Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following reflects the best prognostic marker of hepatocellular function? A. Alkaline phosphatase B. Prothrombin time C. Serum bilirubin D. SGPT 2 / 50 2. H. pylori is usually not associated with: A. Gastric lymphoma B. Zollinger-Ellison syndrome C. Non-ulcer dyspepsia D. Antral gastritis 3 / 50 3. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Liver biopsy C. Plasma iron >300 μg/ dl D. TIBC < 200 μg/dl 4 / 50 4. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Secretin injection test C. Feeding of a standard mea D. Calcium infusion test 5 / 50 5. The presence of hepatic bruit over the liver suggests: A. Hepatoma B. Perihepatitis C. Recent liver biopsy D. Portal hypertension 6 / 50 6. Aerophagia is commonly found in all except: A. Rapid eating habit B. Chronic anxiety states C. Pyloric stenosis D. Hypochondriac personality 7 / 50 7. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Gamma-glutamyl transpeptidase (GGT) estimation B. USG of liver C. Protein electrophoresis D. Bone scan 8 / 50 8. Bentiromide test diagnoses? A. Pancreatic carcinoma B. Endocrine pancreatic function C. Exocrine pancreatic function D. Pancreatic ductal obstruction 9 / 50 9. In coeliac sprue, which of the following is non-deficient in the body? A. Vitamin B12 B. Iron C. Serum albumin D. Folic acid 10 / 50 10. Regarding haematochezia, which one is false? A. The blood may not be mixed with stool B. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon C. Bleeding source is proximal to ligament of Treitz D. Passage of bright red blood per rectum 11 / 50 11. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Retroperitoneal fibrosis C. Atrial septal defect D. Medullary sponge kidney 12 / 50 12. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 90-100% C. 70-80% D. 30-40% 13 / 50 13. Gum hypertrophy is not a feature of: A. Amlodipine therapy B. Scurvy C. Carbamazepine therapy D. Acute monocytic leukaemia 14 / 50 14. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. IX C. VII D. II 15 / 50 15. Extraintestinal amoebiasis may involve all except: A. Skin B. Heart C. Meninges with encephalon D. Vulva 16 / 50 16. Oral mucous membrane may be affected in all except: A. Stevens-Johnson syndrome B. Dermatitis herpetiformis C. Pemphigus Vulgaris D. Lichen planus 17 / 50 17. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Amiodarone B. Massive dose of estrogen C. Tetracycline D. Nifedipine 18 / 50 18. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Odynophagia may be a symptom C. Tracheo-esophageal fistula may occur in advanced disease D. Commonest site of affection is lower third 19 / 50 19. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Dubin-Johnson syndrome B. Rotor syndrome C. Reye's syndrome D. Gilbert's syndrome 20 / 50 20. A ‘white patch’ in the throat may be due to all except: A. Ludwig's angina B. Streptococcal infection C. Diphtheria D. Infectious mononucleosis 21 / 50 21. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Transmural involvement C. Granuloma D. Crypt abscess 22 / 50 22. Hepatic rub may be found in: A. Hemangioma of liver B. Pyogenic liver abscess C. Acute viral hepatitis D. Hepatic neoplasm 23 / 50 23. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Metastasis in liver D. Hypervitaminosis D 24 / 50 24. High transaminase levels may be found in all except: A. Chronic pancreatitis B. Acute myocardial infarction C. Right-sided heart failure D. Acute viral hepatitis 25 / 50 25. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Cisapride C. Metoclopramide D. Domperidone 26 / 50 26. One of the earliest manifestations of cystic fibrosis is: A. Malabsorption B. Meconium ileus C. Tetany D. Gram-negative sepsis 27 / 50 27. 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 28 / 50 28. Passage of a bolus of food through the oesophagus is the function of: A. Tertiary peristaltic wave B. Primary peristaltic wave C. Secondary peristaltic wave D. Voluntary phase of deglutition 29 / 50 29. Water is minimally absorbed from: A. Caecum B. Transverse colon C. Descending colon D. Ascending colon 30 / 50 30. Which of the following is not included in the classical triad of chronic pancreatitis? A. Steatorrhoea B. Pancreatic calcification C. Abdominal pain D. Diabetes mellitus 31 / 50 31. Calcification of spleen is seen in: A. Thalassemia B. Malaria C. Hydatid cyst D. Tropical splenomegaly syndrome 32 / 50 32. Acute pancreatitis may eventually lead to all of the following except: A. Disseminated intravascular coagulation B. Acute lung injury C. Renal failure D. Fulminant hepatocellular failure 33 / 50 33. Commonest cause of hepatoma is: A. Cirrhosis of liver B. alpha1-antitrypsin deficiency C. Alcohol D. Haemochromatosis 34 / 50 34. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Occasionally progresses to cirrhosis and liver failure C. Glucocorticoid helps cure D. Jejunoileal bypass may be an aetiology 35 / 50 35. 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 36 / 50 36. Gluten-free diet is beneficial in: A. Psoriasis B. Pemphigus C. Dermatitis herpetiformis D. Atopic eczema 37 / 50 37. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Hypothermia C. Loss of axillary and pubic hair D. Amenorrhoea 38 / 50 38. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. MRI scan of liver B. CT scan of liver C. Pulmonary angiography D. Contrast-enhanced echocardiography 39 / 50 39. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Cholic acid C. Deoxycholic acid D. Chenodeoxycholic acid 40 / 50 40. Constipation may develop from all except: A. Calcium-channel blocker B. Colchicine C. Clonidine D. Cholestyramine 41 / 50 41. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Rectal ampulla is empty but tender sigmoid is full of faeces C. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 42 / 50 42. Regarding melena, which statement is false? A. Black tarry semisolid stool B. At least 60 ml of blood is required C. Offensive in odour D. Blood should remain at least 4 hours within the gut 43 / 50 43. The most common cause of Budd-Chiari syndrome is: A. Hepatoma B. Paroxysmal nocturnal hemoglobinuria C. Oral contraceptives D. Valve in hepatic veins 44 / 50 44. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Right lower intercostal tenderness D. Jaundice is present in majority 45 / 50 45. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Osteoporosis C. Paget's disease of bone D. Osteomalacia 46 / 50 46. Among the following drugs, which one is thought to be the safest in pregnancy? A. Omeprazole B. Carbenoxolone C. Misoprostol D. Sucralfate 47 / 50 47. Which of the following primaries is uncommonly associated with bony metastasis? A. Thyroid B. Breast C. Colon D. Prostate 48 / 50 48. The presence of diverticulosis is most commonly seen in: A. Descending colon B. Transverse colon C. Caecum D. Sigmoid colon 49 / 50 49. Ulcerative colitis involves the rectal mucosa in: A. 30-40% B. 70-80% C. 90-100% D. 50-60% 50 / 50 50. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Villus C. Crypts D. Columnar cells LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology