Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Severe kwashiorkor may have a hepatic lesion in the form of: A. Fatty infiltration B. Hepatitis-like picture C. Hepatic vein thrombosis D. Laennec's cirrhosis 2 / 50 2. Endopeptidases include all except: A. Elastase B. Carboxypeptidase C. Trypsin D. Chymotrypsin 3 / 50 3. Regarding haematochezia, which one is false? A. The blood may not be mixed with stool B. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon C. Passage of bright red blood per rectum D. Bleeding source is proximal to ligament of Treitz 4 / 50 4. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Transmural involvement C. Crypt abscess D. Granuloma 5 / 50 5. Which indicates chronicity in hepatitis B virus infection? A. Anti-HBs B. IgG anti-HBc C. DNA polymerase D. HBeAg 6 / 50 6. Regarding H. pylori, which statement is false? A. It penetrates within the epithelial cells of the stomach B. Often resides in the dental plaques of the patient C. Gram-negative bacillus D. Multiflagellated 7 / 50 7. The commonest cause of anaemia after peptic ulcer surgery is: A. Hemolysis B. Vitamin B12 deficiency C. Iron deficiency D. Folic acid deficiency 8 / 50 8. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Onset with purging C. Absence of tenesmus D. Offensive stool 9 / 50 9. Mid-zonal necrosis of liver is caused by: A. Phosphorus poisoning B. Carbon tetrachloride C. Eclampsia D. Yellow fever 10 / 50 10. The most specific treatment in coeliac sprue is: A. Folic acid B. Antibiotics C. Gluten-free diet D. Corticosteroids 11 / 50 11. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Leucocytosis > 16000/mm3 C. Hyperglycaemia > 200 mg/ dl D. Serum AST> 400 ID /L 12 / 50 12. All are absorbed maximally in the upper small intestine except: A. Vitamin B12 B. Ca++ C. Folate D. Fe++ 13 / 50 13. Which one of the following is false regarding primary biliary cirrhosis? A. Female preponderance B. Clubbing C. Moderate to severe jaundice D. Starts with pruritus 14 / 50 14. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Acute intermittent porphyria C. Pseudopancreatic cyst D. Burns 15 / 50 15. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Consumption of food C. Induction of vomiting D. Attacks of emotional stress 16 / 50 16. All of the following endocrine disorders are associated with malabsorption except: A. Adrenal insufficiency B. Carcinoid syndrome C. Hyperparathyroidism D. Diabetes mellitus 17 / 50 17. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma osmolality ratio >1.0 B. Urine Na+ concentration >10 mEq/dl C. Urine to plasma creatinine ratio >30 D. Slow-onset azotaemia in chronic liver disease 18 / 50 18. Cholangiocarcinoma may be associated with: A. Ulcerative colitis B. Tinea echinococcus infestation C. Cholelithiasis D. Biliary atresia 19 / 50 19. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Emphysema C. Arthritis D. Electrolyte imbalance 20 / 50 20. The best way to diagnose Gilbert’s syndrome is: A. 48 hours fasting with only 300 cal/ day B. Bromsulphalein (BSP) excretion test C. Testing for red blood cell survival D. Liver biopsy 21 / 50 21. Commonest cause of duodenal haematoma is: A. Trauma B. Acute leukaemia C. Haemophilia D. Anticoagulant therapy 22 / 50 22. Silvery stool signifies a lesion characteristic of: A. Ileocaecal region B. Right colic flexure C. Ampulla of Vater D. Meckel's diverticulum 23 / 50 23. Which of the following is false regarding acute appendicitis? A. Anorexia is rare B. The temperature is usually normal or slightly elevated C. Meckel's diverticulitis is one of the close differential diagnosis D. Nausea and vomiting occur in 50-60% of cases 24 / 50 24. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Budd-Chiari syndrome C. Congestive cardiac failure D. Tuberculous peritonitis 25 / 50 25. Geographic tongue is ideally treated by: A. Iron B. Vitamin B-complex C. None of the above D. Folic acid 26 / 50 26. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Hindgut C. Midgut D. Bronchus 27 / 50 27. Chronic gastritis may be associated with all except: A. Antibodies to parietal cells B. Gastro-oesophageal reflux disease C. Intestinal metaplasia D. Gastric atrophy 28 / 50 28. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A cause of haematemesis and/ or melaena C. A cause of dysphagia D. A late complication of vagotomy 29 / 50 29. Protein-losing enteropathy maybe feature of all except: A. Chronic cor pulmonale B. Juvenile polyposis coli C. Intestinal tuberculosis D. Atrial septal defect 30 / 50 30. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Irritable bowel syndrome C. Biliary dyspepsia D. Tropical sprue 31 / 50 31. Crohn’s disease is caused by: A. Autoimmunity B. Nutritional deficiency C. Not known D. Toxin elaborated by infectious microorganisms 32 / 50 32. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Erythema marginatum C. Pyoderma gangrenosum D. Aphthous stomatitis 33 / 50 33. Which is true with respect to irritable bowel syndrome? A. Nocturnal diarrhoea is common B. Commonly affects middle-aged males C. Most common GI disorder in practice D. Easily treatable 34 / 50 34. Hour-glass stomach is usually produced by: A. Gastric ulcer B. Syphilis C. Developmental anomaly D. Lymphoma 35 / 50 35. Pruritus associated with cholestasis is mostly seen: A. At daytime B. After a cold bath C. On the palms and soles D. In males 36 / 50 36. Constipation may develop from all except: A. Clonidine B. Calcium-channel blocker C. Cholestyramine D. Colchicine 37 / 50 37. All of the following may cause traveller’s diarrhoea except: A. Clostridium difficile B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Rota and Norwalk viruses 38 / 50 38. Major organ responsible for the removal of gastrin is: A. Intestine B. Lung C. Kidney D. Liver 39 / 50 39. The inheritance of cystic fibrosis is: A. Autosomal dominant B. Sex-linked dominant C. Autosomal recessive D. Sex-linked recessive 40 / 50 40. Chronic afferent loop syndrome producing obstruction may lead to: A. Hypoglycaemia B. Palpitation C. Steatorrhoea D. Recurrent ulceration 41 / 50 41. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Pancreatic carcinoma C. Protein-energy malnutrition D. Hyperthyroidism 42 / 50 42. The commonest complaint by a patient with Ca rectum is: A. Rectal pain B. Haematochezia C. Constipation D. Pain abdomen 43 / 50 43. Luge gastric folds are seen in all except: A. Gastric malignancy B. Sarcoidosis C. Chronic H. pylori infection D. Menetrier's disease 44 / 50 44. Acute viral hepatitis may develop from all of the following except: A. Herpes zoster virus B. Infectious mononucleosis C. Cytomegalovirus D. Yellow fever 45 / 50 45. Malabsorption may produce all of the following except: A. Loss of libido B. Achlorhydria C. Peripheral neuropathy D. Cheilosis 46 / 50 46. Gastrin is predominantly secreted from: A. Antral mucosa B. 2nd part of the duodenum C. Fundus of the stomach D. Jejunum 47 / 50 47. Gum hypertrophy is not a feature of: A. Acute monocytic leukaemia B. Scurvy C. Amlodipine therapy D. Carbamazepine therapy 48 / 50 48. H. pylori is usually not associated with: A. Zollinger-Ellison syndrome B. Non-ulcer dyspepsia C. Antral gastritis D. Gastric lymphoma 49 / 50 49. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 100-200 g C. 300-400 g D. 500-600 g 50 / 50 50. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 85% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology