Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is not a variety of osmotic diarrhoea? A. Whipple's disease B. Coeliac disease C. Laxative abuse D. Lactase deficiency 2 / 50 2. Calcification of spleen is seen in: A. Hydatid cyst B. Thalassemia C. Tropical splenomegaly syndrome D. Malaria 3 / 50 3. The most specific treatment in coeliac sprue is: A. Folic acid B. Gluten-free diet C. Antibiotics D. Corticosteroids 4 / 50 4. All of the following may be associated with hypoglobulinaemia except: A. Severe combined immunodeficiency B. Chronic lymphatic leukaemia C. Multiple myeloma D. AIDS 5 / 50 5. Commonest cause of duodenal haematoma is: A. Anticoagulant therapy B. Trauma C. Haemophilia D. Acute leukaemia 6 / 50 6. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Paget's disease C. Cholestasis D. Metastasis in liver 7 / 50 7. What percentage of Zollinger-Ellison syndrome are malignant? A. 40% B. 30% C. 60% D. 20% 8 / 50 8. Auto-vagotomy may be observed in: A. Progressive systemic sclerosis B. Amyloidosis C. Diabetes mellitus D. Parkinsonism 9 / 50 9. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. E. coli C. Streptococcus faecalis D. Anaerobes 10 / 50 10. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Induction of vomiting B. Consumption of food C. Attacks of emotional stress D. Change of posture 11 / 50 11. Normal portal venous pressure is: A. <5mmHg B. 7-10 mmHg C. >12mmHg D. 5-7mmHg 12 / 50 12. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum bilirubin B. Serum transaminases C. Serum albumin D. Serum cholesterol 13 / 50 13. Hirschsprung’s disease is not manifested by: A. Obstipation B. Rectal ampulla is full of faeces while the anal sphincter is normal C. Distended abdomen D. Vomiting 14 / 50 14. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Deoxycholic acid C. Cholic acid D. Chenodeoxycholic acid 15 / 50 15. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Haemosiderosis C. Macronodular cirrhosis D. Fatty liver 16 / 50 16. Gastrin is predominantly secreted from: A. Jejunum B. Fundus of the stomach C. 2nd part of the duodenum D. Antral mucosa 17 / 50 17. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Thyroid C. Colon D. Prostate 18 / 50 18. Which of the following is false regarding Gaucher’s disease? A. Hepatosplenomegaly B. High serum acid phosphatase level C. Pre-malignant D. Elevated serum angiotensin-converting enzyme 19 / 50 19. The smallest absorbing unit of the small intestinal mucosa is: A. Crypts B. Villus C. Microvillus D. Columnar cells 20 / 50 20. Portal hypertension associated with soft liver suggests: A. Non-cirrhotic portal fibrosis B. Budd-Chiari syndrome C. Cirrhosis of liver D. Extrahepatic obstruction 21 / 50 21. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Shigella C. Campylobacter D. Clostridium perfringens 22 / 50 22. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Right colic flexure C. Ileocaecal region D. Ampulla of Vater 23 / 50 23. The most reliable screening test for patients suffering from malabsorption is: A. Radioactive triolein absorption (breath) test B. Quantitative determination of faecal fat C. Small intestinal X-rays D. D-xylose absorption test 24 / 50 24. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 15 ml B. 100 ml C. 30 ml D. 75 ml 25 / 50 25. NSAID-induced ulcers are best treated by: A. Prostaglandins like misoprostol B. Proton pump inhibitors C. Coating agents like sucralfate D. H2-receptor antagonists 26 / 50 26. All of the following enzymes may be normally found in stool except: A. Lipase B. Trypsin C. Amylase D. Pepsin 27 / 50 27. Pseudomembranous colitis is best treated by: A. Tobramycin B. Vancomycin C. Erythromycin D. Clindamycin 28 / 50 28. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May produce benign intracranial hypertension C. Tender gynecomastia may be a complication after prolonged use D. May cause mild elevation of serum transaminases and creatinine levels 29 / 50 29. Tegaserod is used in: A. Irritable bowel syndrome B. Ulcerative colitis C. Gastro-esophageal reflux disease D. Coeliac disease 30 / 50 30. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. CT scan C. Ultrasonography D. HIDA scan 31 / 50 31. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Pancreatic insufficiency C. Villous adenoma of rectum D. Medullary carcinoma of thyroid 32 / 50 32. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Tracheo-esophageal fistula may occur in advanced disease C. Commonest site of affection is lower third D. Odynophagia may be a symptom 33 / 50 33. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Hepatic vein thrombosis B. Inferior vena caval obstruction C. Portal hypertension D. Superior vena caval obstruction 34 / 50 34. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Propranolol C. Terlipressin D. Somatostatin 35 / 50 35. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgA C. IgG D. IgD 36 / 50 36. Hyperdefaecation is found in all except: A. Proctitis B. Irritable bowel syndrome C. Diabetes mellitus D. Hyperthyroidism 37 / 50 37. The commonest site of carcinoma of the stomach is: A. Body of the stomach B. Greater curvature C. Prepyloric D. Lesser curvature 38 / 50 38. Which one of the following is not an ocular complication of ulcerative colitis? A. Cataract B. Episcleritis C. Scleromalacia perforans D. Uveitis 39 / 50 39. Superficial venous flow in portal hypertension is: A. Below upwards B. Above downwards C. Towards umbilicus D. Away from the umbilicus 40 / 50 40. Endopeptidases include all except: A. Chymotrypsin B. Trypsin C. Carboxypeptidase D. Elastase 41 / 50 41. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypophosphataemia B. Hypercalcaemia C. Elevated blood urea nitrogen D. Increased bicarbonate level in serum 42 / 50 42. Acute pancreatitis may eventually lead to all of the following except: A. Fulminant hepatocellular failure B. Acute lung injury C. Renal failure D. Disseminated intravascular coagulation 43 / 50 43. Regarding diffuse oesophageal spasm, which of the following is true? A. Invariably requires surgery B. 'Nutcracker' oesophagus is the mildest form C. Usually a disease of teen age D. Chest pain mimics angina pectoris 44 / 50 44. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Tuberculosis C. Metastatic carcinoma D. Sarcoidosis 45 / 50 45. Which is not true so far as definition of cirrhosis of liver is concerned? A. Fibrosis B. Fatty infiltration C. Regeneration D. Necrosis 46 / 50 46. A ‘white patch’ in the throat may be due to all except: A. Streptococcal infection B. Diphtheria C. Infectious mononucleosis D. Ludwig's angina 47 / 50 47. Mallory-Weiss syndrome is commonly seen accompanying: A. Oesophageal carcinoma B. Hiatal hernia C. Alcoholism D. Reflux oesophagitis 48 / 50 48. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Granuloma and fistula formation are characteristic C. Malignancy never follows even in long-standing disease D. Segmental involvement is common 49 / 50 49. Diabetic diarrhoea may be encountered in the presence of: A. Retinopathy B. Nephropathy C. Neuropathy D. Macroangiopathy 50 / 50 50. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diagnosis with certainty by BAO /MAO ratio B. Recalcitrant upper GI ulcers C. Vitamin B12 malabsorption D. Diarrhoea and steatorrhoea LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology