Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest type of pancreatic carcinoma is: A. Mucinous carcinoma B. Cystadenocarcinoma C. Ductal adenocarcinoma D. Islet cell carcinoma 2 / 50 2. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Produces constipation C. May contribute to osteomalacia D. Phosphate depletion is a complication 3 / 50 3. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. At birth B. Within the first 24 hours of birth C. During the first 10 days of life D. Over the first 4-6 weeks of life 4 / 50 4. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Melanoma affecting colon C. Anthraquinone laxative abuse D. Crohn's disease 5 / 50 5. All of the following may cause traveller’s diarrhoea except: A. Campylobacter jejuni B. Rota and Norwalk viruses C. Clostridium difficile D. Enterotoxigenic E. coli 6 / 50 6. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Corticosteroids C. Folic acid D. Antibiotics 7 / 50 7. Major organ responsible for the removal of gastrin is: A. Liver B. Kidney C. Intestine D. Lung 8 / 50 8. All of the following may be associated with hyposplenism except: A. Sickle cell disease B. Haemolytic anaemia C. Coeliac disease D. Dermatitis herpetiformi 9 / 50 9. All of the following may produce intestinal pseudo-obstruction except: A. Hyperthyroidism B. Imipramine C. Diabetes mellitus D. Scleroderma 10 / 50 10. Tegaserod is used in: A. Gastro-esophageal reflux disease B. Irritable bowel syndrome C. Coeliac disease D. Ulcerative colitis 11 / 50 11. Which one of the following is false in hepatorenal syndrome? A. Urine Na+ concentration >10 mEq/dl B. Slow-onset azotaemia in chronic liver disease C. Urine to plasma osmolality ratio >1.0 D. Urine to plasma creatinine ratio >30 12 / 50 12. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. E. coli C. Staphylococci D. Anaerobes 13 / 50 13. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Erythema marginatum C. Aphthous stomatitis D. Pyoderma gangrenosum 14 / 50 14. The commonest cause of post-transfusion hepatitis is: A. Hepatitis D B. Hepatitis E C. Hepatitis B D. Hepatitis C 15 / 50 15. All are major components of intestinal gas except: A. Methane B. N2 C. H2S D. CO2 16 / 50 16. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Microsporidia C. Isospora belli D. Mycobacterium avium-intracellulare 17 / 50 17. Carcinoma of oesophagus may be predisposed by alt except: A. Lye ingestion B. Plummer-Vinson syndrome C. Hypervitaminosis A D. Chronic achalasia cardia 18 / 50 18. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Tertiary peristaltic wave C. Voluntary phase of deglutition D. Secondary peristaltic wave 19 / 50 19. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Change of posture B. Induction of vomiting C. Consumption of food D. Attacks of emotional stress 20 / 50 20. Incidence of gastric carcinoid is increased in all except: A. Pernicious anaemia B. Hashimoto's thyroiditis C. Achlorhydria D. Mesenteric fibrosis 21 / 50 21. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Produces loose stool B. Suitable for patients with renal impairment C. Stronger than H2-receptor blockers D. 50% of magnesium is absorbed by the small intestine 22 / 50 22. Silvery stool signifies a lesion characteristic of: A. Right colic flexure B. Ileocaecal region C. Meckel's diverticulum D. Ampulla of Vater 23 / 50 23. Which is true regarding Vincent’s angina? A. May be complicated by angina pectoris B. Hiatus hernia may be associated with C. Superficial ulcers in mouth D. Gum is the principal site of affection 24 / 50 24. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diarrhoea and steatorrhoea B. Vitamin B12 malabsorption C. Diagnosis with certainty by BAO /MAO ratio D. Recalcitrant upper GI ulcers 25 / 50 25. Pseudomembranous colitis is not produced by: A. Clindamycin B. Streptomycin C. Ampicillin D. Chloramphenicol 26 / 50 26. Which of the following infections may produce features like cardiospasm? A. Schistosomiasis B. Trypanosomiasis C. Leishmaniasis D. Trichinosis 27 / 50 27. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal prolapse and straining by patient are common associations B. Rectal bleeding and tenesmus are common C. Surgery by resection rectopexy may be done D. Commonly in the posterior wall of rectum 28 / 50 28. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 300-400 g C. 500-600 g D. 700-800 g 29 / 50 29. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. Leptospira C. LD body D. Brucella abortus 30 / 50 30. Secretin is produced in largest quantities in: A. Ileum B. Stomach C. Duodenum D. Jejunum 31 / 50 31. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. 'Nutcracker' oesophagus is the mildest form C. Chest pain mimics angina pectoris D. Invariably requires surgery 32 / 50 32. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Pituitary adenomas B. Hyperparathyroidism C. Medullary carcinoma of thyroid D. Phaeochromocytoma 33 / 50 33. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Hyperthyroidism C. Protein-energy malnutrition D. Alcohol abuse 34 / 50 34. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Eosinophilic enteritis C. Intestinal lymphangiectasia D. Coeliac disease 35 / 50 35. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Serum bilirubin assay C. Bromsulphalein (BSP) excretion test D. Level of transaminases 36 / 50 36. The most common gastrointestinal disorder in a community is: A. Diverticulitis B. Duodenal ulcer C. Irritable bowel syndrome D. Reflux oesophagitis 37 / 50 37. All of the following enzymes may be normally found in stool except: A. Pepsin B. Amylase C. Lipase D. Trypsin 38 / 50 38. Characteristics of anorexia nervosa include all except: A. Amenorrhoea B. Hypothermia C. Carotenaemia D. Loss of axillary and pubic hair 39 / 50 39. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 270ml B. 200ml C. 120ml D. 70ml 40 / 50 40. Botulism may be associated with all of the following except: A. Constipation B. Diplopia C. Descending paralysis D. Increased salivation 41 / 50 41. The commonest site of carcinoid tumour is: A. Appendix B. Ileum C. Colon D. Stomach 42 / 50 42. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. IgG anti-HBc indicates acute hepatitis B virus infection C. HBeAg implies high infectivity D. Anti-HBs appear to reflect immunity 43 / 50 43. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Ascending colon C. Hepatic flexure D. Transverse colon 44 / 50 44. Which statement is false regarding duodenal ulcer? A. An increase in serum pepsinogen II level B. Increased frequency of blood group O and of the non-secretor status C. More common in first degree relatives of duodenal ulcer patients D. Increased incidence of HLA-B5 antigen 45 / 50 45. Pregnancy predisposes to all except: A. Chronic hepatitis B. Cholestasis C. Acute hepatic failure D. Steatosis 46 / 50 46. The major site of bile salt absorption is: A. Stomach B. Distal small intestine C. Proximal small intestine D. Duodenum 47 / 50 47. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Cardia B. Antrum C. Body D. Lesser curvature 48 / 50 48. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. High risk of developing hepatoma C. Associated with other autoimmune diseases D. Cushingoid face 49 / 50 49. Serum alkaline phosphatase is increased in alt except: A. Osteoporosis B. Osteomalacia C. Sclerosing cholangitis D. Paget's disease of bone 50 / 50 50. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Fever C. Bloody diarrhoea D. 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