauma D. Infection 18 / 50 18. All are recognised complications of acute pancreatitis except: A. Pancreatic pseudocyst B. Pancreatic malignancy C. Pancreatic phlegmon D. Pancreatic ascites 19 / 50 19. Manometric study of the lower oesophagus is important in all except: A. Polymyositis B. Diffuse oesophageal spasm C. Achalasia cardia D. Mallory-Weiss syndrome 20 / 50 20. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Often resides in the dental plaques of the patient C. Multiflagellated D. It penetrates within the epithelial cells of the stomach 21 / 50 21. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Duodenal ulcer C. Mallory-Weiss syndrome D. Ruptured oesophageal varices 22 / 50 22. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Hyperparathyroidism C. Pituitary adenomas D. Medullary carcinoma of thyroid 23 / 50 23. Mid-zonal necrosis of liver is caused by: A. Carbon tetrachloride B. Phosphorus poisoning C. Yellow fever D. Eclampsia 24 / 50 24. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. Serotonin antagonist C. H1 + H2 receptor antagonist D. beta-adrenergic agonist 25 / 50 25. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypergastrinaemia B. Hyperamylasaemia C. Hyperlipidaemia D. Hypercalcaemia 26 / 50 26. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 70-80% C. 30-40% D. 50-60% 27 / 50 27. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 70% 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. > 50% of the total serum bilirubin is unconjugated 28 / 50 28. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Atrophic fundal gastritis 29 / 50 29. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Budd-chiari syndrome B. Peliosis hepatis C. Hepatic granulomas D. Benign adenomas in liver 30 / 50 30. Which of the following is false regarding Gaucher’s disease? A. Pre-malignant B. High serum acid phosphatase level C. Hepatosplenomegaly D. Elevated serum angiotensin-converting enzyme 31 / 50 31. Absolute contraindication for liver biopsy is: A. Cirrhosis of liver B. Cholestasis C. Amoebic liver abscess D. Haemangioma of liver 32 / 50 32. The inheritance of cystic fibrosis is: A. Autosomal recessive B. Sex-linked recessive C. Sex-linked dominant D. Autosomal dominant 33 / 50 33. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool culture B. Barium enema C. Stool smear D. Sigmoidoscopy 34 / 50 34. All are examples of APUDomas except: A. Phaeochromocytoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Hepatoma 35 / 50 35. The commonest hepatic lesion in haemochromatosis is: A. Haemosiderosis B. Micronodular cirrhosis C. Macronodular cirrhosis D. Fatty liver 36 / 50 36. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DQ1 C. HLA-DR4 D. HLA-DR3 37 / 50 37. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Retinopathy C. Macroangiopathy D. Nephropathy 38 / 50 38. Which of the following is not true in lupoid hepatitis? A. High risk of developing hepatoma B. ANA is positive in majority C. Cushingoid face D. Associated with other autoimmune diseases 39 / 50 39. Hepatitis-like features may be seen in therapy with all except: A. INH B. Zidovudine C. Ketoconazole D. Atorvastatin 40 / 50 40. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Segmentation and clumping B. Dilatation C. Coarsening of mucosal folds D. Loss of mucosal pattern 41 / 50 41. Which of the following may develop into intestinal lymphoma? A. Eosinophilic enteritis B. Coeliac disease C. Ulcerative colitis D. Intestinal lymphangiectasia 42 / 50 42. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Budd-Chiari syndrome B. Cirrhosis of liver C. Tuberculous peritonitis D. Congestive cardiac failure 43 / 50 43. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Autoimmunity C. Not known D. Nutritional deficiency 44 / 50 44. Endopeptidases include all except: A. Carboxypeptidase B. Elastase C. Chymotrypsin D. Trypsin 45 / 50 45. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Greater curvature C. Body of the stomach D. Prepyloric 46 / 50 46. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Three-quarter gastric resection C. Vagotomy with pyloroplasty D. Gastroenterostomy 47 / 50 47. All of the following endocrine disorders are associated with malabsorption except: A. Diabetes mellitus B. Hyperparathyroidism C. Adrenal insufficiency D. Carcinoid syndrome 48 / 50 48. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Folate C. Vitamin B12 D. Ca++ 49 / 50 49. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Columnar cells C. Villus D. Crypts 50 / 50 50. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Hyperthyroidism C. Diabetes mellitus D. Scleroderma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology