Gastroenterology Home Gastroenterology 0% 0 votes, 0 avg 6 Gastroenterology 1 / 50 1. Auto-vagotomy may be observed in: A. Diabetes mellitus B. Amyloidosis C. Parkinsonism D. Progressive systemic sclerosis 2 / 50 2. Crohn’s disease may be complicated by all except: A. Chronic cholecystitis B. Amyloidosis C. Clubbing D. Hydroureter 3 / 50 3. Pyrosis is better known as: A. Retching B. Heartburn C. Singultus D. Water brash 4 / 50 4. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Enterotoxigenic E. coli C. Campylobacter jejuni D. Clostridium difficile 5 / 50 5. Aerophagia is commonly found in all except: A. Rapid eating habit B. Pyloric stenosis C. Hypochondriac personality D. Chronic anxiety states 6 / 50 6. Ulcerative colitis involves the rectal mucosa in: A. 50-60% B. 70-80% C. 30-40% D. 90-100% 7 / 50 7. All are examples of APUDomas except: A. Phaeochromocytoma B. Medullary carcinoma of thyroid gland C. Hepatoma D. Melanoma 8 / 50 8. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. IgG anti-HBc C. IgM anti-HBc D. HBeAg 9 / 50 9. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Loss of axillary and pubic hair C. Hypothermia D. Amenorrhoea 10 / 50 10. All are recognised complications of acute viral hepatitis except: A. Polyarteritis nodosa B. Myocarditis C. Meningitis D. Aplastic anaemia 11 / 50 11. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 30-40% C. 70-80% D. 90-100% 12 / 50 12. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals ‘thumbprinting’ B. Young women are the main victims C. Severe periumbilical pain at the onset D. Abdominal distension with normal peristaltic sound, even with severe infarction 13 / 50 13. ‘String sign’ in Crohn’s disease is due to: A. Fistula B. Pseudopolyps C. Spasm D. Small ulceration 14 / 50 14. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Blood should remain at least 4 hours within the gut C. Offensive in odour D. Black tarry semisolid stool 15 / 50 15. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Produces loose stool B. 50% of magnesium is absorbed by the small intestine C. Suitable for patients with renal impairment D. Stronger than H2-receptor blockers 16 / 50 16. Which endocrine disorder is associated with exudative ascites? A. Conn’s syndrome B. Hyperparathyroidism C. Hypothyroidism D. Addison’s disease 17 / 50 17. Protein-losing enteropathy maybe feature of all except: A. Juvenile polyposis coli B. Chronic cor pulmonale C. Atrial septal defect D. Intestinal tuberculosis 18 / 50 18. Cholangiocarcinoma may be associated with: A. Biliary atresia B. Tinea echinococcus infestation C. Cholelithiasis D. Ulcerative colitis 19 / 50 19. Malabsorption may produce all of the following except: A. Cheilosis B. Peripheral neuropathy C. Achlorhydria D. Loss of libido 20 / 50 20. Gastrin is predominantly secreted from: A. 2nd part of the duodenum B. Antral mucosa C. Fundus of the stomach D. Jejunum 21 / 50 21. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Bronchiectasis C. Autoimmune haemolytic anaemia D. Sacroiliitis 22 / 50 22. The most common cause of Budd-Chiari syndrome is: A. Valve in hepatic veins B. Paroxysmal nocturnal hemoglobinuria C. Hepatoma D. Oral contraceptives 23 / 50 23. Pyloric stenosis may be complicated by: A. Hyperchloraemia B. Hypochloraemic alkalosis C. Hyperkalaemia D. Acidosis 24 / 50 24. Which of the following is not associated with leucocytosis? A. Acute viral hepatitis B. Toxic hepatitis C. Weil’s disease D. Amoebic liver abscess 25 / 50 25. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Transmural involvement C. Crypt abscess D. Granuloma 26 / 50 26. All of the following are true regarding right-sided colonic carcinoma except: A. Pain abdomen B. Alteration of bowel habit C. Cachexia D. Anaemia 27 / 50 27. Tropical sprue may be associated with all except: A. Partial villous atrophy is more common than subtotal villous atrophy B. Patchy lesion C. Malabsorption D. Treatment is done satisfactorily by intestinal resection 28 / 50 28. Which part of the colonic carcinoma is very easily overlooked? A. Hepatic flexure B. Transverse colon C. Caecum D. Splenic flexure 29 / 50 29. The commonest type of oral malignancy is: A. Adenocarcinoma B. Melanoma C. Squamous cell carcinoma D. Basal cell carcinoma 30 / 50 30. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Carcinoid syndrome C. Insulinoma D. Glucagonoma 31 / 50 31. Endopeptidases include all except: A. Carboxypeptidase B. Trypsin C. Chymotrypsin D. Elastase 32 / 50 32. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. Anti-HBs C. HBsAg D. IgM anti-HBc 33 / 50 33. Which of the following infections may produce features like cardiospasm? A. Trichinosis B. Leishmaniasis C. Trypanosomiasis D. Schistosomiasis 34 / 50 34. The inheritance of cystic fibrosis is: A. Autosomal recessive B. Sex-linked recessive C. Autosomal dominant D. Sex-linked dominant 35 / 50 35. Octreotide can be used in all except: A. Pancreatic ascites B. Oesophageal variceal bleeding C. Short bowel syndrome D. Ulcerative colitis 36 / 50 36. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Gastro-esophageal reflux disease B. Pancreatitis C. Diverticulosis D. Haemorrhoids 37 / 50 37. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Irritable bowel syndrome C. Cirrhosis of liver D. Protein-losing enteropathy 38 / 50 38. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening ascites C. Worsening jaundice D. Paralytic ileus 39 / 50 39. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine to plasma osmolality ratio >1.0 C. Urine to plasma creatinine ratio >30 D. Urine Na+ concentration >10 mEq/dl 40 / 50 40. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Gilbert’s syndrome B. Dubin-Johnson syndrome C. Crigler-Najjar syndrome D. Shunt hyperbilirubinaemia 41 / 50 41. Regarding H. pylori, which statement is false? A. Multiflagellated B. It penetrates within the epithelial cells of the stomach C. Gram-negative bacillus D. Often resides in the dental plaques of the patient 42 / 50 42. The causative agent of tropical sprue is: A. Yersinia B. Shigella C. Campylobacter D. Unknown 43 / 50 43. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. Streptococcus faecalis C. E. coli D. Salmonella 44 / 50 44. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Bile or pancreatic cytology C. Endoscopic sphincterotomy and stone removal D. Best visualisation of cystic duct 45 / 50 45. Acute pancreatitis is not associated with: A. Biliary tract disease B. Pancreatic carcinoma C. Pancreatic islet cell tumour D. Hyperparathyroidism 46 / 50 46. Geographic tongue is ideally treated by: A. Vitamin B-complex B. None of the above C. Iron D. Folic acid 47 / 50 47. Minimal hepatic encephalopathy is classically diagnosed by: A. EEG B. MRI of brain C. Evoked potential study D. Psychometric study 48 / 50 48. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Tertiary peristaltic wave C. Secondary peristaltic wave D. Voluntary phase of deglutition 49 / 50 49. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Stomach C. Colon D. Ileum 50 / 50 50. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Pancreatic insufficiency D. Zollinger-Ellison syndrome LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Dr Abu-Ahmed Dr Abu Ahmed, an Internist & Graphic Designer, has brought this website to help Medical Students in the subject of Internal Medicine. Articles: 25 Previous Post Neurology Next Post Rheumatology