GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Deoxycholic acid C. Chenodeoxycholic acid D. Cholic acid 2 / 50 2. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Tetrathiomolybdate C. Penicillamine D. Colchicine 3 / 50 3. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. With the meals C. Just before meals D. Immediately after meals 4 / 50 4. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Hypervitaminosis D C. Paget's disease D. Metastasis in liver 5 / 50 5. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Prostate C. Colon D. Breast 6 / 50 6. Which statement is false regarding duodenal ulcer? A. Increased frequency of blood group O and of the non-secretor status B. An increase in serum pepsinogen II level C. More common in first degree relatives of duodenal ulcer patients D. Increased incidence of HLA-B5 antigen 7 / 50 7. Which is true in halothane-induced. hepatitis? A. Marked cholestasis B. Peripheral eosinophilia C. Males are commonly susceptible D. Splenomegaly 8 / 50 8. Carcinoma of oesophagus may be predisposed by alt except: A. Lye ingestion B. Chronic achalasia cardia C. Hypervitaminosis A D. Plummer-Vinson syndrome 9 / 50 9. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Chronic pancreatitis C. Cirrhosis of liver D. Protein-losing enteropathy 10 / 50 10. 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 11 / 50 11. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Pancreatic gastrinomas are most common in the head of the pancreas C. Majority of tumours are biologically malignant D. Solitary primary tumours are very common 12 / 50 12. Which of the following clotting factors is not produced in the liver? A. IV B. V C. II D. VII 13 / 50 13. Botulism may be associated with all of the following except: A. Increased salivation B. Diplopia C. Constipation D. Descending paralysis 14 / 50 14. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Hyperthyroidism C. Scleroderma D. Diabetes mellitus 15 / 50 15. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Myocarditis C. Polyarteritis nodosa D. Meningitis 16 / 50 16. Tegaserod is used in: A. Gastro-esophageal reflux disease B. Coeliac disease C. Ulcerative colitis D. Irritable bowel syndrome 17 / 50 17. Which segment of the colon is commonly affected by vascular insufficiency? A. Transverse colon B. Ascending colon C. Hepatic flexure D. Splenic flexure 18 / 50 18. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Pantoprazole C. Cefixime D. Clarithromycin 19 / 50 19. All of the following produce “sub-total villous atrophy’ except: A. Coeliac disease B. Radiation C. Abetalipoproteinaemia D. Hypogammaglobulinaemia 20 / 50 20. Hyperdefaecation is found in all except: A. Diabetes mellitus B. Irritable bowel syndrome C. Hyperthyroidism D. Proctitis 21 / 50 21. 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 22 / 50 22. The Kayser-Fleischer (KF) ring is: A. Hampers vision B. Copper deposition in Descemet's membrane C. Broader laterally and medially D. The inferior pole of cornea is first affected 23 / 50 23. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. H1 + H2 receptor antagonist C. Serotonin antagonist D. beta-adrenergic agonist 24 / 50 24. High transaminase levels may be found in all except: A. Chronic pancreatitis B. Right-sided heart failure C. Acute viral hepatitis D. Acute myocardial infarction 25 / 50 25. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Anorexia nervos C. Sheehan's syndrome D. Schizophrenia 26 / 50 26. The single most important point which differentiates tropical sprue from coeliac sprue is: A. D-xylose absorption test B. Response to treatment C. Small intestinal biopsy D. Type of anaemia 27 / 50 27. Endopeptidases include all except: A. Elastase B. Chymotrypsin C. Trypsin D. Carboxypeptidase 28 / 50 28. Geographic tongue is ideally treated by: A. Vitamin B-complex B. Iron C. Folic acid D. None of the above 29 / 50 29. Portal hypertension associated with soft liver suggests: A. Extrahepatic obstruction B. Non-cirrhotic portal fibrosis C. Budd-Chiari syndrome D. Cirrhosis of liver 30 / 50 30. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Severe periumbilical pain at the onset D. Barium study of the small intestine reveals 'thumbprinting' 31 / 50 31. The commonest cause of anaemia after peptic ulcer surgery is: A. Hemolysis B. Folic acid deficiency C. Iron deficiency D. Vitamin B12 deficiency 32 / 50 32. Crohn’s disease may produce all of the following except: A. Jejuno-colic fistula B. Vesicovaginal fistula C. Rectovesical fistula D. Perianal fistula 33 / 50 33. The Zollinger-Ellison syndrome is associated with all of the following except: A. Recalcitrant upper GI ulcers B. Vitamin B12 malabsorption C. Diarrhoea and steatorrhoea D. Diagnosis with certainty by BAO /MAO ratio 34 / 50 34. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Mild, firm hepatomegaly C. Liver biopsy is diagnostic D. Jaundice 35 / 50 35. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgD C. IgA D. IgG 36 / 50 36. The valvular heart disease common in carcinoid syndrome is: A. Mitral stenosis B. Tricuspid incompetence C. Aortic incompetence D. Pulmonary incompetence 37 / 50 37. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-DR3 C. HLA-B8 D. HLA-DQ1 38 / 50 38. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Primary sclerosing cholangitis B. Ulcerative colitis C. Crescentic glomerulonephritis D. Wegener's granulomatosis 39 / 50 39. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Gastro-esophageal reflux disease C. Haemorrhoids D. Pancreatitis 40 / 50 40. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Medullary sponge kidney C. Atrial septal defect D. Retroperitoneal fibrosis 41 / 50 41. H. pylori is usually not associated with: A. Zollinger-Ellison syndrome B. Gastric lymphoma C. Antral gastritis D. Non-ulcer dyspepsia 42 / 50 42. The basic defect in coeliac sprue lies in: A. Protein metabolism B. Carbohydrate metabolism C. Vitamins and minerals absorption D. Fat metabolism 43 / 50 43. All are absorbed maximally in the upper small intestine except: A. Folate B. Ca++ C. Fe++ D. Vitamin B12 44 / 50 44. Carcinoma of the large intestine is mostly found in: A. Ascending colon B. Transverse colon C. Sigmoid colon D. Caecum 45 / 50 45. All of the following are true regarding diverticulitis except: A. Perforation is a serious complication B. Males are affected more than females C. Right side of colon is less affected than the left D. Massive rectal bleeding is very common 46 / 50 46. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Slurred speech C. Grimacing D. Chorea 47 / 50 47. Crohn’s disease may be complicated by all except: A. Chronic cholecystitis B. Amyloidosis C. Hydroureter D. Clubbing 48 / 50 48. Calcification of spleen is seen in: A. Hydatid cyst B. Malaria C. Thalassemia D. Tropical splenomegaly syndrome 49 / 50 49. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. H2-receptor antagonists C. Prostaglandins like misoprostol D. Coating agents like sucralfate 50 / 50 50. Macroglossia is not found in: A. Myxoedema B. Hurler syndrome C. Primary amyloidosis D. Bulbar palsy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology