Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Night-time somnolence C. Flaccid muscles D. Presence of ankle clonus 2 / 50 2. Gastrin is predominantly secreted from: A. 2nd part of the duodenum B. Antral mucosa C. Fundus of the stomach D. Jejunum 3 / 50 3. Which ion is necessary for the active transport of sugars? A. Calcium B. Magnesium C. Sodium D. Potassium 4 / 50 4. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of dysphagia B. A late complication of vagotomy C. A cause of haematemesis and/ or melaena D. A normal oesophageal anatomy 5 / 50 5. Minimal fluid required to have classical shifting dullness in ascites is: A. 250-500 ml B. 500-1000 ml C. 100-250 ml D. More than 1 litre 6 / 50 6. Achalasia cardia may lead to all except: A. Fibrosis of the lung B. Emphysema C. Pneumonia D. Lung abscess 7 / 50 7. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of myoglobin C. Breakdown of haemoglobin D. Ineffective erythropoiesis 8 / 50 8. Hepatic rub may be found in: A. Hemangioma of liver B. Pyogenic liver abscess C. Acute viral hepatitis D. Hepatic neoplasm 9 / 50 9. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. It penetrates within the epithelial cells of the stomach C. Multiflagellated D. Often resides in the dental plaques of the patient 10 / 50 10. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Duodenal ulcer C. Zollinger-Ellison syndrome D. Lansoprazole therapy 11 / 50 11. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Commonly in the posterior wall of rectum C. Rectal bleeding and tenesmus are common D. Rectal prolapse and straining by patient are common associations 12 / 50 12. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Young women are the main victims C. Barium study of the small intestine reveals 'thumbprinting' D. Abdominal distension with normal peristaltic sound, even with severe infarction 13 / 50 13. The commonest cause of colonic obstruction is: A. Hernia B. Adhesions C. Neoplasm D. Volvulus 14 / 50 14. Carcinoma of the large intestine is mostly found in: A. Caecum B. Ascending colon C. Sigmoid colon D. Transverse colon 15 / 50 15. Non-cirrhotic portal fibrosis may be associated with: A. Oral contraceptives B. Umbilical sepsis C. Sarcoidosis D. Chronic arsenic ingestion 16 / 50 16. Regarding melena, which statement is false? A. Black tarry semisolid stool B. Offensive in odour C. Blood should remain at least 4 hours within the gut D. At least 60 ml of blood is required 17 / 50 17. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Haemorrhoids B. Pancreatitis C. Gastro-esophageal reflux disease D. Diverticulosis 18 / 50 18. Which of the following is not effective to eradicate H. pylori? A. Clarithromycin B. Pantoprazole C. Cefixime D. Tinidazole 19 / 50 19. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Malignancy never follows even in long-standing disease C. Granuloma and fistula formation are characteristic D. Segmental involvement is common 20 / 50 20. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Meconium ileus C. Tetany D. Malabsorption 21 / 50 21. Michaelis-Gutmann bodies are found in: A. Diverticulosis of colon B. Malakoplakia of colon C. Pneumatosis cystoides intestinalis D. Pseudomyxoma peritonei 22 / 50 22. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Hepatitis C C. Hepatitis B D. Cytomegalovirus 23 / 50 23. Aerophagia is commonly found in all except: A. Rapid eating habit B. Chronic anxiety states C. Pyloric stenosis D. Hypochondriac personality 24 / 50 24. The classical triad in carcinoid syndrome is: A. Pruritus, wheezing, diarrhoea B. Flushing, diarrhoea, valvular heart disease C. Dyspnoea, flushing, valvular heart disease D. Telangiectasias, flushing, diarrhoea 25 / 50 25. Whipple’s triad is found in: A. Insulinoma B. Carcinoid syndrome C. Glucagonoma D. Somatostatinoma 26 / 50 26. 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 27 / 50 27. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. At birth B. Over the first 4-6 weeks of life C. During the first 10 days of life D. Within the first 24 hours of birth 28 / 50 28. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Dilatation B. Loss of mucosal pattern C. Coarsening of mucosal folds D. Segmentation and clumping 29 / 50 29. The water content of adult stool is approximately: A. More than 60% B. 40-50% C. 50-60% D. 20-30% 30 / 50 30. The ideal time to give antacids in peptic ulcer disease is: A. With the meals B. One hour after meals and at bedtime C. Just before meals D. Immediately after meals 31 / 50 31. Primary biliary cirrhosis may be associated with all except: A. CREST syndrome B. Autoimmune thyroiditis C. Renal tubular acidosis D. Wilson's disease 32 / 50 32. All of the following endocrine disorders are associated with malabsorption except: A. Carcinoid syndrome B. Hyperparathyroidism C. Diabetes mellitus D. Adrenal insufficiency 33 / 50 33. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Chorea C. Sensory loss D. Grimacing 34 / 50 34. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 40% C. 60% D. 30% 35 / 50 35. Manometric study of the lower oesophagus is important in all except: A. Achalasia cardia B. Polymyositis C. Diffuse oesophageal spasm D. Mallory-Weiss syndrome 36 / 50 36. Leptospirosis can be diagnosed during the 1st week of illness by: A. Urine analysis B. Stool culture C. Agglutination test D. Dark-field examination 37 / 50 37. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Folic acid C. Gluten-free diet D. Antibiotics 38 / 50 38. The commonest site of carcinoid tumour is: A. Stomach B. Appendix C. Colon D. Ileum 39 / 50 39. Which of the following is not a disorder of intestinal motility? A. Ulcerative colitis B. Intestinal pseudo-obstruction C. Diverticulosis D. Irritable bowel syndrome 40 / 50 40. The most reliable method of measuring steatorrhoea is: A. D-xylose absorption test B. Schilling test C. Small intestinal mucosal biopsy D. Fecal fat estimation 41 / 50 41. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Cirrhosis of liver C. Chronic pancreatitis D. Protein-losing enteropathy 42 / 50 42. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Mallory-Weiss syndrome C. Duodenal ulcer D. Ruptured oesophageal varices 43 / 50 43. What is true about Weil’s disease? A. Myocarditis may be a complication B. Low glucose in CSF C. Liver biopsy is diagnostic D. Leucopenia 44 / 50 44. Bentiromide test diagnoses? A. Pancreatic ductal obstruction B. Endocrine pancreatic function C. Exocrine pancreatic function D. Pancreatic carcinoma 45 / 50 45. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. II C. VII D. IX 46 / 50 46. Secretin is produced in largest quantities in: A. Ileum B. Jejunum C. Stomach D. Duodenum 47 / 50 47. Oral mucous membrane may be affected in all except: A. Dermatitis herpetiformis B. Pemphigus Vulgaris C. Stevens-Johnson syndrome D. Lichen planus 48 / 50 48. Calcification of spleen is seen in: A. Hydatid cyst B. Tropical splenomegaly syndrome C. Thalassemia D. Malaria 49 / 50 49. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Jaundice C. Amenorrhoea D. Arthralgia 50 / 50 50. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Occasionally progresses to cirrhosis and liver failure C. Glucocorticoid helps cure D. Typically occurs in overweight, diabetic, hyperlipidemic subjects LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology