Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Campylobacter C. Rota virus D. Yersinia 2 / 50 2. Which of the following does not give rise to haematemesis? A. Mallory-Weiss syndrome B. Ca stomach C. Duodenal diverticula D. Stomatostatinoma 3 / 50 3. Botulism may be associated with all of the following except: A. Descending paralysis B. Constipation C. Increased salivation D. Diplopia 4 / 50 4. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Insulinoma C. Carcinoid syndrome D. Glucagonoma 5 / 50 5. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. USG of liver B. Protein electrophoresis C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 6 / 50 6. Pyrosis is better known as: A. Retching B. Water brash C. Singultus D. Heartburn 7 / 50 7. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis B C. Hepatitis D D. Hepatitis C 8 / 50 8. The commonest complaint by a patient with Ca rectum is: A. Rectal pain B. Pain abdomen C. Constipation D. Haematochezia 9 / 50 9. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 1st day B. 7th day C. 3rd day D. 2nd day 10 / 50 10. Absolute contraindication for liver biopsy is: A. Amoebic liver abscess B. Cholestasis C. Cirrhosis of liver D. Haemangioma of liver 11 / 50 11. ‘Sago spleen’ is found in: A. Chronic myeloid leukaemia B. Felty's syndrome C. Chronic active hepatitis D. Focal amyloidosis 12 / 50 12. Which of the following is not a variety of osmotic diarrhoea? A. Coeliac disease B. Lactase deficiency C. Whipple's disease D. Laxative abuse 13 / 50 13. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Alcoholism C. Reflux oesophagitis D. Oesophageal carcinoma 14 / 50 14. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Tetrathiomolybdate C. Penicillamine D. Colchicine 15 / 50 15. Chronic active hepatitis may have all the following features except: A. Arthralgia B. Jaundice C. Amenorrhoea D. Haematemesis 16 / 50 16. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. Means nothing to clinical course B. A bad prognosis C. A fluctuating clinical course D. The disease process is improving 17 / 50 17. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Superior vena caval obstruction B. Inferior vena caval obstruction C. Hepatic vein thrombosis D. Portal hypertension 18 / 50 18. All of the following may be associated with hypoglobulinaemia except: A. AIDS B. Severe combined immunodeficiency C. Multiple myeloma D. Chronic lymphatic leukaemia 19 / 50 19. Which light source produces best photodecomposition of bilirubin? A. Fluorescent B. Ultraviolet C. Moonlight D. Sunlight 20 / 50 20. All of the following are true regarding diverticulitis except: A. Right side of colon is less affected than the left B. Males are affected more than females C. Perforation is a serious complication D. Massive rectal bleeding is very common 21 / 50 21. All of the following are methods for detection of H. pylori except: A. Rapid urease test B. Polymerase chain reaction C. Histology D. Endoscopic view 22 / 50 22. The Zollinger-Ellison syndrome is associated with all of the following except: A. Recalcitrant upper GI ulcers B. Diagnosis with certainty by BAO /MAO ratio C. Diarrhoea and steatorrhoea D. Vitamin B12 malabsorption 23 / 50 23. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Acute lung injury C. Fulminant hepatocellular failure D. Disseminated intravascular coagulation 24 / 50 24. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Very high bilirubin level C. Hypoalbuminaemia is very active disease D. Hyperglobulinaemia is common 25 / 50 25. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Hypoglycaemia C. Recurrent ulceration D. Palpitation 26 / 50 26. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum albumin B. Serum transaminases C. Serum bilirubin D. Serum cholesterol 27 / 50 27. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Small intestinal biopsy B. D-xylose absorption test C. Type of anaemia D. Response to treatment 28 / 50 28. Regarding Meckel’s diverticulum, which one is false? A. May contain oesophageal or rectal mucosa B. Usually 5 cm long C. Present within 100 cm of the ileocaecal valve D. Present in 2% population 29 / 50 29. Fats are ingested primarily in the form of: A. Diglycerides B. Monoglycerides C. Fatty acids D. Triglycerides 30 / 50 30. Which of the following is false regarding pernicious anaemia? A. 90% have anti-parietal cell antibody B. 60% have anti-intrinsic factor antibody C. Gastric polyp is common D. It is a common cause of haemolytic anaemia in the West 31 / 50 31. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Colon D. Breast 32 / 50 32. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Loss of axillary and pubic hair C. Amenorrhoea D. Hypothermia 33 / 50 33. 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 34 / 50 34. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Feeding of a standard mea B. Histamine injection test C. Secretin injection test D. Calcium infusion test 35 / 50 35. The inheritance of cystic fibrosis is: A. Sex-linked recessive B. Autosomal recessive C. Autosomal dominant D. Sex-linked dominant 36 / 50 36. Crohn’s disease may be complicated by all except: A. Chronic cholecystitis B. Hydroureter C. Clubbing D. Amyloidosis 37 / 50 37. The most reliable screening test for patients suffering from malabsorption is: A. Radioactive triolein absorption (breath) test B. Small intestinal X-rays C. Quantitative determination of faecal fat D. D-xylose absorption test 38 / 50 38. Jejunal diverticula may be associated with: A. Cirrhosis of liver B. Hypochlorhydria C. Vitamin B12 malabsorpfion D. Chronic pancreatitis 39 / 50 39. Which of the following is not a recognized complication of ulcerative colitis? A. Sacroiliitis B. Pyoderma gangrenosum C. Bronchiectasis D. Autoimmune haemolytic anaemia 40 / 50 40. Which one of the following is not an ocular complication of ulcerative colitis? A. Cataract B. Scleromalacia perforans C. Episcleritis D. Uveitis 41 / 50 41. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Dysphagia starts with solid foods C. Commonest site of affection is lower third D. Tracheo-esophageal fistula may occur in advanced disease 42 / 50 42. Weil’s disease is associated with: A. Absence of renal involvement B. Leucopenia with lymphocytosis C. Jaundice in all D. Severe muscle pain 43 / 50 43. The commonest cause of pancreatic calcification is: A. Hyperthyroidism B. Pancreatic carcinoma C. Protein-energy malnutrition D. Alcohol abuse 44 / 50 44. Leptospirosis can be diagnosed during the 1st week of illness by: A. Dark-field examination B. Agglutination test C. Urine analysis D. Stool culture 45 / 50 45. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Acute gastritis C. Duodenal ulcer D. Ruptured oesophageal varices 46 / 50 46. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Adenocarcinoma C. Melanoma D. Basal cell carcinoma 47 / 50 47. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Protein meal C. Gastrin D. Metoclopramide 48 / 50 48. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Glucocorticoid helps cure C. Occasionally progresses to cirrhosis and liver failure D. Typically occurs in overweight, diabetic, hyperlipidemic subjects 49 / 50 49. All of the following produce invasive diarrhoea except: A. Shigella B. Campylobacter C. Clostridium perfringens D. Clostridium difficile 50 / 50 50. The valvular heart disease common in carcinoid syndrome is: A. Mitral stenosis B. Pulmonary incompetence C. Tricuspid incompetence D. 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