Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Massive dose of estrogen B. Tetracycline C. Amiodarone D. Nifedipine 2 / 50 2. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Offensive stool C. Absence of tenesmus D. Onset with purging 3 / 50 3. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Shigella C. Campylobacter D. Clostridium perfringens 4 / 50 4. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Bromsulphalein (BSP) excretion test C. Serum bilirubin assay D. Level of transaminases 5 / 50 5. The commonest cause of colonic obstruction is: A. Hernia B. Adhesions C. Neoplasm D. Volvulus 6 / 50 6. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Wegener's granulomatosis C. Crescentic glomerulonephritis D. Primary sclerosing cholangitis 7 / 50 7. Mucosal immunity is mainly due to: A. IgM B. IgA C. IgG D. IgD 8 / 50 8. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. Related structurally to histamine C. May produce benign intracranial hypertension D. May cause mild elevation of serum transaminases and creatinine levels 9 / 50 9. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Hepatic flexure C. Transverse colon D. Ascending colon 10 / 50 10. Crohn’s disease may be complicated by all except: A. Hydroureter B. Clubbing C. Amyloidosis D. Chronic cholecystitis 11 / 50 11. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Meconium ileus C. Tetany D. Malabsorption 12 / 50 12. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. CT scan B. Ultrasonography C. ERCP D. HIDA scan 13 / 50 13. The most reliable screening test for patients suffering from malabsorption is: A. Quantitative determination of faecal fat B. Radioactive triolein absorption (breath) test C. D-xylose absorption test D. Small intestinal X-rays 14 / 50 14. Tropical sprue may be associated with all except: A. Treatment is done satisfactorily by intestinal resection B. Partial villous atrophy is more common than subtotal villous atrophy C. Patchy lesion D. Malabsorption 15 / 50 15. Pyloric stenosis may be complicated by: A. Acidosis B. Hyperchloraemia C. Hypochloraemic alkalosis D. Hyperkalaemia 16 / 50 16. A desire for defaecation is initiated by: A. Contraction of the rectum B. Contraction of the internal anal sphincter C. Distention of the sigmoid colon D. Distention of the rectum 17 / 50 17. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Jaundice C. Haematemesis D. Arthralgia 18 / 50 18. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Towards umbilicus C. Above downwards D. Below upwards 19 / 50 19. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Gastro-esophageal reflux disease C. Pancreatitis D. Haemorrhoids 20 / 50 20. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. More than 1 litre D. 250-500 ml 21 / 50 21. Lower oesophageal sphincter is relaxed by: A. Protein meal B. Gastrin C. Beta-adrenergic agonist D. Metoclopramide 22 / 50 22. Which is true regarding Vincent’s angina? A. Hiatus hernia may be associated with B. May be complicated by angina pectoris C. Superficial ulcers in mouth D. Gum is the principal site of affection 23 / 50 23. The weight of normal daily stool of a healthy adult is: A. 300-400 g B. 100-200 g C. 500-600 g D. 700-800 g 24 / 50 24. Carbenoxolone sodium may be associated with all of the following features except: A. Development of systemic hypertension B. May be associated with milk-alkali syndrome C. Complicated by oedema D. Development of potassium depletion 25 / 50 25. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Gluten-free diet C. Antibiotics D. Folic acid 26 / 50 26. Secretin is produced in largest quantities in: A. Ileum B. Jejunum C. Duodenum D. Stomach 27 / 50 27. Carcinoid syndrome: A. Produces jaundice B. Is multiple in 1/5th cases C. More common in women D. Increases BP 28 / 50 28. Malabsorption may produce all of the following except: A. Loss of libido B. Achlorhydria C. Cheilosis D. Peripheral neuropathy 29 / 50 29. The commonest micro-organism responsible for cholangitis is: A. E. coli B. Streptococcus faecalis C. Salmonella D. Klebsiella pneumoniae 30 / 50 30. Which of the following is not a cause of hyperamylasaemia? A. Acute intermittent porphyria B. Pseudopancreatic cyst C. Renal insufficiency D. Burns 31 / 50 31. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Raised wedged hepatic venous pressure C. Congenital hepatic fibrosis is an example D. Blocked hepatic vein 32 / 50 32. The classical triad in carcinoid syndrome is: A. Flushing, diarrhoea, valvular heart disease B. Pruritus, wheezing, diarrhoea C. Telangiectasias, flushing, diarrhoea D. Dyspnoea, flushing, valvular heart disease 33 / 50 33. Regarding Meckel’s diverticulum, which one is false? A. Present in 2% population B. May contain oesophageal or rectal mucosa C. Usually 5 cm long D. Present within 100 cm of the ileocaecal valve 34 / 50 34. Calcification of spleen is seen in: A. Thalassemia B. Tropical splenomegaly syndrome C. Malaria D. Hydatid cyst 35 / 50 35. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Protein-losing enteropathy C. Irritable bowel syndrome D. Cirrhosis of liver 36 / 50 36. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 15 ml C. 30 ml D. 75 ml 37 / 50 37. All of the following are true regarding diverticulitis except: A. Right side of colon is less affected than the left B. Perforation is a serious complication C. Massive rectal bleeding is very common D. Males are affected more than females 38 / 50 38. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Medullary sponge kidney C. Endocardial fibroelastosis D. Atrial septal defect 39 / 50 39. Carcinoma of oesophagus may be predisposed by alt except: A. Plummer-Vinson syndrome B. Lye ingestion C. Hypervitaminosis A D. Chronic achalasia cardia 40 / 50 40. Necrolytic migratory erythema is a feature of: A. Insulinoma B. Carcinoid syndrome C. Hepatoblastoma D. Glucagonoma 41 / 50 41. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Stomach biopsy C. Lymph node biopsy D. Rectal biopsy 42 / 50 42. ‘String sign’ in Crohn’s disease is due to: A. Spasm B. Small ulceration C. Pseudopolyps D. Fistula 43 / 50 43. Commonest cause of duodenal haematoma is: A. Trauma B. Anticoagulant therapy C. Acute leukaemia D. Haemophilia 44 / 50 44. All of the following are true regarding right-sided colonic carcinoma except: A. Anaemia B. Cachexia C. Pain abdomen D. Alteration of bowel habit 45 / 50 45. What is true about Weil’s disease? A. Myocarditis may be a complication B. Liver biopsy is diagnostic C. Leucopenia D. Low glucose in CSF 46 / 50 46. Which of the following is not true in lupoid hepatitis? A. High risk of developing hepatoma B. ANA is positive in majority C. Associated with other autoimmune diseases D. Cushingoid face 47 / 50 47. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Pyoderma gangrenosum C. Sclerosing cholangitis D. Uveitis 48 / 50 48. Regarding H. pylori, which statement is false? A. It penetrates within the epithelial cells of the stomach B. Multiflagellated C. Often resides in the dental plaques of the patient D. Gram-negative bacillus 49 / 50 49. Michaelis-Gutmann bodies are found in: A. Diverticulosis of colon B. Pneumatosis cystoides intestinalis C. Malakoplakia of colon D. Pseudomyxoma peritonei 50 / 50 50. 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 bilirubin D. Serum transaminases LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology