Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is not true in lupoid hepatitis? A. High risk of developing hepatoma B. Associated with other autoimmune diseases C. ANA is positive in majority D. Cushingoid face 2 / 50 2. Secretin is produced in largest quantities in: A. Stomach B. Ileum C. Duodenum D. Jejunum 3 / 50 3. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Vitamin B12 C. Fat D. Ca++ 4 / 50 4. Hepatocellular jaundice does not result from: A. Halothane B. Gliclazide C. Rifampicin D. Copper sulphate 5 / 50 5. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgD B. IgA C. IgM D. IgG 6 / 50 6. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. TIBC < 200 μg/dl C. Plasma iron >300 μg/ dl D. Liver biopsy 7 / 50 7. The causative agent of tropical sprue is: A. Shigella B. Unknown C. Campylobacter D. Yersinia 8 / 50 8. Which of the following is not a disorder of intestinal motility? A. Diverticulosis B. Irritable bowel syndrome C. Intestinal pseudo-obstruction D. Ulcerative colitis 9 / 50 9. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Attacks of emotional stress B. Induction of vomiting C. Consumption of food D. Change of posture 10 / 50 10. Normally in health, the venous flow in abdominal superficial veins is: A. From above downwards B. Away from the umbilicus C. Towards the umbilicus D. From below upwards 11 / 50 11. Granulomatous hepatitis is not a feature of: A. Sarcoidosis B. Metastatic carcinoma C. Blastomycosis D. Tuberculosis 12 / 50 12. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Lansoprazole therapy C. Zollinger-Ellison syndrome D. Duodenal ulcer 13 / 50 13. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Budd-chiari syndrome B. Hepatic granulomas C. Benign adenomas in liver D. Peliosis hepatis 14 / 50 14. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Folic acid B. Vitamin D C. Vitamin A D. Vitamin B12 15 / 50 15. All are characteristic features of Wilson’s disease except: A. Chorea B. Slurred speech C. Grimacing D. Sensory loss 16 / 50 16. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Pancreatic insufficiency C. Whipple's disease D. Coeliac sprue 17 / 50 17. The commonest cause of anaemia after peptic ulcer surgery is: A. Vitamin B12 deficiency B. Iron deficiency C. Hemolysis D. Folic acid deficiency 18 / 50 18. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Right atrial myxoma B. Antiphospholipid syndrome C. Congenital hepatic fibrosis D. Oral contraceptive pills 19 / 50 19. WBC in stool is not found in: A. Giardiasis B. Entero-invasive E. coli C. Shigella D. Campylobacter 20 / 50 20. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Tetrathiomolybdate C. Colchicine D. Penicillamine 21 / 50 21. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of dysphagia B. A cause of haematemesis and/ or melaena C. A normal oesophageal anatomy D. A late complication of vagotomy 22 / 50 22. All of the following are true regarding right-sided colonic carcinoma except: A. Cachexia B. Anaemia C. Alteration of bowel habit D. Pain abdomen 23 / 50 23. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Right lower intercostal tenderness 24 / 50 24. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Not known C. Autoimmunity D. Nutritional deficiency 25 / 50 25. Jejunal diverticula may be associated with: A. Cirrhosis of liver B. Vitamin B12 malabsorpfion C. Chronic pancreatitis D. Hypochlorhydria 26 / 50 26. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Nephrolithiasis C. Electrolyte imbalance D. Arthritis 27 / 50 27. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Mallory-Weiss syndrome C. Acute gastritis D. Duodenal ulcer 28 / 50 28. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Hyperparathyroidism B. Phaeochromocytoma C. Pituitary adenomas D. Medullary carcinoma of thyroid 29 / 50 29. Whipple’s triad is found in: A. Insulinoma B. Somatostatinoma C. Carcinoid syndrome D. Glucagonoma 30 / 50 30. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Odynophagia may be a symptom C. Dysphagia starts with solid foods D. Commonest site of affection is lower third 31 / 50 31. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Nifedipine B. Amiodarone C. Massive dose of estrogen D. Tetracycline 32 / 50 32. A desire for defaecation is initiated by: A. Contraction of the rectum B. Contraction of the internal anal sphincter C. Distention of the sigmoid colon D. Distention of the rectum 33 / 50 33. Which of the following is not a recognized complication of ulcerative colitis? A. Sacroiliitis B. Bronchiectasis C. Autoimmune haemolytic anaemia D. Pyoderma gangrenosum 34 / 50 34. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Antibodies to parietal cells C. Gastric atrophy D. Intestinal metaplasia 35 / 50 35. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Severe periumbilical pain at the onset C. Young women are the main victims D. Barium study of the small intestine reveals 'thumbprinting' 36 / 50 36. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. Klebsiella pneumoniae C. Streptococcus faecalis D. E. coli 37 / 50 37. The commonest site of carcinoid tumour is: A. Appendix B. Colon C. Ileum D. Stomach 38 / 50 38. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Fat metabolism C. Vitamins and minerals absorption D. Protein metabolism 39 / 50 39. Regarding angiodysplasia of colon, which one is false? A. Left colon is commonly affected B. Haemotochezia is common C. It looks like spider angiomas of the skin D. Aortic stenosis may be associated with it 40 / 50 40. The most reliable screening test for patients suffering from malabsorption is: A. Small intestinal X-rays B. Radioactive triolein absorption (breath) test C. Quantitative determination of faecal fat D. D-xylose absorption test 41 / 50 41. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Yersinia B. Shigella C. Campylobacter D. Rota virus 42 / 50 42. Absolute contraindication for liver biopsy is: A. Cirrhosis of liver B. Haemangioma of liver C. Amoebic liver abscess D. Cholestasis 43 / 50 43. All of the following produce invasive diarrhoea except: A. Clostridium perfringens B. Shigella C. Campylobacter D. Clostridium difficile 44 / 50 44. All of the following may be associated with hypoglobulinaemia except: A. Severe combined immunodeficiency B. AIDS C. Multiple myeloma D. Chronic lymphatic leukaemia 45 / 50 45. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Tetany C. Malabsorption D. Meconium ileus 46 / 50 46. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. HBV DNA C. IgG anti-HBc D. HBeAg 47 / 50 47. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Theophylline C. Sorbitol D. Colchicine 48 / 50 48. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. AST and ALT levels fluctuate within 100-1000 units C. Hyperglobulinaemia is common D. Very high bilirubin level 49 / 50 49. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine to plasma osmolality ratio >1.0 C. Urine to plasma creatinine ratio >30 D. Urine Na+ concentration >10 mEq/dl 50 / 50 50. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Invariably requires surgery C. Usually a disease of teen age D. Chest pain mimics angina pectoris LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology