Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Peritonitis may be complicated by all except: A. Haemorrhagic pancreatitis B. Acute lung injury C. Pelvic abscess D. Renal failure 2 / 50 2. Water is minimally absorbed from: A. Descending colon B. Transverse colon C. Ascending colon D. Caecum 3 / 50 3. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 200ml C. 120ml D. 70ml 4 / 50 4. Absolute contraindication for liver biopsy is: A. Haemangioma of liver B. Cholestasis C. Amoebic liver abscess D. Cirrhosis of liver 5 / 50 5. Auto-vagotomy may be observed in: A. Progressive systemic sclerosis B. Amyloidosis C. Diabetes mellitus D. Parkinsonism 6 / 50 6. Secretin is produced in largest quantities in: A. Duodenum B. Ileum C. Jejunum D. Stomach 7 / 50 7. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. beta-adrenergic agonist B. H1 + H2 receptor antagonist C. Methylxanthine bronchodilator D. Serotonin antagonist 8 / 50 8. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. E. coli C. Streptococcus faecalis D. Anaerobes 9 / 50 9. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. Means nothing to clinical course B. A bad prognosis C. A fluctuating clinical course D. The disease process is improving 10 / 50 10. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DQ1 C. HLA-DR3 D. HLA-DR4 11 / 50 11. The best way to diagnose Gilbert’s syndrome is: A. Testing for red blood cell survival B. Bromsulphalein (BSP) excretion test C. 48 hours fasting with only 300 cal/ day D. Liver biopsy 12 / 50 12. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diagnosis with certainty by BAO /MAO ratio B. Recalcitrant upper GI ulcers C. Diarrhoea and steatorrhoea D. Vitamin B12 malabsorption 13 / 50 13. Pruritus associated with cholestasis is mostly seen: A. After a cold bath B. At daytime C. On the palms and soles D. In males 14 / 50 14. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Primary sclerosing cholangitis C. Wegener's granulomatosis D. Crescentic glomerulonephritis 15 / 50 15. Which of the following does not produce secretory diarrhoea? A. Zollinger-Ellison syndrome B. Hyperparathyroidism C. Medullary carcinoma of the thyroid gland D. Carcinoid syndrome 16 / 50 16. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Cardia B. Antrum C. Body D. Lesser curvature 17 / 50 17. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Level of transaminases B. Serum albumin estimation C. Serum bilirubin assay D. Bromsulphalein (BSP) excretion test 18 / 50 18. Major organ responsible for the removal of gastrin is: A. Liver B. Kidney C. Lung D. Intestine 19 / 50 19. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening ascites C. Paralytic ileus D. Worsening jaundice 20 / 50 20. Regarding melena, which statement is false? A. Offensive in odour B. At least 60 ml of blood is required C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 21 / 50 21. Pneumaturia is an established feature of: A. Coeliac disease B. Irritable bowel syndrome C. Crohn's disease D. Intestinal lymphoma 22 / 50 22. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Osteoporosis C. Osteomalacia D. Paget's disease of bone 23 / 50 23. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Flaccid muscles C. Night-time somnolence D. Presence of ankle clonus 24 / 50 24. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. MRI scan of liver B. Contrast-enhanced echocardiography C. CT scan of liver D. Pulmonary angiography 25 / 50 25. Pyloric stenosis is commonly associated. with all except: A. Obliteration of Traube's space tympanicity B. Visible peristalsis C. Distension of upper abdomen with succussion splash D. Bilious vomiting 26 / 50 26. All of the following can be associated with obstructive jaundice except: A. Crigler-Najjar type II B. Oral contraceptives C. Pregnancy D. Secondary carcinoma of liver 27 / 50 27. The commonest type of oral malignancy is: A. Melanoma B. Squamous cell carcinoma C. Adenocarcinoma D. Basal cell carcinoma 28 / 50 28. WBC in stool is not found in: A. Campylobacter B. Giardiasis C. Entero-invasive E. coli D. Shigella 29 / 50 29. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Retroperitoneal fibrosis D. Medullary sponge kidney 30 / 50 30. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 3rd day B. 7th day C. 1st day D. 2nd day 31 / 50 31. Commonest cause of hepatoma is: A. Haemochromatosis B. alpha1-antitrypsin deficiency C. Cirrhosis of liver D. Alcohol 32 / 50 32. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Campylobacter C. Rota virus D. Yersinia 33 / 50 33. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. With the meals C. Just before meals D. Immediately after meals 34 / 50 34. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Nephropathy C. Retinopathy D. Macroangiopathy 35 / 50 35. The valvular heart disease common in carcinoid syndrome is: A. Aortic incompetence B. Mitral stenosis C. Pulmonary incompetence D. Tricuspid incompetence 36 / 50 36. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Tuberculous peritonitis B. Cirrhosis of liver C. Congestive cardiac failure D. Budd-Chiari syndrome 37 / 50 37. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Coarsening of mucosal folds B. Dilatation C. Loss of mucosal pattern D. Segmentation and clumping 38 / 50 38. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Campylobacter C. Clostridium perfringens D. Shigella 39 / 50 39. Octreotide can be used in all except: A. Short bowel syndrome B. Ulcerative colitis C. Pancreatic ascites D. Oesophageal variceal bleeding 40 / 50 40. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperamylasaemia B. Hyperlipidaemia C. Hypergastrinaemia D. Hypercalcaemia 41 / 50 41. All are examples of APUDomas except: A. Medullary carcinoma of thyroid gland B. Phaeochromocytoma C. Melanoma D. Hepatoma 42 / 50 42. Acid peptic disease is rarely found in: A. Chronic obstructive pulmonary disease B. Pregnancy C. Polycythaemia vera D. Cushing's syndrome 43 / 50 43. H. pylori is usually not associated with: A. Zollinger-Ellison syndrome B. Non-ulcer dyspepsia C. Gastric lymphoma D. Antral gastritis 44 / 50 44. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Mucinous carcinoma D. Cystadenocarcinoma 45 / 50 45. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Theophylline C. Colchicine D. Sorbitol 46 / 50 46. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Sheehan's syndrome B. Depression C. Schizophrenia D. Anorexia nervos 47 / 50 47. The weight of normal daily stool of a healthy adult is: A. 300-400 g B. 700-800 g C. 100-200 g D. 500-600 g 48 / 50 48. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Renal insufficiency C. Acute intermittent porphyria D. Burns 49 / 50 49. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Reflux oesophagitis C. Hiatal hernia D. Oesophageal carcinoma 50 / 50 50. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Infectious mononucleosis C. Ludwig's angina D. Streptococcal infection LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology