Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Haemosiderosis C. Micronodular cirrhosis D. Macronodular cirrhosis 2 / 50 2. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Barium study of the small intestine reveals 'thumbprinting' C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Severe periumbilical pain at the onset 3 / 50 3. Pruritus associated with cholestasis is mostly seen: A. In males B. After a cold bath C. At daytime D. On the palms and soles 4 / 50 4. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Domperidone C. Cisapride D. Metoclopramide 5 / 50 5. Regarding ulcerative colitis, which is true? A. Segmental involvement is common B. Crypt abscesses are typical C. Malignancy never follows even in long-standing disease D. Granuloma and fistula formation are characteristic 6 / 50 6. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Medullary carcinoma of thyroid C. Hyperparathyroidism D. Pituitary adenomas 7 / 50 7. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DR4 C. HLA-DQ1 D. HLA-DR3 8 / 50 8. Pyrosis is better known as: A. Retching B. Water brash C. Heartburn D. Singultus 9 / 50 9. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Amyloid C. Metastatic tumour D. Cyst 10 / 50 10. 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 11 / 50 11. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 85% of the total serum bilirubin is unconjugated B. > 70% of the total serum bilirubin is unconjugated C. > 60% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 12 / 50 12. Incidence of stress ulcers in acutely traumatised patients is: A. 90-100% B. 30-40% C. 70-80% D. 50-60% 13 / 50 13. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Gastrinoma C. Somatostatinoma D. Glucagonoma 14 / 50 14. Fats are ingested primarily in the form of: A. Fatty acids B. Diglycerides C. Triglycerides D. Monoglycerides 15 / 50 15. Malignant potential is least in: A. Villous adenoma of colon B. Ulcerative colitis C. Familial colonic polyposis D. Peutz-Jeghers syndrome 16 / 50 16. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypergastrinaemia B. Hypercalcaemia C. Hyperlipidaemia D. Hyperamylasaemia 17 / 50 17. Botulism may be associated with all of the following except: A. Diplopia B. Increased salivation C. Descending paralysis D. Constipation 18 / 50 18. ‘String sign’ in Crohn’s disease is due to: A. Pseudopolyps B. Fistula C. Small ulceration D. Spasm 19 / 50 19. Amino acids malabsorption is seen in: A. Homocystinuria B. Phenylketonuria C. Cystinuria D. Alkaptonuria 20 / 50 20. Which cardiovascular disorder is not associated with steatorrhoea? A. Left atrial myxoma B. Constrictive pericarditis C. Mesenteric vascular insufficiency D. Congestive cardiac failure 21 / 50 21. Which of the following clotting factors is not produced in the liver? A. IV B. II C. V D. VII 22 / 50 22. Hepatocellular jaundice does not result from: A. Rifampicin B. Halothane C. Copper sulphate D. Gliclazide 23 / 50 23. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum transaminases C. Serum bilirubin D. Serum albumin 24 / 50 24. Weil’s disease is associated with: A. Absence of renal involvement B. Leucopenia with lymphocytosis C. Jaundice in all D. Severe muscle pain 25 / 50 25. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma creatinine ratio >30 B. Slow-onset azotaemia in chronic liver disease C. Urine to plasma osmolality ratio >1.0 D. Urine Na+ concentration >10 mEq/dl 26 / 50 26. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 27 / 50 27. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Gastric bypass B. Jejunoileal bypass C. Vagotomy D. Pyloroplasty 28 / 50 28. Macroglossia is not found in: A. Bulbar palsy B. Hurler syndrome C. Primary amyloidosis D. Myxoedema 29 / 50 29. The commonest site of carcinoid tumour is: A. Appendix B. Stomach C. Colon D. Ileum 30 / 50 30. Tropical sprue may be associated with all except: A. Partial villous atrophy is more common than subtotal villous atrophy B. Patchy lesion C. Malabsorption D. Treatment is done satisfactorily by intestinal resection 31 / 50 31. Serum alkaline phosphatase is increased in alt except: A. Osteoporosis B. Sclerosing cholangitis C. Paget's disease of bone D. Osteomalacia 32 / 50 32. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Mallory-Weiss syndrome C. Duodenal ulcer D. Acute gastritis 33 / 50 33. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Chronic cor pulmonale C. Juvenile polyposis coli D. Atrial septal defect 34 / 50 34. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Alcohol abuse C. Protein-energy malnutrition D. Hyperthyroidism 35 / 50 35. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Dubin-Johnson syndrome C. Reye's syndrome D. Gilbert's syndrome 36 / 50 36. Which light source produces best photodecomposition of bilirubin? A. Ultraviolet B. Moonlight C. Fluorescent D. Sunlight 37 / 50 37. Symptoms of carcinoma of the left colon include all except: A. Cramps in the abdomen B. Melena C. Altered bowel habits D. Low back pain 38 / 50 38. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Rectal prolapse and straining by patient are common associations C. Surgery by resection rectopexy may be done D. Rectal bleeding and tenesmus are common 39 / 50 39. Regarding haematochezia, which one is false? A. Passage of bright red blood per rectum B. The blood may not be mixed with stool C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. Bleeding source is proximal to ligament of Treitz 40 / 50 40. Necrolytic migratory erythema is a feature of: A. Carcinoid syndrome B. Insulinoma C. Hepatoblastoma D. Glucagonoma 41 / 50 41. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Amenorrhoea C. Loss of axillary and pubic hair D. Hypothermia 42 / 50 42. Acute pancreatitis may be caused by: A. Measles B. Propranolol C. Legionella pneumoniae D. Thiazides 43 / 50 43. The inheritance of cystic fibrosis is: A. Autosomal recessive B. Sex-linked recessive C. Autosomal dominant D. Sex-linked dominant 44 / 50 44. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of haemoglobin C. Ineffective erythropoiesis D. Breakdown of myoglobin 45 / 50 45. What percentage of Zollinger-Ellison syndrome are malignant? A. 30% B. 40% C. 20% D. 60% 46 / 50 46. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Colon D. Breast 47 / 50 47. All of the following may be associated with hyposplenism except: A. Coeliac disease B. Sickle cell disease C. Dermatitis herpetiformi D. Haemolytic anaemia 48 / 50 48. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. Salmonella C. Streptococcus faecalis D. E. coli 49 / 50 49. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Infectious mononucleosis C. Streptococcal infection D. Ludwig's angina 50 / 50 50. The classical triad in carcinoid syndrome is: A. Flushing, diarrhoea, valvular heart disease B. Dyspnoea, flushing, valvular heart disease C. Pruritus, wheezing, diarrhoea D. Telangiectasias, flushing, diarrhoea LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology