GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis D B. Cytomegalovirus C. Hepatitis C D. Hepatitis B 2 / 50 2. Melanosis coli indicates: A. Anthraquinone laxative abuse B. Hypereosinophilic enteritis C. Melanoma affecting colon D. Crohn's disease 3 / 50 3. Pseudomembranous colitis is best treated by: A. Tobramycin B. Erythromycin C. Clindamycin D. Vancomycin 4 / 50 4. All of the following enzymes may be normally found in stool except: A. Amylase B. Trypsin C. Lipase D. Pepsin 5 / 50 5. The water content of adult stool is approximately: A. 50-60% B. 40-50% C. 20-30% D. More than 60% 6 / 50 6. Gastrin is predominantly secreted from: A. Fundus of the stomach B. Antral mucosa C. 2nd part of the duodenum D. Jejunum 7 / 50 7. Which is true regarding irritable bowel syndrome? A. Temporary relief of pain by the passage of flatus or stool B. Nocturnal pain abdomen is frequent complaint C. Periodicity is common D. Pain abdomen usually lasts for 1/2 hour 8 / 50 8. Treatment modalities of Wilson’s disease include all except: A. Penicillamine B. Tetrathiomolybdate C. Colchicine D. Elemental zinc 9 / 50 9. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. II C. VIII D. VII 10 / 50 10. All are examples of APUDomas except: A. Medullary carcinoma of thyroid gland B. Hepatoma C. Phaeochromocytoma D. Melanoma 11 / 50 11. Features of Mallory-Weiss syndrome comprise all except: A. In majority of patients, bleeding stops spontaneously B. May produce melaena C. Commonly precipitated by vomiting and retching D. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction 12 / 50 12. Lactose intolerance with lactase deficiency may be present in all except: A. Giardiasis B. Amoebiasis C. Cystic fibrosis D. Crohn's s disease 13 / 50 13. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Protein-losing enteropathy B. Cirrhosis of liver C. Irritable bowel syndrome D. Chronic pancreatitis 14 / 50 14. Macroglossia is not found in: A. Myxoedema B. Bulbar palsy C. Primary amyloidosis D. Hurler syndrome 15 / 50 15. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Tinidazole C. Clarithromycin D. Cefixime 16 / 50 16. The smallest absorbing unit of the small intestinal mucosa is: A. Villus B. Crypts C. Microvillus D. Columnar cells 17 / 50 17. Which of the following is not a disorder of intestinal motility? A. Ulcerative colitis B. Irritable bowel syndrome C. Intestinal pseudo-obstruction D. Diverticulosis 18 / 50 18. A ‘white patch’ in the throat may be due to all except: A. Infectious mononucleosis B. Diphtheria C. Streptococcal infection D. Ludwig's angina 19 / 50 19. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Intestinal lymphoma C. Coeliac disease D. Crohn's disease 20 / 50 20. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Pseudoxanthoma elasticum B. Ehlers-Danlos syndrome C. Render-Weber-Osler disease D. Peutz-Jeghers syndrome 21 / 50 21. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Antrum B. Cardia C. Body D. Lesser curvature 22 / 50 22. Tegaserod is used in: A. Coeliac disease B. Irritable bowel syndrome C. Ulcerative colitis D. Gastro-esophageal reflux disease 23 / 50 23. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Nitroglycerines C. Somatostatin D. Propranolol 24 / 50 24. Pyrosis is better known as: A. Water brash B. Retching C. Heartburn D. Singultus 25 / 50 25. Acute pancreatitis may be caused by: A. Legionella pneumoniae B. Thiazides C. Measles D. Propranolol 26 / 50 26. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Macronodular cirrhosis C. Micronodular cirrhosis D. Haemosiderosis 27 / 50 27. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Exocrine pancreatic insufficiency C. Coexistent coeliac sprue D. Associated vasculitis 28 / 50 28. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Malignancy never follows even in long-standing disease C. Segmental involvement is common D. Granuloma and fistula formation are characteristic 29 / 50 29. High transaminase levels may be found in all except: A. Right-sided heart failure B. Chronic pancreatitis C. Acute viral hepatitis D. Acute myocardial infarction 30 / 50 30. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Calcium infusion test C. Feeding of a standard mea D. Secretin injection test 31 / 50 31. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of breast B. Hepatoma C. Melanoma D. Carcinoma of thyroid 32 / 50 32. Pyloric stenosis may be complicated by: A. Acidosis B. Hypochloraemic alkalosis C. Hyperchloraemia D. Hyperkalaemia 33 / 50 33. Whipple’s triad is found in: A. Insulinoma B. Somatostatinoma C. Carcinoid syndrome D. Glucagonoma 34 / 50 34. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Campylobacter C. Clostridium perfringens D. Shigella 35 / 50 35. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Hyperparathyroidism B. Medullary carcinoma of thyroid C. Phaeochromocytoma D. Pituitary adenomas 36 / 50 36. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Upper GI bleeding C. Hepatomegaly D. Hepatocellular failure 37 / 50 37. Weil’s disease is associated with: A. Jaundice in all B. Severe muscle pain C. Leucopenia with lymphocytosis D. Absence of renal involvement 38 / 50 38. Which endocrine disorder is associated with exudative ascites? A. Addison's disease B. Hypothyroidism C. Conn's syndrome D. Hyperparathyroidism 39 / 50 39. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 40 / 50 40. Gluten-induced enteropathy is strongly associated with: A. HLA-DR3 B. HLA-DR4 C. HLA-DQ1 D. HLA-B8 41 / 50 41. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Juvenile polyposis coli C. Chronic cor pulmonale D. Atrial septal defect 42 / 50 42. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 75 ml B. 15 ml C. 100 ml D. 30 ml 43 / 50 43. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Lactose intolerance D. Malabsorption 44 / 50 44. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Worsening jaundice B. Ascitic pH < blood pH C. Worsening ascites D. Paralytic ileus 45 / 50 45. The commonest cause of chronic relapsing pancreatitis is: A. Gallstones B. Alcohol abuse C. Infection D. Trauma 46 / 50 46. Which one of the following is false regarding primary biliary cirrhosis? A. Starts with pruritus B. Female preponderance C. Clubbing D. Moderate to severe jaundice 47 / 50 47. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. Very high bilirubin level C. Hypoalbuminaemia is very active disease D. AST and ALT levels fluctuate within 100-1000 units 48 / 50 48. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Hepatic granulomas C. Budd-chiari syndrome D. Peliosis hepatis 49 / 50 49. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Breakdown of haemoglobin C. Breakdown of myoglobin D. Rotor syndrome 50 / 50 50. Which of the following is not true in lupoid hepatitis? A. Cushingoid face B. ANA is positive in majority C. High risk of developing hepatoma D. Associated with other autoimmune diseases LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology