Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Systemic mastocytosis C. Whipple's disease D. Coeliac sprue 2 / 50 2. Malabsorption may produce all of the following except: A. Cheilosis B. Loss of libido C. Peripheral neuropathy D. Achlorhydria 3 / 50 3. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Cefixime C. Tinidazole D. Clarithromycin 4 / 50 4. The ideal time to give antacids in peptic ulcer disease is: A. Immediately after meals B. One hour after meals and at bedtime C. Just before meals D. With the meals 5 / 50 5. The weight of normal daily stool of a healthy adult is: A. 500-600 g B. 100-200 g C. 700-800 g D. 300-400 g 6 / 50 6. Hepatic rub may be found in: A. Hepatic neoplasm B. Hemangioma of liver C. Acute viral hepatitis D. Pyogenic liver abscess 7 / 50 7. 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 8 / 50 8. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. Staphylococci C. Anaerobes D. E. coli 9 / 50 9. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Contraction of the rectum C. Distention of the rectum D. Distention of the sigmoid colon 10 / 50 10. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. May produce melaena C. In majority of patients, bleeding stops spontaneously D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 11 / 50 11. Which is true in familial polyposis coli? A. X-linked recessive inheritance B. Polyps are present since birth C. The rectum is spared D. The patient may not have any symptoms until a carcinoma has developed 12 / 50 12. Which of the following infections may produce features like cardiospasm? A. Leishmaniasis B. Trichinosis C. Trypanosomiasis D. Schistosomiasis 13 / 50 13. Endopeptidases include all except: A. Trypsin B. Carboxypeptidase C. Chymotrypsin D. Elastase 14 / 50 14. Pyloric stenosis is commonly associated. with all except: A. Visible peristalsis B. Distension of upper abdomen with succussion splash C. Bilious vomiting D. Obliteration of Traube's space tympanicity 15 / 50 15. Lactose intolerance with lactase deficiency may be present in all except: A. Cystic fibrosis B. Crohn's s disease C. Amoebiasis D. Giardiasis 16 / 50 16. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Coexistent coeliac sprue C. Exocrine pancreatic insufficiency D. Associated vasculitis 17 / 50 17. The commonest type of pancreatic carcinoma is: A. Ductal adenocarcinoma B. Mucinous carcinoma C. Islet cell carcinoma D. Cystadenocarcinoma 18 / 50 18. Botulism may be associated with all of the following except: A. Descending paralysis B. Diplopia C. Increased salivation D. Constipation 19 / 50 19. All of the following can be associated with obstructive jaundice except: A. Oral contraceptives B. Pregnancy C. Crigler-Najjar type II D. Secondary carcinoma of liver 20 / 50 20. Crohn’s disease may produce all of the following except: A. Perianal fistula B. Vesicovaginal fistula C. Jejuno-colic fistula D. Rectovesical fistula 21 / 50 21. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-B8 C. HLA-DR4 D. HLA-DQ1 22 / 50 22. The water content of adult stool is approximately: A. 50-60% B. 40-50% C. More than 60% D. 20-30% 23 / 50 23. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Majority of tumours are biologically malignant B. Solitary primary tumours are very common C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Pancreatic gastrinomas are most common in the head of the pancreas 24 / 50 24. Intestinal lymphangiectasia is characterised by all except: A. Low level of transferrin and ceruloplasmin B. Malabsorption C. Lymphocytosis D. Hypoproteinaemia and oedema 25 / 50 25. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Broad-spectrum antibiotics C. Iron D. Folic acid 26 / 50 26. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Stomach C. Ileum D. Colon 27 / 50 27. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Hyperglycaemia > 200 mg/ dl B. Serum LDH > 400 ID /L C. Leucocytosis > 16000/mm3 D. Serum AST> 400 ID /L 28 / 50 28. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Gilbert's syndrome C. Shunt hyperbilirubinaemia D. Crigler-Najjar syndrome 29 / 50 29. Which is true regarding irritable bowel syndrome? A. Temporary relief of pain by the passage of flatus or stool B. Nocturnal pain abdomen is frequent complaint C. Periodicity is common D. Pain abdomen usually lasts for 1/2 hour 30 / 50 30. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Budd-Chiari syndrome C. Tuberculous peritonitis D. Congestive cardiac failure 31 / 50 31. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Beta C. Non-beta D. Alpha 32 / 50 32. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. USG of liver B. Protein electrophoresis C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 33 / 50 33. High transaminase levels may be found in all except: A. Right-sided heart failure B. Chronic pancreatitis C. Acute myocardial infarction D. Acute viral hepatitis 34 / 50 34. 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 35 / 50 35. H. pylori is usually not associated with: A. Antral gastritis B. Non-ulcer dyspepsia C. Zollinger-Ellison syndrome D. Gastric lymphoma 36 / 50 36. Which of the following is not included in the classical triad of chronic pancreatitis? A. Abdominal pain B. Diabetes mellitus C. Pancreatic calcification D. Steatorrhoea 37 / 50 37. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Perihepatitis C. Portal hypertension D. Hepatoma 38 / 50 38. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Voluntary phase of deglutition C. Tertiary peristaltic wave D. Secondary peristaltic wave 39 / 50 39. Whipple’s triad is found in: A. Somatostatinoma B. Insulinoma C. Carcinoid syndrome D. Glucagonoma 40 / 50 40. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Acute intermittent porphyria C. Burns D. Pseudopancreatic cyst 41 / 50 41. Pruritus associated with cholestasis is mostly seen: A. In males B. After a cold bath C. At daytime D. On the palms and soles 42 / 50 42. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. Evoked potential study C. MRI of brain D. EEG 43 / 50 43. Malignant potential is least in: A. Villous adenoma of colon B. Familial colonic polyposis C. Ulcerative colitis D. Peutz-Jeghers syndrome 44 / 50 44. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Mitral stenosis C. Tricuspid incompetence D. Aortic incompetence 45 / 50 45. All of the following may be associated with hyposplenism except: A. Coeliac disease B. Haemolytic anaemia C. Sickle cell disease D. Dermatitis herpetiformi 46 / 50 46. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May cause mild elevation of serum transaminases and creatinine levels C. May produce benign intracranial hypertension D. Tender gynecomastia may be a complication after prolonged use 47 / 50 47. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Cardia B. Lesser curvature C. Antrum D. Body 48 / 50 48. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Tetracycline C. Nifedipine D. Massive dose of estrogen 49 / 50 49. Congestive gastropathy in portal hypertension is best treated by: A. Propranolol B. Nitroglycerines C. Terlipressin D. Somatostatin 50 / 50 50. Which of the following is not associated with leucocytosis? A. Weil's disease B. Amoebic liver abscess C. Toxic hepatitis D. 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