Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Granuloma B. Fibrosis C. Crypt abscess D. Transmural involvement 2 / 50 2. All of the following may cause traveller’s diarrhoea except: A. Campylobacter jejuni B. Enterotoxigenic E. coli C. Clostridium difficile D. Rota and Norwalk viruses 3 / 50 3. Normal faecal fat is defined as: A. < 6 g for 24 hrs B. < 12 g for 24 hrs C. < 15 g for 24 hr D. < 9 g for 24 hrs 4 / 50 4. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Chronic arsenic ingestion C. Oral contraceptives D. Sarcoidosis 5 / 50 5. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Alpha C. Non-beta D. Beta 6 / 50 6. The valvular heart disease common in carcinoid syndrome is: A. Mitral stenosis B. Tricuspid incompetence C. Aortic incompetence D. Pulmonary incompetence 7 / 50 7. Which of the following is false regarding cholera? A. Absence of tenesmus B. Offensive stool C. Subnormal Surface temperature D. Onset with purging 8 / 50 8. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Metastatic carcinoma C. Tuberculosis D. Sarcoidosis 9 / 50 9. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Stomach biopsy B. Lymph node biopsy C. Rectal biopsy D. Liver biopsy 10 / 50 10. The inheritance of cystic fibrosis is: A. Sex-linked recessive B. Autosomal dominant C. Autosomal recessive D. Sex-linked dominant 11 / 50 11. The presence of hepatic bruit over the liver suggests: A. Portal hypertension B. Perihepatitis C. Recent liver biopsy D. Hepatoma 12 / 50 12. The commonest cause of anaemia after peptic ulcer surgery is: A. Iron deficiency B. Folic acid deficiency C. Vitamin B12 deficiency D. Hemolysis 13 / 50 13. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Salt and water B. Ca++ C. Vitamin B12 D. Fat 14 / 50 14. Tropical sprue may be associated with all except: A. Malabsorption B. Partial villous atrophy is more common than subtotal villous atrophy C. Treatment is done satisfactorily by intestinal resection D. Patchy lesion 15 / 50 15. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ileocaecal region C. Right colic flexure D. Ampulla of Vater 16 / 50 16. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Folic acid B. Broad-spectrum antibiotics C. Vitamin D. Iron 17 / 50 17. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic pseudocyst C. Pancreatic phlegmon D. Pancreatic ascites 18 / 50 18. Secretin is produced in largest quantities in: A. Stomach B. Duodenum C. Jejunum D. Ileum 19 / 50 19. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Wegener's granulomatosis B. Ulcerative colitis C. Crescentic glomerulonephritis D. Primary sclerosing cholangitis 20 / 50 20. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. Copper deposition in Descemet's membrane C. The inferior pole of cornea is first affected D. Hampers vision 21 / 50 21. The major site of bile salt absorption is: A. Distal small intestine B. Duodenum C. Stomach D. Proximal small intestine 22 / 50 22. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Pancreatic carcinoma C. Hyperthyroidism D. Protein-energy malnutrition 23 / 50 23. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. II C. IX D. VII 24 / 50 24. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Segmentation and clumping B. Coarsening of mucosal folds C. Dilatation D. Loss of mucosal pattern 25 / 50 25. Gluten-free diet is beneficial in: A. Pemphigus B. Atopic eczema C. Psoriasis D. Dermatitis herpetiformis 26 / 50 26. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Insulinoma C. Gastrinoma D. Glucagonoma 27 / 50 27. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. H2-receptor antagonists C. Coating agents like sucralfate D. Prostaglandins like misoprostol 28 / 50 28. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Attacks of emotional stress C. Induction of vomiting D. Consumption of food 29 / 50 29. The ideal time to give antacids in peptic ulcer disease is: A. With the meals B. Just before meals C. Immediately after meals D. One hour after meals and at bedtime 30 / 50 30. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Hypochlorhydria C. Cirrhosis of liver D. Vitamin B12 malabsorpfion 31 / 50 31. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. Contrast-enhanced echocardiography C. MRI scan of liver D. CT scan of liver 32 / 50 32. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Duodenal ulcer C. Ruptured oesophageal varices D. Acute gastritis 33 / 50 33. Acute pancreatitis may eventually lead to all of the following except: A. Acute lung injury B. Renal failure C. Disseminated intravascular coagulation D. Fulminant hepatocellular failure 34 / 50 34. Which of the following is not a variety of osmotic diarrhoea? A. Lactase deficiency B. Laxative abuse C. Whipple's disease D. Coeliac disease 35 / 50 35. The commonest cause of chronic relapsing pancreatitis is: A. Infection B. Alcohol abuse C. Gallstones D. Trauma 36 / 50 36. Weil’s disease is associated with: A. Jaundice in all B. Severe muscle pain C. Absence of renal involvement D. Leucopenia with lymphocytosis 37 / 50 37. Mid-zonal necrosis of liver is caused by: A. Carbon tetrachloride B. Yellow fever C. Eclampsia D. Phosphorus poisoning 38 / 50 38. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. Anaerobes C. Streptococcus faecalis D. E. coli 39 / 50 39. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Somatostatin C. Propranolol D. Nitroglycerines 40 / 50 40. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Pancreatic gastrinomas are most common in the head of the pancreas C. Majority of tumours are biologically malignant D. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas 41 / 50 41. All of the following are true regarding diverticulitis except: A. Males are affected more than females B. Massive rectal bleeding is very common C. Perforation is a serious complication D. Right side of colon is less affected than the left 42 / 50 42. Macroglossia is not found in: A. Bulbar palsy B. Myxoedema C. Hurler syndrome D. Primary amyloidosis 43 / 50 43. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatomegaly B. Ascites C. Upper GI bleeding D. Hepatocellular failure 44 / 50 44. The commonest complaint by a patient with Ca rectum is: A. Constipation B. Rectal pain C. Haematochezia D. Pain abdomen 45 / 50 45. Carcinoid syndrome: A. Produces jaundice B. Increases BP C. More common in women D. Is multiple in 1/5th cases 46 / 50 46. Pseudomembranous colitis is best treated by: A. Erythromycin B. Vancomycin C. Clindamycin D. Tobramycin 47 / 50 47. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Shigella C. Campylobacter D. Clostridium perfringens 48 / 50 48. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. More common in first degree relatives of duodenal ulcer patients C. Increased frequency of blood group O and of the non-secretor status D. An increase in serum pepsinogen II level 49 / 50 49. Portal hypertension associated with soft liver suggests: A. Budd-Chiari syndrome B. Cirrhosis of liver C. Non-cirrhotic portal fibrosis D. Extrahepatic obstruction 50 / 50 50. Gardner’s syndrome may be associated with all except: A. Epidermoid cyst B. Fibromas C. Astrocytoma D. Osteomas LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology