GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most common cause of Budd-Chiari syndrome is: A. Oral contraceptives B. Hepatoma C. Paroxysmal nocturnal hemoglobinuria D. Valve in hepatic veins 2 / 50 2. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Mesenteric fibrosis C. Hashimoto's thyroiditis D. Achlorhydria 3 / 50 3. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Uveitis C. Cataract D. Scleromalacia perforans 4 / 50 4. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. The blood may not be mixed with stool C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. Passage of bright red blood per rectum 5 / 50 5. Acute pancreatitis may eventually lead to all of the following except: A. Acute lung injury B. Renal failure C. Fulminant hepatocellular failure D. Disseminated intravascular coagulation 6 / 50 6. Regarding cimetidine, all of the following are true except: A. May cause mild elevation of serum transaminases and creatinine levels B. May produce benign intracranial hypertension C. Related structurally to histamine D. Tender gynecomastia may be a complication after prolonged use 7 / 50 7. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Alcoholism C. Oesophageal carcinoma D. Reflux oesophagitis 8 / 50 8. Fatty liver may be produced by: A. Chloramphenicol B. Tetracycline C. Oral contraceptives D. Anabolic steroids 9 / 50 9. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Dubin-Johnson syndrome C. Crigler-Najjar syndrome D. Gilbert's syndrome 10 / 50 10. All of the following are true regarding Whipple’s disease except: A. Cranial nerve palsy may occur B. Coronary arteritis may be a feature C. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly D. Gram-negative bacilli Clostridium whippeli is responsible 11 / 50 11. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Electrolyte imbalance B. Arthritis C. Nephrolithiasis D. Emphysema 12 / 50 12. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. Produces loose stool C. 50% of magnesium is absorbed by the small intestine D. Suitable for patients with renal impairment 13 / 50 13. The water content of adult stool is approximately: A. 20-30% B. 40-50% C. More than 60% D. 50-60% 14 / 50 14. Which light source produces best photodecomposition of bilirubin? A. Moonlight B. Fluorescent C. Sunlight D. Ultraviolet 15 / 50 15. The commonest cause of post-transfusion hepatitis is: A. Hepatitis C B. Hepatitis B C. Hepatitis D D. Hepatitis E 16 / 50 16. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A bad prognosis B. A fluctuating clinical course C. Means nothing to clinical course D. The disease process is improving 17 / 50 17. Acute pancreatitis is not associated with: A. Biliary tract disease B. Pancreatic carcinoma C. Pancreatic islet cell tumour D. Hyperparathyroidism 18 / 50 18. Acute viral hepatitis may develop from all of the following except: A. Cytomegalovirus B. Yellow fever C. Infectious mononucleosis D. Herpes zoster virus 19 / 50 19. Which one of the following is false regarding primary biliary cirrhosis? A. Female preponderance B. Clubbing C. Moderate to severe jaundice D. Starts with pruritus 20 / 50 20. Superficial venous flow in portal hypertension is: A. Above downwards B. Towards umbilicus C. Away from the umbilicus D. Below upwards 21 / 50 21. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Attacks of emotional stress B. Consumption of food C. Induction of vomiting D. Change of posture 22 / 50 22. Which of the following primaries is uncommonly associated with bony metastasis? A. Colon B. Prostate C. Breast D. Thyroid 23 / 50 23. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 15 g for 24 hr C. < 12 g for 24 hrs D. < 6 g for 24 hrs 24 / 50 24. Which cardiovascular disorder is not associated with steatorrhoea? A. Mesenteric vascular insufficiency B. Constrictive pericarditis C. Left atrial myxoma D. Congestive cardiac failure 25 / 50 25. Pseudomembranous colitis is best treated by: A. Vancomycin B. Clindamycin C. Tobramycin D. Erythromycin 26 / 50 26. Which of the following is false regarding acute appendicitis? A. The temperature is usually normal or slightly elevated B. Meckel's diverticulitis is one of the close differential diagnosis C. Nausea and vomiting occur in 50-60% of cases D. Anorexia is rare 27 / 50 27. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Retroperitoneal fibrosis C. Medullary sponge kidney D. Endocardial fibroelastosis 28 / 50 28. Peritonitis may be complicated by all except: A. Pelvic abscess B. Acute lung injury C. Renal failure D. Haemorrhagic pancreatitis 29 / 50 29. Pneumaturia is an established feature of: A. Crohn's disease B. Coeliac disease C. Irritable bowel syndrome D. Intestinal lymphoma 30 / 50 30. All are causes of chylous ascites except: A. Tuberculosis B. Intra-abdominal malignancy C. Thrombosis of mesenteric artery D. Filariasis 31 / 50 31. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Bile or pancreatic cytology B. Biliary manometry C. Best visualisation of cystic duct D. Endoscopic sphincterotomy and stone removal 32 / 50 32. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Right atrial myxoma C. Antiphospholipid syndrome D. Congenital hepatic fibrosis 33 / 50 33. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Gilbert's syndrome B. Reye's syndrome C. Dubin-Johnson syndrome D. Rotor syndrome 34 / 50 34. Pregnancy predisposes to all except: A. Cholestasis B. Chronic hepatitis C. Steatosis D. Acute hepatic failure 35 / 50 35. The ideal time to give antacids in peptic ulcer disease is: A. Immediately after meals B. Just before meals C. With the meals D. One hour after meals and at bedtime 36 / 50 36. All are characteristic features of Wilson’s disease except: A. Chorea B. Slurred speech C. Grimacing D. Sensory loss 37 / 50 37. Tropical sprue may be associated with all except: A. Partial villous atrophy is more common than subtotal villous atrophy B. Malabsorption C. Patchy lesion D. Treatment is done satisfactorily by intestinal resection 38 / 50 38. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Hepatitis B C. Cytomegalovirus D. Hepatitis C 39 / 50 39. Manometric study of the lower oesophagus is important in all except: A. Diffuse oesophageal spasm B. Polymyositis C. Mallory-Weiss syndrome D. Achalasia cardia 40 / 50 40. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 75 ml B. 100 ml C. 15 ml D. 30 ml 41 / 50 41. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. During the first 10 days of life B. Over the first 4-6 weeks of life C. At birth D. Within the first 24 hours of birth 42 / 50 42. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Ehlers-Danlos syndrome C. Pseudoxanthoma elasticum D. Render-Weber-Osler disease 43 / 50 43. All are major components of intestinal gas except: A. Methane B. N2 C. CO2 D. H2S 44 / 50 44. The commonest micro-organism responsible for cholangitis is: A. E. coli B. Klebsiella pneumoniae C. Salmonella D. Streptococcus faecalis 45 / 50 45. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Folic acid D. Iron 46 / 50 46. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Somatostatin C. Terlipressin D. Propranolol 47 / 50 47. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. Anti-HBs appear to reflect immunity C. HBeAg implies high infectivity D. IgG anti-HBc indicates acute hepatitis B virus infection 48 / 50 48. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Primary sclerosing cholangitis C. Crescentic glomerulonephritis D. Wegener's granulomatosis 49 / 50 49. Which of the following does not produce secretory diarrhoea? A. Medullary carcinoma of the thyroid gland B. Carcinoid syndrome C. Hyperparathyroidism D. Zollinger-Ellison syndrome 50 / 50 50. Hepatitis-like features may be seen in therapy with all except: A. Ketoconazole B. INH C. Atorvastatin D. 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