Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Pyloric stenosis is commonly associated. with all except: A. Bilious vomiting B. Visible peristalsis C. Obliteration of Traube's space tympanicity D. Distension of upper abdomen with succussion splash 2 / 50 2. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Acute gastritis C. Mallory-Weiss syndrome D. Duodenal ulcer 3 / 50 3. All are major components of intestinal gas except: A. CO2 B. N2 C. H2S D. Methane 4 / 50 4. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal prolapse and straining by patient are common associations B. Surgery by resection rectopexy may be done C. Commonly in the posterior wall of rectum D. Rectal bleeding and tenesmus are common 5 / 50 5. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Hepatoma C. Valve in hepatic veins D. Oral contraceptives 6 / 50 6. Crohn’s disease may be complicated by all except: A. Clubbing B. Hydroureter C. Amyloidosis D. Chronic cholecystitis 7 / 50 7. The presence of hepatic bruit over the liver suggests: A. Perihepatitis B. Recent liver biopsy C. Hepatoma D. Portal hypertension 8 / 50 8. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 40% C. 60% D. 30% 9 / 50 9. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Histamine injection test C. Feeding of a standard mea D. Calcium infusion test 10 / 50 10. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Emphysema B. Arthritis C. Electrolyte imbalance D. Nephrolithiasis 11 / 50 11. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Odynophagia may be a symptom C. Commonest site of affection is lower third D. Dysphagia starts with solid foods 12 / 50 12. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. MRI scan of liver B. Pulmonary angiography C. CT scan of liver D. Contrast-enhanced echocardiography 13 / 50 13. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBeAg B. HBV DNA C. IgM anti-HBc D. IgG anti-HBc 14 / 50 14. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ampulla of Vater C. Ileocaecal region D. Right colic flexure 15 / 50 15. Acute pancreatitis may be caused by: A. Propranolol B. Measles C. Legionella pneumoniae D. Thiazides 16 / 50 16. Acute viral hepatitis may develop from all of the following except: A. Cytomegalovirus B. Yellow fever C. Infectious mononucleosis D. Herpes zoster virus 17 / 50 17. Which one is false in granulomatous hepatitis? A. Mild, firm hepatomegaly B. Jaundice C. Sarcoidosis may be an aetiology D. Liver biopsy is diagnostic 18 / 50 18. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A fluctuating clinical course C. Means nothing to clinical course D. A bad prognosis 19 / 50 19. Aerophagia is commonly found in all except: A. Hypochondriac personality B. Rapid eating habit C. Chronic anxiety states D. Pyloric stenosis 20 / 50 20. Congestive gastropathy in portal hypertension is best treated by: A. Propranolol B. Nitroglycerines C. Somatostatin D. Terlipressin 21 / 50 21. Which of the following has the highest acid secretory effect? A. Fat B. Carbohydrate C. Protein D. Iron 22 / 50 22. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Endoscopic sphincterotomy and stone removal C. Best visualisation of cystic duct D. Bile or pancreatic cytology 23 / 50 23. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Autoimmune haemolytic anaemia C. Sacroiliitis D. Bronchiectasis 24 / 50 24. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Autoimmunity C. Not known D. Nutritional deficiency 25 / 50 25. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 50-60% C. 70-80% D. 30-40% 26 / 50 26. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hyperlipidaemia B. Hypercalcaemia C. Hyperamylasaemia D. Hypergastrinaemia 27 / 50 27. Octreotide can be used in all except: A. Ulcerative colitis B. Short bowel syndrome C. Pancreatic ascites D. Oesophageal variceal bleeding 28 / 50 28. Diabetic diarrhoea may be encountered in the presence of: A. Retinopathy B. Nephropathy C. Macroangiopathy D. Neuropathy 29 / 50 29. All of the following are true regarding acute mesenteric vascular occlusion except: A. Young women are the main victims B. Barium study of the small intestine reveals 'thumbprinting' C. Severe periumbilical pain at the onset D. Abdominal distension with normal peristaltic sound, even with severe infarction 30 / 50 30. Serum alkaline phosphatase level may be increased in all except: A. Paget's disease B. Cholestasis C. Hypervitaminosis D D. Metastasis in liver 31 / 50 31. Macroglossia is not found in: A. Bulbar palsy B. Myxoedema C. Primary amyloidosis D. Hurler syndrome 32 / 50 32. Commonest cause of antral gastritis is: A. H. pylori infection B. Herpes virus infection C. Alcohol D. Pernicious anaemia 33 / 50 33. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Hypophosphataemia C. Elevated blood urea nitrogen D. Hypercalcaemia 34 / 50 34. The commonest cause of colonic obstruction is: A. Adhesions B. Neoplasm C. Hernia D. Volvulus 35 / 50 35. ‘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 36 / 50 36. Pregnancy predisposes to all except: A. Cholestasis B. Chronic hepatitis C. Acute hepatic failure D. Steatosis 37 / 50 37. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of thyroid B. Hepatoma C. Carcinoma of breast D. Melanoma 38 / 50 38. Achalasia cardia may lead to all except: A. Fibrosis of the lung B. Pneumonia C. Emphysema D. Lung abscess 39 / 50 39. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Ca++ B. Salt and water C. Fat D. Vitamin B12 40 / 50 40. The commonest site of carcinoid tumour is: A. Stomach B. Appendix C. Ileum D. Colon 41 / 50 41. Which of the following is not included in the classical triad of chronic pancreatitis? A. Steatorrhoea B. Abdominal pain C. Diabetes mellitus D. Pancreatic calcification 42 / 50 42. Malignant potential is least in: A. Ulcerative colitis B. Peutz-Jeghers syndrome C. Villous adenoma of colon D. Familial colonic polyposis 43 / 50 43. Malabsorption may produce all of the following except: A. Peripheral neuropathy B. Achlorhydria C. Loss of libido D. Cheilosis 44 / 50 44. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Nocturnal diarrhoea is common C. Commonly affects middle-aged males D. Easily treatable 45 / 50 45. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of haematemesis and/ or melaena B. A normal oesophageal anatomy C. A cause of dysphagia D. A late complication of vagotomy 46 / 50 46. Giardia lamblia infestation produces a syndrome mimicking: A. Biliary dyspepsia B. Irritable bowel syndrome C. Peptic ulcer disease D. Tropical sprue 47 / 50 47. The commonest cause of chronic relapsing pancreatitis is: A. Trauma B. Infection C. Gallstones D. Alcohol abuse 48 / 50 48. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Rapid urease test C. Histology D. Endoscopic view 49 / 50 49. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. Wilson's disease C. CREST syndrome D. Renal tubular acidosis 50 / 50 50. Which is true regarding irritable bowel syndrome? A. Pain abdomen usually lasts for 1/2 hour B. Temporary relief of pain by the passage of flatus or stool C. Periodicity is common D. Nocturnal pain abdomen is frequent complaint LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology