Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Polymyositis C. Diffuse oesophageal spasm D. Achalasia cardia 2 / 50 2. Peritonitis may be complicated by all except: A. Acute lung injury B. Haemorrhagic pancreatitis C. Pelvic abscess D. Renal failure 3 / 50 3. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Inferior vena caval obstruction B. Portal hypertension C. Hepatic vein thrombosis D. Superior vena caval obstruction 4 / 50 4. All are major components of intestinal gas except: A. N2 B. Methane C. H2S D. CO2 5 / 50 5. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Coeliac sprue B. Whipple's disease C. Pancreatic insufficiency D. Gastric retention 6 / 50 6. All are examples of APUDomas except: A. Phaeochromocytoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Hepatoma 7 / 50 7. Hepatitis-like features may be seen in therapy with all except: A. INH B. Zidovudine C. Ketoconazole D. Atorvastatin 8 / 50 8. Calcification of spleen is seen in: A. Hydatid cyst B. Malaria C. Thalassemia D. Tropical splenomegaly syndrome 9 / 50 9. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Folate C. Fe++ D. Vitamin B12 10 / 50 10. Commonest cause of duodenal haematoma is: A. Trauma B. Acute leukaemia C. Haemophilia D. Anticoagulant therapy 11 / 50 11. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Malabsorption C. Lactose intolerance D. Inflammation of duodenal and jejunal mucosa 12 / 50 12. Which of the following is not true in lupoid hepatitis? A. Cushingoid face B. ANA is positive in majority C. High risk of developing hepatoma D. Associated with other autoimmune diseases 13 / 50 13. Botulism may be associated with all of the following except: A. Constipation B. Increased salivation C. Diplopia D. Descending paralysis 14 / 50 14. Regarding melena, which statement is false? A. Black tarry semisolid stool B. Blood should remain at least 4 hours within the gut C. Offensive in odour D. At least 60 ml of blood is required 15 / 50 15. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Midgut B. Bronchus C. Hindgut D. Stomach 16 / 50 16. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Gallstone formation C. Pyoderma gangrenosum D. Aphthous stomatitis 17 / 50 17. Commonest cause of hepatoma is: A. Haemochromatosis B. Cirrhosis of liver C. Alcohol D. alpha1-antitrypsin deficiency 18 / 50 18. Which indicates chronicity in hepatitis B virus infection? A. Anti-HBs B. DNA polymerase C. IgG anti-HBc D. HBeAg 19 / 50 19. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Pseudopancreatic cyst C. Acute intermittent porphyria D. Burns 20 / 50 20. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Anorexia nervos B. Depression C. Schizophrenia D. Sheehan's syndrome 21 / 50 21. Hepatic rub may be found in: A. Acute viral hepatitis B. Pyogenic liver abscess C. Hepatic neoplasm D. Hemangioma of liver 22 / 50 22. Endopeptidases include all except: A. Elastase B. Trypsin C. Chymotrypsin D. Carboxypeptidase 23 / 50 23. Which of the following is false regarding cholera? A. Onset with purging B. Subnormal Surface temperature C. Offensive stool D. Absence of tenesmus 24 / 50 24. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Phenylketonuria D. Alkaptonuria 25 / 50 25. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Breast C. Colon D. Prostate 26 / 50 26. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Reflux oesophagitis C. Hiatal hernia D. Oesophageal carcinoma 27 / 50 27. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Endocardial fibroelastosis C. Medullary sponge kidney D. Atrial septal defect 28 / 50 28. Which endocrine disorder is associated with exudative ascites? A. Conn's syndrome B. Addison's disease C. Hypothyroidism D. Hyperparathyroidism 29 / 50 29. Carbenoxolone sodium may be associated with all of the following features except: A. Development of systemic hypertension B. Complicated by oedema C. May be associated with milk-alkali syndrome D. Development of potassium depletion 30 / 50 30. Sialorrhoea is associated with all of the following except: A. Achalasia cardia B. Carcinoma of the tongue C. Wilson's disease D. Post-encephalitic parkinsonism 31 / 50 31. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Stomach B. Jejunum C. Colon D. Ileum 32 / 50 32. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Gastrinoma C. Glucagonoma D. Insulinoma 33 / 50 33. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Massive dose of estrogen C. Nifedipine D. Tetracycline 34 / 50 34. Characteristic of hepatic pre-coma is: A. Presence of ankle clonus B. Babinski's sign C. Flaccid muscles D. Night-time somnolence 35 / 50 35. The commonest site of carcinoid tumour is: A. Appendix B. Colon C. Ileum D. Stomach 36 / 50 36. What is true about Weil’s disease? A. Low glucose in CSF B. Myocarditis may be a complication C. Liver biopsy is diagnostic D. Leucopenia 37 / 50 37. Which is not an indication of liver transplantation? A. Tyrosinaemia B. Primary sclerosing cholangitis C. Hereditary oxalosis D. Haemangioma of liver 38 / 50 38. Extraintestinal amoebiasis may involve all except: A. Heart B. Vulva C. Meninges with encephalon D. Skin 39 / 50 39. Crohn’s disease may be complicated by all except: A. Hydroureter B. Chronic cholecystitis C. Clubbing D. Amyloidosis 40 / 50 40. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Feeding of a standard mea C. Calcium infusion test D. Histamine injection test 41 / 50 41. Normal faecal fat is defined as: A. < 15 g for 24 hr B. < 12 g for 24 hrs C. < 6 g for 24 hrs D. < 9 g for 24 hrs 42 / 50 42. Melanosis coli indicates: A. Crohn's disease B. Hypereosinophilic enteritis C. Anthraquinone laxative abuse D. Melanoma affecting colon 43 / 50 43. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. MRI of brain C. EEG D. Evoked potential study 44 / 50 44. Regarding ischaemic colitis, which one is true? A. Almost always an occlusive disease of mesenteric vessels B. Angiography is not helpful C. Affects young population D. Rectal bleeding is a rare complication 45 / 50 45. Michaelis-Gutmann bodies are found in: A. Pseudomyxoma peritonei B. Malakoplakia of colon C. Pneumatosis cystoides intestinalis D. Diverticulosis of colon 46 / 50 46. Raspberry tongue is found in: A. Rheumatic fever B. Glandular fever C. Yellow fever D. Scarlet fever 47 / 50 47. The commonest cause of metastasis to the wall of the stomach is: A. Hepatoma B. Carcinoma of breast C. Melanoma D. Carcinoma of thyroid 48 / 50 48. Gastrin is predominantly secreted from: A. Fundus of the stomach B. Antral mucosa C. Jejunum D. 2nd part of the duodenum 49 / 50 49. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Chronic pancreatitis D. Protein-losing enteropathy 50 / 50 50. The classical triad in carcinoid syndrome is: A. Dyspnoea, flushing, valvular heart disease B. Pruritus, wheezing, diarrhoea C. Flushing, diarrhoea, valvular heart disease D. 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