Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The classical triad in carcinoid syndrome is: A. Pruritus, wheezing, diarrhoea B. Telangiectasias, flushing, diarrhoea C. Dyspnoea, flushing, valvular heart disease D. Flushing, diarrhoea, valvular heart disease 2 / 50 2. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough D. Rectal ampulla is empty but tender sigmoid is full of faeces 3 / 50 3. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Ileum C. Stomach D. Colon 4 / 50 4. Carcinoid syndrome: A. Increases BP B. Produces jaundice C. Is multiple in 1/5th cases D. More common in women 5 / 50 5. Late dumping syndrome may be manifested by all except: A. Dizziness B. Postural hypertension C. Confusion D. Diaphoresis 6 / 50 6. 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. 7th day B. 3rd day C. 2nd day D. 1st day 7 / 50 7. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Primary sclerosing cholangitis C. Hereditary oxalosis D. Tyrosinaemia 8 / 50 8. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Lesser curvature B. Antrum C. Cardia D. Body 9 / 50 9. Which one is false regarding irritable bowel syndrome? A. Colicky pain abdomen B. Sense of complete evacuation C. Abdominal distension D. Mucous diarrhoea or pencil-like pasty stools 10 / 50 10. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 70-80% C. 90-100% D. 50-60% 11 / 50 11. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Type of anaemia B. Small intestinal biopsy C. D-xylose absorption test D. Response to treatment 12 / 50 12. The Zollinger-Ellison syndrome is associated with all of the following except: A. Vitamin B12 malabsorption B. Diagnosis with certainty by BAO /MAO ratio C. Diarrhoea and steatorrhoea D. Recalcitrant upper GI ulcers 13 / 50 13. The commonest extraintestinal complication of ulcerative colitis is: A. Sclerosing cholangitis B. Pyoderma gangrenosum C. Arthritis D. Uveitis 14 / 50 14. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Slurred speech C. Grimacing D. Chorea 15 / 50 15. Botulism may be associated with all of the following except: A. Diplopia B. Increased salivation C. Constipation D. Descending paralysis 16 / 50 16. Oral mucous membrane may be affected in all except: A. Lichen planus B. Pemphigus Vulgaris C. Dermatitis herpetiformis D. Stevens-Johnson syndrome 17 / 50 17. Macroglossia is not found in: A. Primary amyloidosis B. Myxoedema C. Hurler syndrome D. Bulbar palsy 18 / 50 18. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. Ultrasonography C. CT scan D. HIDA scan 19 / 50 19. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Carcinoid syndrome C. Whipple's disease D. Systemic mastocytosis 20 / 50 20. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Ca++ B. Fat C. Salt and water D. Vitamin B12 21 / 50 21. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Protein meal C. Gastrin D. Metoclopramide 22 / 50 22. The most common gastrointestinal disorder in a community is: A. Diverticulitis B. Duodenal ulcer C. Irritable bowel syndrome D. Reflux oesophagitis 23 / 50 23. Acid peptic disease is rarely found in: A. Polycythaemia vera B. Pregnancy C. Chronic obstructive pulmonary disease D. Cushing's syndrome 24 / 50 24. Superficial venous flow in portal hypertension is: A. Below upwards B. Away from the umbilicus C. Towards umbilicus D. Above downwards 25 / 50 25. The water content of adult stool is approximately: A. More than 60% B. 20-30% C. 50-60% D. 40-50% 26 / 50 26. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. Streptococcus faecalis C. Klebsiella pneumoniae D. E. coli 27 / 50 27. Mid-zonal necrosis of liver is caused by: A. Phosphorus poisoning B. Eclampsia C. Carbon tetrachloride D. Yellow fever 28 / 50 28. Giardiasis is characterised by all except: A. Malabsorption B. Inflammation of duodenal and jejunal mucosa C. Lactose intolerance D. Infection usually occurs by ingesting contaminated water containing the flagellate form 29 / 50 29. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Stomach biopsy C. Liver biopsy D. Rectal biopsy 30 / 50 30. Which of the following clotting factors is not produced in the liver? A. II B. V C. IV D. VII 31 / 50 31. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Hypervitaminosis D D. Metastasis in liver 32 / 50 32. The commonest cause of post-transfusion hepatitis is: A. Hepatitis D B. Hepatitis B C. Hepatitis E D. Hepatitis C 33 / 50 33. Which of the following infections may produce features like cardiospasm? A. Schistosomiasis B. Trypanosomiasis C. Leishmaniasis D. Trichinosis 34 / 50 34. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with pyloroplasty B. Three-quarter gastric resection C. Gastroenterostomy D. Vagotomy with gastroenterostomy 35 / 50 35. The valvular heart disease common in carcinoid syndrome is: A. Aortic incompetence B. Tricuspid incompetence C. Pulmonary incompetence D. Mitral stenosis 36 / 50 36. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Columnar cells C. Crypts D. Villus 37 / 50 37. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Beta C. Non-beta D. Alpha 38 / 50 38. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. MRI scan of liver C. Contrast-enhanced echocardiography D. CT scan of liver 39 / 50 39. The most reliable method of measuring steatorrhoea is: A. Small intestinal mucosal biopsy B. Schilling test C. D-xylose absorption test D. Fecal fat estimation 40 / 50 40. Secretin is produced in largest quantities in: A. Stomach B. Duodenum C. Ileum D. Jejunum 41 / 50 41. Acute pancreatitis may be caused by: A. Thiazides B. Legionella pneumoniae C. Measles D. Propranolol 42 / 50 42. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. Renal tubular acidosis C. Wilson's disease D. CREST syndrome 43 / 50 43. Which of the following is not a recognized complication of ulcerative colitis? A. Autoimmune haemolytic anaemia B. Sacroiliitis C. Bronchiectasis D. Pyoderma gangrenosum 44 / 50 44. H. pylori is usually not associated with: A. Antral gastritis B. Gastric lymphoma C. Non-ulcer dyspepsia D. Zollinger-Ellison syndrome 45 / 50 45. Regarding cimetidine, all of the following are true except: A. May cause mild elevation of serum transaminases and creatinine levels B. May produce benign intracranial hypertension C. Tender gynecomastia may be a complication after prolonged use D. Related structurally to histamine 46 / 50 46. Granulomatous hepatitis is not a feature of: A. Tuberculosis B. Sarcoidosis C. Blastomycosis D. Metastatic carcinoma 47 / 50 47. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 85% of the total serum bilirubin is unconjugated B. > 50% of the total serum bilirubin is unconjugated C. > 60% of the total serum bilirubin is unconjugated D. > 70% of the total serum bilirubin is unconjugated 48 / 50 48. Portal hypertension associated with soft liver suggests: A. Cirrhosis of liver B. Non-cirrhotic portal fibrosis C. Extrahepatic obstruction D. Budd-Chiari syndrome 49 / 50 49. Raspberry tongue is found in: A. Glandular fever B. Yellow fever C. Rheumatic fever D. Scarlet fever 50 / 50 50. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Dubin-Johnson syndrome B. Rotor syndrome C. Reye's syndrome D. Gilbert's syndrome LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology