Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Grimacing C. Slurred speech D. Chorea 2 / 50 2. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. Very high bilirubin level C. Hypoalbuminaemia is very active disease D. AST and ALT levels fluctuate within 100-1000 units 3 / 50 3. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Whipple's disease B. Systemic mastocytosis C. Carcinoid syndrome D. Coeliac sprue 4 / 50 4. Silvery stool signifies a lesion characteristic of: A. Right colic flexure B. Ileocaecal region C. Meckel's diverticulum D. Ampulla of Vater 5 / 50 5. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Hyperparathyroidism C. Biliary tract disease D. Pancreatic carcinoma 6 / 50 6. The commonest cause of colonic obstruction is: A. Adhesions B. Neoplasm C. Hernia D. Volvulus 7 / 50 7. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. May contribute to osteomalacia C. Produces constipation D. Phosphate depletion is a complication 8 / 50 8. Pneumaturia is an established feature of: A. Crohn's disease B. Irritable bowel syndrome C. Coeliac disease D. Intestinal lymphoma 9 / 50 9. The valvular heart disease common in carcinoid syndrome is: A. Tricuspid incompetence B. Aortic incompetence C. Mitral stenosis D. Pulmonary incompetence 10 / 50 10. The best single diagnostic test for cystic fibrosis is: A. Serum lipase B. Quantitative pilocarpine iontophoresis test C. Serum amylase D. Quantitative faecal fat estimation 11 / 50 11. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Colon D. Breast 12 / 50 12. Fatty liver may be produced by: A. Chloramphenicol B. Anabolic steroids C. Tetracycline D. Oral contraceptives 13 / 50 13. Which one is false in granulomatous hepatitis? A. Mild, firm hepatomegaly B. Sarcoidosis may be an aetiology C. Jaundice D. Liver biopsy is diagnostic 14 / 50 14. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Recurrent ulceration C. Palpitation D. Hypoglycaemia 15 / 50 15. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Duodenal ulcer C. Mallory-Weiss syndrome D. Acute gastritis 16 / 50 16. Mallory-Weiss syndrome is commonly seen accompanying: A. Reflux oesophagitis B. Alcoholism C. Oesophageal carcinoma D. Hiatal hernia 17 / 50 17. The Kayser-Fleischer (KF) ring is: A. Hampers vision B. The inferior pole of cornea is first affected C. Copper deposition in Descemet's membrane D. Broader laterally and medially 18 / 50 18. WBC in stool is not found in: A. Campylobacter B. Shigella C. Entero-invasive E. coli D. Giardiasis 19 / 50 19. Octreotide can be used in all except: A. Pancreatic ascites B. Ulcerative colitis C. Short bowel syndrome D. Oesophageal variceal bleeding 20 / 50 20. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Protein-losing enteropathy B. Cirrhosis of liver C. Irritable bowel syndrome D. Chronic pancreatitis 21 / 50 21. The commonest complaint by a patient with Ca rectum is: A. Constipation B. Pain abdomen C. Rectal pain D. Haematochezia 22 / 50 22. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Protein-energy malnutrition C. Alcohol abuse D. Hyperthyroidism 23 / 50 23. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Stomach biopsy C. Lymph node biopsy D. Rectal biopsy 24 / 50 24. Whipple’s triad is found in: A. Glucagonoma B. Insulinoma C. Carcinoid syndrome D. Somatostatinoma 25 / 50 25. Regarding ulcerative colitis, which is true? A. Granuloma and fistula formation are characteristic B. Malignancy never follows even in long-standing disease C. Segmental involvement is common D. Crypt abscesses are typical 26 / 50 26. Regarding Meckel’s diverticulum, which one is false? A. Present in 2% population B. Present within 100 cm of the ileocaecal valve C. Usually 5 cm long D. May contain oesophageal or rectal mucosa 27 / 50 27. Treatment modalities of Wilson’s disease include all except: A. Penicillamine B. Tetrathiomolybdate C. Elemental zinc D. Colchicine 28 / 50 28. Normally in health, the venous flow in abdominal superficial veins is: A. Away from the umbilicus B. Towards the umbilicus C. From below upwards D. From above downwards 29 / 50 29. Giardia lamblia infestation produces a syndrome mimicking: A. Biliary dyspepsia B. Tropical sprue C. Peptic ulcer disease D. Irritable bowel syndrome 30 / 50 30. The most reliable method of measuring steatorrhoea is: A. Fecal fat estimation B. Small intestinal mucosal biopsy C. D-xylose absorption test D. Schilling test 31 / 50 31. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. Jaundice is present in majority C. May lead to the development of an amoebic liver abscess D. Abscess commonly affects the right lobe 32 / 50 32. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Whipple's disease C. Intestinal lymphoma D. Cardnoid syndrome 33 / 50 33. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 120ml C. 70ml D. 200ml 34 / 50 34. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Dysphagia starts with solid foods C. Odynophagia may be a symptom D. Commonest site of affection is lower third 35 / 50 35. The major immunoglobulin in primary biliary cirrhosis is: A. IgM B. IgA C. IgD D. IgG 36 / 50 36. Sialorrhoea is associated with all of the following except: A. Carcinoma of the tongue B. Post-encephalitic parkinsonism C. Achalasia cardia D. Wilson's disease 37 / 50 37. Pruritus associated with cholestasis is mostly seen: A. After a cold bath B. At daytime C. In males D. On the palms and soles 38 / 50 38. Malabsorption may produce all of the following except: A. Cheilosis B. Achlorhydria C. Loss of libido D. Peripheral neuropathy 39 / 50 39. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of haematemesis and/ or melaena B. A late complication of vagotomy C. A cause of dysphagia D. A normal oesophageal anatomy 40 / 50 40. Which of the following may develop into intestinal lymphoma? A. Eosinophilic enteritis B. Ulcerative colitis C. Coeliac disease D. Intestinal lymphangiectasia 41 / 50 41. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Isospora belli D. Microsporidia 42 / 50 42. Menetrier’s disease may have all of the following except: A. Gastritis B. Large tortuous gastric mucosal folds C. Hypoproteinaemia D. Hypochlorhydria 43 / 50 43. Normal portal venous pressure is: A. 7-10 mmHg B. <5mmHg C. 5-7mmHg D. >12mmHg 44 / 50 44. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. HBsAg C. IgM anti-HBc D. Anti-HBs 45 / 50 45. Weil’s disease is associated with: A. Absence of renal involvement B. Jaundice in all C. Leucopenia with lymphocytosis D. Severe muscle pain 46 / 50 46. Endopeptidases include all except: A. Chymotrypsin B. Elastase C. Carboxypeptidase D. Trypsin 47 / 50 47. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Congestive cardiac failure C. Tuberculous peritonitis D. Budd-Chiari syndrome 48 / 50 48. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Sarcoidosis C. Tuberculosis D. Metastatic carcinoma 49 / 50 49. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. HIDA scan C. CT scan D. Ultrasonography 50 / 50 50. Peritonitis may be complicated by all except: A. Haemorrhagic pancreatitis B. Acute lung injury C. Pelvic abscess D. Renal failure LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology