Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals 'thumbprinting' B. Young women are the main victims C. Severe periumbilical pain at the onset D. Abdominal distension with normal peristaltic sound, even with severe infarction 2 / 50 2. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Yersinia C. Campylobacter D. Rota virus 3 / 50 3. Latent jaundice may be a feature of all except: A. Tropical sprue B. Acute pulmonary thromboembolism C. Congestive cardiac failure D. Pernicious anaemia 4 / 50 4. Amino acids malabsorption is seen in: A. Homocystinuria B. Phenylketonuria C. Cystinuria D. Alkaptonuria 5 / 50 5. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Lymph node biopsy C. Rectal biopsy D. Stomach biopsy 6 / 50 6. 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 7 / 50 7. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. 'Nutcracker' oesophagus is the mildest form C. Invariably requires surgery D. Chest pain mimics angina pectoris 8 / 50 8. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Clostridium perfringens C. Shigella D. Campylobacter 9 / 50 9. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Clinically not significant C. Commonly seen D. A premalignant condition 10 / 50 10. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Rectal prolapse and straining by patient are common associations C. Rectal bleeding and tenesmus are common D. Commonly in the posterior wall of rectum 11 / 50 11. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum cholesterol C. Serum transaminases D. Serum bilirubin 12 / 50 12. All are examples of APUDomas except: A. Hepatoma B. Phaeochromocytoma C. Medullary carcinoma of thyroid gland D. Melanoma 13 / 50 13. Which indicates chronicity in hepatitis B virus infection? A. Anti-HBs B. DNA polymerase C. HBeAg D. IgG anti-HBc 14 / 50 14. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Glucocorticoid helps cure D. Occasionally progresses to cirrhosis and liver failure 15 / 50 15. Hyperdefaecation is found in all except: A. Irritable bowel syndrome B. Diabetes mellitus C. Proctitis D. Hyperthyroidism 16 / 50 16. Granulomatous hepatitis is not a feature of: A. Tuberculosis B. Metastatic carcinoma C. Blastomycosis D. Sarcoidosis 17 / 50 17. Geographic tongue is ideally treated by: A. Folic acid B. Vitamin B-complex C. Iron D. None of the above 18 / 50 18. Raspberry tongue is found in: A. Scarlet fever B. Yellow fever C. Glandular fever D. Rheumatic fever 19 / 50 19. Regarding ulcerative colitis, which is true? A. Segmental involvement is common B. Granuloma and fistula formation are characteristic C. Malignancy never follows even in long-standing disease D. Crypt abscesses are typical 20 / 50 20. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of haemoglobin B. Rotor syndrome C. Ineffective erythropoiesis D. Breakdown of myoglobin 21 / 50 21. Commonest cause of hepatoma is: A. Haemochromatosis B. Cirrhosis of liver C. Alcohol D. alpha1-antitrypsin deficiency 22 / 50 22. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Amiodarone C. Nifedipine D. Massive dose of estrogen 23 / 50 23. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Hyperglycaemia > 200 mg/ dl C. Leucocytosis > 16000/mm3 D. Serum AST> 400 ID /L 24 / 50 24. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Temporary relief of pain by the passage of flatus or stool C. Nocturnal pain abdomen is frequent complaint D. Pain abdomen usually lasts for 1/2 hour 25 / 50 25. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Congenital hepatic fibrosis is an example B. Raised wedged hepatic venous pressure C. Commonest cause of portal hypertension D. Blocked hepatic vein 26 / 50 26. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Coarsening of mucosal folds B. Loss of mucosal pattern C. Segmentation and clumping D. Dilatation 27 / 50 27. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. 50% of magnesium is absorbed by the small intestine C. Stronger than H2-receptor blockers D. Produces loose stool 28 / 50 28. Water is minimally absorbed from: A. Caecum B. Ascending colon C. Descending colon D. Transverse colon 29 / 50 29. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Ehlers-Danlos syndrome B. Peutz-Jeghers syndrome C. Render-Weber-Osler disease D. Pseudoxanthoma elasticum 30 / 50 30. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Onset with purging C. Offensive stool D. Absence of tenesmus 31 / 50 31. Macroglossia is not found in: A. Myxoedema B. Bulbar palsy C. Primary amyloidosis D. Hurler syndrome 32 / 50 32. Which of the following infections commonly produces hepatic granuloma? A. Leptospira B. LD body C. Brucella abortus D. Pneumococcus 33 / 50 33. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgA B. IgD C. IgG D. IgM 34 / 50 34. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Mallory-Weiss syndrome C. Duodenal ulcer D. Acute gastritis 35 / 50 35. Normal faecal fat is defined as: A. < 12 g for 24 hrs B. < 15 g for 24 hr C. < 6 g for 24 hrs D. < 9 g for 24 hrs 36 / 50 36. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 37 / 50 37. Gardner’s syndrome may be associated with all except: A. Fibromas B. Astrocytoma C. Epidermoid cyst D. Osteomas 38 / 50 38. All of the following enzymes may be normally found in stool except: A. Amylase B. Lipase C. Trypsin D. Pepsin 39 / 50 39. Which part of the colonic carcinoma is very easily overlooked? A. Hepatic flexure B. Splenic flexure C. Transverse colon D. Caecum 40 / 50 40. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. Very high bilirubin level C. Hypoalbuminaemia is very active disease D. AST and ALT levels fluctuate within 100-1000 units 41 / 50 41. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Haematemesis C. Arthralgia D. Jaundice 42 / 50 42. Melanosis coli indicates: A. Melanoma affecting colon B. Anthraquinone laxative abuse C. Crohn's disease D. Hypereosinophilic enteritis 43 / 50 43. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Pancreatic insufficiency C. Zollinger-Ellison syndrome D. Villous adenoma of rectum 44 / 50 44. Which is not an indication of liver transplantation? A. Tyrosinaemia B. Primary sclerosing cholangitis C. Hereditary oxalosis D. Haemangioma of liver 45 / 50 45. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Attacks of emotional stress B. Induction of vomiting C. Consumption of food D. Change of posture 46 / 50 46. The water content of adult stool is approximately: A. 40-50% B. 20-30% C. More than 60% D. 50-60% 47 / 50 47. All of the following are true regarding right-sided colonic carcinoma except: A. Pain abdomen B. Anaemia C. Alteration of bowel habit D. Cachexia 48 / 50 48. Peritonitis may be complicated by all except: A. Acute lung injury B. Pelvic abscess C. Renal failure D. Haemorrhagic pancreatitis 49 / 50 49. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Sacroiliitis C. Autoimmune haemolytic anaemia D. Bronchiectasis 50 / 50 50. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Type of anaemia B. D-xylose absorption test C. Response to treatment D. Small intestinal biopsy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
