Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. 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 2 / 50 2. Malignant potential is least in: A. Peutz-Jeghers syndrome B. Familial colonic polyposis C. Ulcerative colitis D. Villous adenoma of colon 3 / 50 3. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Breast C. Colon D. Prostate 4 / 50 4. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Haemolytic anaemia C. Sickle cell disease D. Coeliac disease 5 / 50 5. Hour-glass stomach is usually produced by: A. Lymphoma B. Developmental anomaly C. Syphilis D. Gastric ulcer 6 / 50 6. Menetrier’s disease may have all of the following except: A. Hypochlorhydria B. Gastritis C. Hypoproteinaemia D. Large tortuous gastric mucosal folds 7 / 50 7. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Protein-losing enteropathy C. Cirrhosis of liver D. Chronic pancreatitis 8 / 50 8. Acute pancreatitis may be caused by: A. Legionella pneumoniae B. Measles C. Propranolol D. Thiazides 9 / 50 9. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Endoscopic sphincterotomy and stone removal C. Bile or pancreatic cytology D. Best visualisation of cystic duct 10 / 50 10. 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 11 / 50 11. Gum hypertrophy is not a feature of: A. Carbamazepine therapy B. Amlodipine therapy C. Scurvy D. Acute monocytic leukaemia 12 / 50 12. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Chenodeoxycholic acid B. Deoxycholic acid C. Cholic acid D. Lithocholic acid 13 / 50 13. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Hyperparathyroidism C. Pituitary adenomas D. Medullary carcinoma of thyroid 14 / 50 14. In coeliac sprue, which of the following is non-deficient in the body? A. Serum albumin B. Folic acid C. Vitamin B12 D. Iron 15 / 50 15. Fats are ingested primarily in the form of: A. Triglycerides B. Diglycerides C. Fatty acids D. Monoglycerides 16 / 50 16. Which segment of the Gl tract is most susceptible to volvulus? A. Sigmoid colon B. Small intestine C. Stomach D. Caecum 17 / 50 17. 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. 2nd day B. 1st day C. 3rd day D. 7th day 18 / 50 18. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Crohn's disease C. Irritable bowel syndrome D. Coeliac disease 19 / 50 19. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Flaccid muscles C. Babinski's sign D. Presence of ankle clonus 20 / 50 20. Which light source produces best photodecomposition of bilirubin? A. Moonlight B. Sunlight C. Ultraviolet D. Fluorescent 21 / 50 21. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Vitamin B12 C. Folate D. Fe++ 22 / 50 22. Gardner’s syndrome may be associated with all except: A. Fibromas B. Astrocytoma C. Epidermoid cyst D. Osteomas 23 / 50 23. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Clinically not significant C. A premalignant condition D. Commonly seen 24 / 50 24. Geographic tongue is ideally treated by: A. Iron B. Folic acid C. None of the above D. Vitamin B-complex 25 / 50 25. Bentiromide test diagnoses? A. Pancreatic carcinoma B. Exocrine pancreatic function C. Endocrine pancreatic function D. Pancreatic ductal obstruction 26 / 50 26. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Crypt abscess B. Granuloma C. Transmural involvement D. Fibrosis 27 / 50 27. Which one of the following is false regarding type B hepatitis serology? A. Anti-HBs appear to reflect immunity B. IgG anti-HBc indicates acute hepatitis B virus infection C. Persistence of HBsAg>6 months implies carrier state D. HBeAg implies high infectivity 28 / 50 28. Diarrhoea may be associated with all except: A. Digitalis B. Colchicine C. Clindamycin D. Sucralfate 29 / 50 29. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Amenorrhoea C. Loss of axillary and pubic hair D. Carotenaemia 30 / 50 30. Cholangiocarcinoma may be associated with: A. Cholelithiasis B. Tinea echinococcus infestation C. Biliary atresia D. Ulcerative colitis 31 / 50 31. Which endocrine disorder is associated with exudative ascites? A. Hypothyroidism B. Conn's syndrome C. Addison's disease D. Hyperparathyroidism 32 / 50 32. Mid-zonal necrosis of liver is caused by: A. Eclampsia B. Phosphorus poisoning C. Carbon tetrachloride D. Yellow fever 33 / 50 33. Tegaserod is used in: A. Coeliac disease B. Irritable bowel syndrome C. Gastro-esophageal reflux disease D. Ulcerative colitis 34 / 50 34. One of the earliest manifestations of cystic fibrosis is: A. Meconium ileus B. Tetany C. Malabsorption D. Gram-negative sepsis 35 / 50 35. Secretin is produced in largest quantities in: A. Duodenum B. Stomach C. Jejunum D. Ileum 36 / 50 36. Octreotide can be used in all except: A. Ulcerative colitis B. Oesophageal variceal bleeding C. Short bowel syndrome D. Pancreatic ascites 37 / 50 37. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Ileum C. Stomach D. Colon 38 / 50 38. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Wegener's granulomatosis C. Crescentic glomerulonephritis D. Primary sclerosing cholangitis 39 / 50 39. Mallory-Weiss syndrome is commonly seen accompanying: A. Oesophageal carcinoma B. Alcoholism C. Reflux oesophagitis D. Hiatal hernia 40 / 50 40. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Hypervitaminosis D C. Paget's disease D. Metastasis in liver 41 / 50 41. Which is true regarding irritable bowel syndrome? A. Nocturnal pain abdomen is frequent complaint B. Temporary relief of pain by the passage of flatus or stool C. Pain abdomen usually lasts for 1/2 hour D. Periodicity is common 42 / 50 42. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. CT scan of liver B. Contrast-enhanced echocardiography C. Pulmonary angiography D. MRI scan of liver 43 / 50 43. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Level of transaminases B. Serum bilirubin assay C. Serum albumin estimation D. Bromsulphalein (BSP) excretion test 44 / 50 44. Water is minimally absorbed from: A. Ascending colon B. Descending colon C. Transverse colon D. Caecum 45 / 50 45. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Acute viral hepatitis D. Pyogenic liver abscess 46 / 50 46. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Pancreatitis B. Diverticulosis C. Gastro-esophageal reflux disease D. Haemorrhoids 47 / 50 47. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Congenital hepatic fibrosis B. Oral contraceptive pills C. Right atrial myxoma D. Antiphospholipid syndrome 48 / 50 48. All of the following may be associated with diarrhoea except: A. Sorbitol B. Theophylline C. Amitriptyline D. Colchicine 49 / 50 49. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Sigmoidoscopy B. Stool smear C. Barium enema D. Stool culture 50 / 50 50. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Cyst C. Metastatic tumour D. Amyloid LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology