Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Majority of tumours are biologically malignant B. Pancreatic gastrinomas are most common in the head of the pancreas C. Solitary primary tumours are very common D. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas 2 / 50 2. Pruritus associated with cholestasis is mostly seen: A. At daytime B. On the palms and soles C. In males D. After a cold bath 3 / 50 3. Endopeptidases include all except: A. Carboxypeptidase B. Chymotrypsin C. Elastase D. Trypsin 4 / 50 4. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Hypothermia C. Loss of axillary and pubic hair D. Amenorrhoea 5 / 50 5. Which indicates chronicity in hepatitis B virus infection? A. IgG anti-HBc B. DNA polymerase C. HBeAg D. Anti-HBs 6 / 50 6. Amino acids malabsorption is seen in: A. Homocystinuria B. Phenylketonuria C. Cystinuria D. Alkaptonuria 7 / 50 7. Tropical sprue may be associated with all except: A. Malabsorption B. Treatment is done satisfactorily by intestinal resection C. Partial villous atrophy is more common than subtotal villous atrophy D. Patchy lesion 8 / 50 8. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 70-80% C. 90-100% D. 30-40% 9 / 50 9. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal bleeding and tenesmus are common B. Rectal prolapse and straining by patient are common associations C. Surgery by resection rectopexy may be done D. Commonly in the posterior wall of rectum 10 / 50 10. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgA C. IgG D. IgD 11 / 50 11. All of the following are true regarding Whipple’s disease except: A. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly B. Coronary arteritis may be a feature C. Cranial nerve palsy may occur D. Gram-negative bacilli Clostridium whippeli is responsible 12 / 50 12. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Sigmoid colon C. Caecum D. Descending colon 13 / 50 13. Pseudomembranous colitis is not produced by: A. Streptomycin B. Clindamycin C. Chloramphenicol D. Ampicillin 14 / 50 14. Among the following drugs, which one is thought to be the safest in pregnancy? A. Misoprostol B. Carbenoxolone C. Omeprazole D. Sucralfate 15 / 50 15. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypergastrinaemia B. Hyperlipidaemia C. Hypercalcaemia D. Hyperamylasaemia 16 / 50 16. Which of the following does not produce secretory diarrhoea? A. Carcinoid syndrome B. Hyperparathyroidism C. Medullary carcinoma of the thyroid gland D. Zollinger-Ellison syndrome 17 / 50 17. Which light source produces best photodecomposition of bilirubin? A. Ultraviolet B. Moonlight C. Sunlight D. Fluorescent 18 / 50 18. Characteristic of hepatic pre-coma is: A. Flaccid muscles B. Night-time somnolence C. Presence of ankle clonus D. Babinski's sign 19 / 50 19. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 15 g for 24 hr C. < 12 g for 24 hrs D. < 6 g for 24 hrs 20 / 50 20. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Achalasia cardia C. Diffuse oesophageal spasm D. Polymyositis 21 / 50 21. Which of the following has the highest acid secretory effect? A. Carbohydrate B. Fat C. Iron D. Protein 22 / 50 22. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Budd-Chiari syndrome C. Tuberculous peritonitis D. Congestive cardiac failure 23 / 50 23. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Granuloma C. Crypt abscess D. Transmural involvement 24 / 50 24. The most common gastrointestinal disorder in a community is: A. Reflux oesophagitis B. Irritable bowel syndrome C. Diverticulitis D. Duodenal ulcer 25 / 50 25. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. Increased frequency of blood group O and of the non-secretor status C. An increase in serum pepsinogen II level D. More common in first degree relatives of duodenal ulcer patients 26 / 50 26. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Biliary dyspepsia C. Irritable bowel syndrome D. Tropical sprue 27 / 50 27. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Imipramine C. Scleroderma D. Diabetes mellitus 28 / 50 28. Which of the following is false regarding Gaucher’s disease? A. Hepatosplenomegaly B. Elevated serum angiotensin-converting enzyme C. High serum acid phosphatase level D. Pre-malignant 29 / 50 29. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Paralytic ileus B. Worsening ascites C. Ascitic pH < blood pH D. Worsening jaundice 30 / 50 30. The presence of hepatic bruit over the liver suggests: A. Hepatoma B. Portal hypertension C. Perihepatitis D. Recent liver biopsy 31 / 50 31. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Pituitary adenomas B. Phaeochromocytoma C. Hyperparathyroidism D. Medullary carcinoma of thyroid 32 / 50 32. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Peliosis hepatis B. Hepatic granulomas C. Budd-chiari syndrome D. Benign adenomas in liver 33 / 50 33. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Meckel's diverticulitis is one of the close differential diagnosis C. Anorexia is rare D. The temperature is usually normal or slightly elevated 34 / 50 34. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Systemic mastocytosis B. Whipple's disease C. Carcinoid syndrome D. Coeliac sprue 35 / 50 35. All of the following enzymes may be normally found in stool except: A. Pepsin B. Lipase C. Amylase D. Trypsin 36 / 50 36. Which of the following is not a recognized complication of ulcerative colitis? A. Autoimmune haemolytic anaemia B. Pyoderma gangrenosum C. Bronchiectasis D. Sacroiliitis 37 / 50 37. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Medullary sponge kidney C. Atrial septal defect D. Endocardial fibroelastosis 38 / 50 38. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Chronic arsenic ingestion C. Sarcoidosis D. Oral contraceptives 39 / 50 39. In gastroparesis, the following drugs are helpful except: A. Cisapride B. Tetracycline C. Metoclopramide D. Domperidone 40 / 50 40. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Insulinoma D. Somatostatinoma 41 / 50 41. All of the following produce hypergastrinemia except: A. Zollinger-Ellison syndrome B. Lansoprazole therapy C. Duodenal ulcer D. Atrophic fundal gastritis 42 / 50 42. The Kayser-Fleischer (KF) ring is: A. Copper deposition in Descemet's membrane B. Broader laterally and medially C. The inferior pole of cornea is first affected D. Hampers vision 43 / 50 43. Oral mucous membrane may be affected in all except: A. Pemphigus Vulgaris B. Stevens-Johnson syndrome C. Dermatitis herpetiformis D. Lichen planus 44 / 50 44. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Gallstone formation C. Aphthous stomatitis D. Pyoderma gangrenosum 45 / 50 45. Malabsorption may produce all of the following except: A. Cheilosis B. Peripheral neuropathy C. Loss of libido D. Achlorhydria 46 / 50 46. Severe kwashiorkor may have a hepatic lesion in the form of: A. Fatty infiltration B. Laennec's cirrhosis C. Hepatitis-like picture D. Hepatic vein thrombosis 47 / 50 47. 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 48 / 50 48. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Vitamin B12 C. Fe++ D. Folate 49 / 50 49. Which of the following clotting factors retains its activity in hepatocellular disorder? A. VIII B. II C. VII D. IX 50 / 50 50. Hepatitis-like features may be seen in therapy with all except: A. Atorvastatin B. Ketoconazole C. INH D. Zidovudine LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology