Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest cause of anaemia after peptic ulcer surgery is: A. Iron deficiency B. Vitamin B12 deficiency C. Folic acid deficiency D. Hemolysis 2 / 50 2. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Lansoprazole therapy C. Atrophic fundal gastritis D. Zollinger-Ellison syndrome 3 / 50 3. All of the following enzymes may be normally found in stool except: A. Trypsin B. Pepsin C. Lipase D. Amylase 4 / 50 4. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Hyperparathyroidism C. Biliary tract disease D. Pancreatic carcinoma 5 / 50 5. In coeliac sprue, which of the following is non-deficient in the body? A. Folic acid B. Vitamin B12 C. Serum albumin D. Iron 6 / 50 6. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Presence of ankle clonus C. Night-time somnolence D. Flaccid muscles 7 / 50 7. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Arthritis C. Electrolyte imbalance D. Nephrolithiasis 8 / 50 8. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. Within the first 24 hours of birth B. During the first 10 days of life C. At birth D. Over the first 4-6 weeks of life 9 / 50 9. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. CT scan B. HIDA scan C. ERCP D. Ultrasonography 10 / 50 10. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Rapid eating habit C. Hypochondriac personality D. Chronic anxiety states 11 / 50 11. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Intestinal lymphoma C. Whipple's disease D. Cardnoid syndrome 12 / 50 12. The smallest absorbing unit of the small intestinal mucosa is: A. Columnar cells B. Villus C. Crypts D. Microvillus 13 / 50 13. Which part of the colonic carcinoma is very easily overlooked? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Caecum 14 / 50 14. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperamylasaemia B. Hypercalcaemia C. Hyperlipidaemia D. Hypergastrinaemia 15 / 50 15. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Right lower intercostal tenderness 16 / 50 16. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Worsening jaundice B. Worsening ascites C. Paralytic ileus D. Ascitic pH < blood pH 17 / 50 17. Regarding ischaemic colitis, which one is true? A. Rectal bleeding is a rare complication B. Almost always an occlusive disease of mesenteric vessels C. Angiography is not helpful D. Affects young population 18 / 50 18. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. 60% have anti-intrinsic factor antibody C. 90% have anti-parietal cell antibody D. It is a common cause of haemolytic anaemia in the West 19 / 50 19. All of the following may be associated with diarrhoea except: A. Theophylline B. Amitriptyline C. Sorbitol D. Colchicine 20 / 50 20. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Retinopathy C. Macroangiopathy D. Nephropathy 21 / 50 21. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 200ml B. 120ml C. 70ml D. 270ml 22 / 50 22. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Hereditary oxalosis C. Primary sclerosing cholangitis D. Tyrosinaemia 23 / 50 23. All of the following can be associated with obstructive jaundice except: A. Crigler-Najjar type II B. Pregnancy C. Secondary carcinoma of liver D. Oral contraceptives 24 / 50 24. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. MRI of brain C. EEG D. Evoked potential study 25 / 50 25. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Gallstone formation C. Pyoderma gangrenosum D. Aphthous stomatitis 26 / 50 26. Fatty liver may be produced by: A. Oral contraceptives B. Anabolic steroids C. Chloramphenicol D. Tetracycline 27 / 50 27. Bentiromide test diagnoses? A. Pancreatic carcinoma B. Pancreatic ductal obstruction C. Endocrine pancreatic function D. Exocrine pancreatic function 28 / 50 28. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Diverticulosis of colon C. Malakoplakia of colon D. Pseudomyxoma peritonei 29 / 50 29. What percentage of Zollinger-Ellison syndrome are malignant? A. 30% B. 60% C. 20% D. 40% 30 / 50 30. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Elevated blood urea nitrogen C. Hypercalcaemia D. Hypophosphataemia 31 / 50 31. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Cholic acid B. Lithocholic acid C. Chenodeoxycholic acid D. Deoxycholic acid 32 / 50 32. The most common cause of Budd-Chiari syndrome is: A. Oral contraceptives B. Paroxysmal nocturnal hemoglobinuria C. Valve in hepatic veins D. Hepatoma 33 / 50 33. All of the following are true regarding acute mesenteric vascular occlusion except: A. Barium study of the small intestine reveals 'thumbprinting' B. Severe periumbilical pain at the onset C. Abdominal distension with normal peristaltic sound, even with severe infarction D. Young women are the main victims 34 / 50 34. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum bilirubin C. Serum albumin D. Serum transaminases 35 / 50 35. Carcinoma of oesophagus may be predisposed by alt except: A. Plummer-Vinson syndrome B. Chronic achalasia cardia C. Hypervitaminosis A D. Lye ingestion 36 / 50 36. Which of the following is false regarding cholera? A. Absence of tenesmus B. Onset with purging C. Offensive stool D. Subnormal Surface temperature 37 / 50 37. Which segment of the colon is commonly affected by vascular insufficiency? A. Ascending colon B. Splenic flexure C. Hepatic flexure D. Transverse colon 38 / 50 38. Gastric diverticula are: A. Clinically not significant B. Need immediate upper GI endoscopy C. A premalignant condition D. Commonly seen 39 / 50 39. Pyloric stenosis is commonly associated. with all except: A. Bilious vomiting B. Distension of upper abdomen with succussion splash C. Visible peristalsis D. Obliteration of Traube's space tympanicity 40 / 50 40. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Cardia C. Antrum D. Lesser curvature 41 / 50 41. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Corticosteroids C. Folic acid D. Antibiotics 42 / 50 42. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Cachexia C. Pain abdomen D. Anaemia 43 / 50 43. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VII C. II D. VIII 44 / 50 44. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Colon C. Breast D. Thyroid 45 / 50 45. Which one of the following is false regarding type B hepatitis serology? A. HBeAg implies high infectivity B. Anti-HBs appear to reflect immunity C. Persistence of HBsAg>6 months implies carrier state D. IgG anti-HBc indicates acute hepatitis B virus infection 46 / 50 46. Halitosis is present in all except: A. Hepatic failure B. Amoebic liver abscess C. Gastrocolic fistula D. Atrophic rhinitis 47 / 50 47. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Metoclopramide C. Domperidone D. Cisapride 48 / 50 48. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Hindgut C. Midgut D. Bronchus 49 / 50 49. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum AST> 400 ID /L B. Hyperglycaemia > 200 mg/ dl C. Leucocytosis > 16000/mm3 D. Serum LDH > 400 ID /L 50 / 50 50. The presence of hepatic bruit over the liver suggests: A. Portal hypertension B. Perihepatitis C. Recent liver biopsy D. Hepatoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology