Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Fatty liver C. Haemosiderosis D. Macronodular cirrhosis 2 / 50 2. The classical triad in carcinoid syndrome is: A. Flushing, diarrhoea, valvular heart disease B. Dyspnoea, flushing, valvular heart disease C. Telangiectasias, flushing, diarrhoea D. Pruritus, wheezing, diarrhoea 3 / 50 3. Which one is true in relation to Barrett’s oesophagus? A. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus B. Hiatal hernia may be present in 20% of patients C. Risk of adenocarcinoma increases 10-fold D. A consequence of achalasia cardia 4 / 50 4. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Endoscopic view C. Histology D. Rapid urease test 5 / 50 5. Crohn’s disease is caused by: A. Not known B. Nutritional deficiency C. Autoimmunity D. Toxin elaborated by infectious microorganisms 6 / 50 6. Incidence of gastric carcinoid is increased in all except: A. Achlorhydria B. Mesenteric fibrosis C. Hashimoto's thyroiditis D. Pernicious anaemia 7 / 50 7. Which light source produces best photodecomposition of bilirubin? A. Ultraviolet B. Moonlight C. Sunlight D. Fluorescent 8 / 50 8. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. HBsAg C. Anti-HBs D. IgM anti-HBc 9 / 50 9. Pseudomembranous colitis is not produced by: A. Clindamycin B. Ampicillin C. Chloramphenicol D. Streptomycin 10 / 50 10. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. E. coli C. Streptococcus faecalis D. Anaerobes 11 / 50 11. 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 12 / 50 12. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Offensive in odour C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 13 / 50 13. Gum hypertrophy is not a feature of: A. Acute monocytic leukaemia B. Amlodipine therapy C. Carbamazepine therapy D. Scurvy 14 / 50 14. Pregnancy predisposes to all except: A. Cholestasis B. Steatosis C. Acute hepatic failure D. Chronic hepatitis 15 / 50 15. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Pancreatic insufficiency B. Coeliac sprue C. Whipple's disease D. Gastric retention 16 / 50 16. Weil’s disease is associated with: A. Absence of renal involvement B. Leucopenia with lymphocytosis C. Jaundice in all D. Severe muscle pain 17 / 50 17. Botulism may be associated with all of the following except: A. Descending paralysis B. Increased salivation C. Constipation D. Diplopia 18 / 50 18. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Midgut B. Stomach C. Bronchus D. Hindgut 19 / 50 19. Crohn’s disease may be complicated by all except: A. Chronic cholecystitis B. Hydroureter C. Amyloidosis D. Clubbing 20 / 50 20. Extraintestinal amoebiasis may involve all except: A. Heart B. Skin C. Vulva D. Meninges with encephalon 21 / 50 21. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Chronic cor pulmonale C. Atrial septal defect D. Juvenile polyposis coli 22 / 50 22. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Surgery by resection rectopexy may be done C. Rectal prolapse and straining by patient are common associations D. Rectal bleeding and tenesmus are common 23 / 50 23. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum transaminases B. Serum cholesterol C. Serum albumin D. Serum bilirubin 24 / 50 24. The most specific treatment in coeliac sprue is: A. Folic acid B. Gluten-free diet C. Antibiotics D. Corticosteroids 25 / 50 25. Which of the following is false regarding Gaucher’s disease? A. High serum acid phosphatase level B. Elevated serum angiotensin-converting enzyme C. Hepatosplenomegaly D. Pre-malignant 26 / 50 26. The inheritance of cystic fibrosis is: A. Sex-linked recessive B. Sex-linked dominant C. Autosomal dominant D. Autosomal recessive 27 / 50 27. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. IgG anti-HBc C. HBeAg D. HBV DNA 28 / 50 28. All are examples of APUDomas except: A. Melanoma B. Hepatoma C. Phaeochromocytoma D. Medullary carcinoma of thyroid gland 29 / 50 29. The definitive test for diagnosis of haemochromatosis is: A. Hepatic iron index >1.5 B. Plasma iron >300 μg/ dl C. Liver biopsy D. TIBC < 200 μg/dl 30 / 50 30. Which of the following does not give rise to haematemesis? A. Mallory-Weiss syndrome B. Ca stomach C. Stomatostatinoma D. Duodenal diverticula 31 / 50 31. 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 32 / 50 32. The commonest complaint by a patient with Ca rectum is: A. Constipation B. Rectal pain C. Pain abdomen D. Haematochezia 33 / 50 33. All of the following produce invasive diarrhoea except: A. Shigella B. Clostridium perfringens C. Campylobacter D. Clostridium difficile 34 / 50 34. Commonest cause of duodenal haematoma is: A. Trauma B. Anticoagulant therapy C. Acute leukaemia D. Haemophilia 35 / 50 35. All are major components of intestinal gas except: A. H2S B. CO2 C. Methane D. N2 36 / 50 36. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 200ml B. 270ml C. 120ml D. 70ml 37 / 50 37. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Irritable bowel syndrome B. Carcinoid syndrome C. Zollinger-Ellison syndrome D. Villous adenoma of the colon 38 / 50 38. ‘Sago spleen’ is found in: A. Focal amyloidosis B. Chronic active hepatitis C. Chronic myeloid leukaemia D. Felty's syndrome 39 / 50 39. Achalasia cardia may lead to all except: A. Lung abscess B. Emphysema C. Pneumonia D. Fibrosis of the lung 40 / 50 40. Chronic gastritis may be associated with all except: A. Intestinal metaplasia B. Gastro-oesophageal reflux disease C. Antibodies to parietal cells D. Gastric atrophy 41 / 50 41. A ‘white patch’ in the throat may be due to all except: A. Infectious mononucleosis B. Ludwig's angina C. Streptococcal infection D. Diphtheria 42 / 50 42. Lower oesophageal sphincter is relaxed by: A. Protein meal B. Beta-adrenergic agonist C. Gastrin D. Metoclopramide 43 / 50 43. Characteristic of hepatic pre-coma is: A. Flaccid muscles B. Night-time somnolence C. Babinski's sign D. Presence of ankle clonus 44 / 50 44. Which of the following is not true in lupoid hepatitis? A. Cushingoid face B. High risk of developing hepatoma C. Associated with other autoimmune diseases D. ANA is positive in majority 45 / 50 45. Gastrin is predominantly secreted from: A. Jejunum B. 2nd part of the duodenum C. Antral mucosa D. Fundus of the stomach 46 / 50 46. Michaelis-Gutmann bodies are found in: A. Pseudomyxoma peritonei B. Malakoplakia of colon C. Diverticulosis of colon D. Pneumatosis cystoides intestinalis 47 / 50 47. The major site of bile salt absorption is: A. Proximal small intestine B. Stomach C. Distal small intestine D. Duodenum 48 / 50 48. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Type of anaemia B. Small intestinal biopsy C. D-xylose absorption test D. Response to treatment 49 / 50 49. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Carcinoid syndrome C. Glucagonoma D. Insulinoma 50 / 50 50. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Phaeochromocytoma B. Medullary carcinoma of thyroid C. Pituitary adenomas D. Hyperparathyroidism LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology