GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Gastro-esophageal reflux disease C. Haemorrhoids D. Pancreatitis 2 / 50 2. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Whipple's disease C. Cardnoid syndrome D. Intestinal lymphoma 3 / 50 3. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Within the first 24 hours of birth B. At birth C. During the first 10 days of life D. Over the first 4-6 weeks of life 4 / 50 4. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Zollinger-Ellison syndrome B. Carcinoid syndrome C. Villous adenoma of the colon D. Irritable bowel syndrome 5 / 50 5. Carcinoma of oesophagus may be predisposed by alt except: A. Hypervitaminosis A B. Chronic achalasia cardia C. Plummer-Vinson syndrome D. Lye ingestion 6 / 50 6. Malignant potential is least in: A. Familial colonic polyposis B. Ulcerative colitis C. Peutz-Jeghers syndrome D. Villous adenoma of colon 7 / 50 7. Endopeptidases include all except: A. Elastase B. Carboxypeptidase C. Chymotrypsin D. Trypsin 8 / 50 8. One of the earliest manifestations of cystic fibrosis is: A. Tetany B. Meconium ileus C. Gram-negative sepsis D. Malabsorption 9 / 50 9. Regarding Meckel’s diverticulum, which one is false? A. Present within 100 cm of the ileocaecal valve B. May contain oesophageal or rectal mucosa C. Present in 2% population D. Usually 5 cm long 10 / 50 10. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 70ml B. 120ml C. 200ml D. 270ml 11 / 50 11. The commonest site of carcinoma of the stomach is: A. Prepyloric B. Greater curvature C. Body of the stomach D. Lesser curvature 12 / 50 12. Gastric diverticula are: A. Clinically not significant B. A premalignant condition C. Need immediate upper GI endoscopy D. Commonly seen 13 / 50 13. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Above downwards C. Below upwards D. Towards umbilicus 14 / 50 14. 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. Segmentation and clumping C. Loss of mucosal pattern D. Dilatation 15 / 50 15. Carcinoid syndrome: A. Produces jaundice B. Increases BP C. Is multiple in 1/5th cases D. More common in women 16 / 50 16. Peritonitis may be complicated by all except: A. Pelvic abscess B. Acute lung injury C. Renal failure D. Haemorrhagic pancreatitis 17 / 50 17. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Bromsulphalein (BSP) excretion test B. Serum bilirubin assay C. Level of transaminases D. Serum albumin estimation 18 / 50 18. The definitive test for diagnosis of haemochromatosis is: A. Plasma iron >300 μg/ dl B. Hepatic iron index >1.5 C. Liver biopsy D. TIBC < 200 μg/dl 19 / 50 19. Oral mucous membrane may be affected in all except: A. Pemphigus Vulgaris B. Dermatitis herpetiformis C. Lichen planus D. Stevens-Johnson syndrome 20 / 50 20. Manometric study of the lower oesophagus is important in all except: A. Achalasia cardia B. Polymyositis C. Diffuse oesophageal spasm D. Mallory-Weiss syndrome 21 / 50 21. WBC in stool is not found in: A. Giardiasis B. Shigella C. Campylobacter D. Entero-invasive E. coli 22 / 50 22. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Anorexia nervos C. Schizophrenia D. Sheehan's syndrome 23 / 50 23. Which segment of the colon is commonly affected by vascular insufficiency? A. Transverse colon B. Ascending colon C. Hepatic flexure D. Splenic flexure 24 / 50 24. All of the following produce invasive diarrhoea except: A. Shigella B. Campylobacter C. Clostridium difficile D. Clostridium perfringens 25 / 50 25. The commonest cause of metastasis to the wall of the stomach is: A. Melanoma B. Carcinoma of breast C. Carcinoma of thyroid D. Hepatoma 26 / 50 26. Calcification of spleen is seen in: A. Thalassemia B. Tropical splenomegaly syndrome C. Hydatid cyst D. Malaria 27 / 50 27. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. Commonly precipitated by vomiting and retching C. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction D. In majority of patients, bleeding stops spontaneously 28 / 50 28. Hepatic amoebiasis is associated with all except: A. Jaundice is present in majority B. May lead to the development of an amoebic liver abscess C. Right lower intercostal tenderness D. Abscess commonly affects the right lobe 29 / 50 29. Hepatic rub may be found in: A. Acute viral hepatitis B. Hepatic neoplasm C. Pyogenic liver abscess D. Hemangioma of liver 30 / 50 30. All of the following are methods for detection of H. pylori except: A. Endoscopic view B. Polymerase chain reaction C. Histology D. Rapid urease test 31 / 50 31. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Vitamin B. Iron C. Folic acid D. Broad-spectrum antibiotics 32 / 50 32. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Commonest cause of portal hypertension B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Blocked hepatic vein 33 / 50 33. Crohn’s disease is caused by: A. Autoimmunity B. Nutritional deficiency C. Toxin elaborated by infectious microorganisms D. Not known 34 / 50 34. Acid peptic disease is rarely found in: A. Pregnancy B. Cushing's syndrome C. Polycythaemia vera D. Chronic obstructive pulmonary disease 35 / 50 35. Which of the following is false regarding Gaucher’s disease? A. High serum acid phosphatase level B. Elevated serum angiotensin-converting enzyme C. Hepatosplenomegaly D. Pre-malignant 36 / 50 36. All of the following may produce intestinal pseudo-obstruction except: A. Diabetes mellitus B. Imipramine C. Scleroderma D. Hyperthyroidism 37 / 50 37. The commonest manifestation of radiation proctitis is: A. Bleeding per rectum B. Mucous discharge C. Diarrhoea D. Pruritus ani 38 / 50 38. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Arthritis C. Sclerosing cholangitis D. Pyoderma gangrenosum 39 / 50 39. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Peliosis hepatis B. Hepatic granulomas C. Benign adenomas in liver D. Budd-chiari syndrome 40 / 50 40. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Best visualisation of cystic duct C. Bile or pancreatic cytology D. Endoscopic sphincterotomy and stone removal 41 / 50 41. Crohn’s disease may produce all of the following except: A. Perianal fistula B. Jejuno-colic fistula C. Vesicovaginal fistula D. Rectovesical fistula 42 / 50 42. The commonest type of oral malignancy is: A. Adenocarcinoma B. Squamous cell carcinoma C. Melanoma D. Basal cell carcinoma 43 / 50 43. Regarding angiodysplasia of colon, which one is false? A. Aortic stenosis may be associated with it B. It looks like spider angiomas of the skin C. Left colon is commonly affected D. Haemotochezia is common 44 / 50 44. In coeliac sprue, which of the following is non-deficient in the body? A. Iron B. Serum albumin C. Folic acid D. Vitamin B12 45 / 50 45. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Jejunum C. Stomach D. Ileum 46 / 50 46. Constipation may develop from all except: A. Colchicine B. Calcium-channel blocker C. Cholestyramine D. Clonidine 47 / 50 47. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 500-1000 ml C. 250-500 ml D. 100-250 ml 48 / 50 48. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Massive dose of estrogen C. Tetracycline D. Nifedipine 49 / 50 49. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. Means nothing to clinical course C. A fluctuating clinical course D. A bad prognosis 50 / 50 50. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Diverticulosis C. Ulcerative colitis D. Irritable bowel syndrome LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology