Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Sense of complete evacuation C. Abdominal distension D. Colicky pain abdomen 2 / 50 2. The definitive test for diagnosis of haemochromatosis is: A. TIBC < 200 μg/dl B. Plasma iron >300 μg/ dl C. Liver biopsy D. Hepatic iron index >1.5 3 / 50 3. Pseudomembranous colitis is best treated by: A. Clindamycin B. Tobramycin C. Erythromycin D. Vancomycin 4 / 50 4. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Ehlers-Danlos syndrome B. Peutz-Jeghers syndrome C. Render-Weber-Osler disease D. Pseudoxanthoma elasticum 5 / 50 5. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Clubbing C. Female preponderance D. Starts with pruritus 6 / 50 6. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Tetany C. Meconium ileus D. Malabsorption 7 / 50 7. Diarrhoea may be associated with all except: A. Colchicine B. Digitalis C. Clindamycin D. Sucralfate 8 / 50 8. All are absorbed maximally in the upper small intestine except: A. Ca++ B. Folate C. Fe++ D. Vitamin B12 9 / 50 9. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Stomach biopsy C. Liver biopsy D. Rectal biopsy 10 / 50 10. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Somatostatinoma C. Gastrinoma D. Glucagonoma 11 / 50 11. All of the following may cause traveller’s diarrhoea except: A. Campylobacter jejuni B. Rota and Norwalk viruses C. Enterotoxigenic E. coli D. Clostridium difficile 12 / 50 12. Regarding angiodysplasia of colon, which one is false? A. It looks like spider angiomas of the skin B. Left colon is commonly affected C. Aortic stenosis may be associated with it D. Haemotochezia is common 13 / 50 13. Absolute contraindication for liver biopsy is: A. Haemangioma of liver B. Amoebic liver abscess C. Cholestasis D. Cirrhosis of liver 14 / 50 14. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Three-quarter gastric resection C. Gastroenterostomy D. Vagotomy with pyloroplasty 15 / 50 15. Treatment modalities of Wilson’s disease include all except: A. Elemental zinc B. Penicillamine C. Colchicine D. Tetrathiomolybdate 16 / 50 16. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Hypoalbuminaemia is very active disease C. Very high bilirubin level D. Hyperglobulinaemia is common 17 / 50 17. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Atrial septal defect C. Medullary sponge kidney D. Endocardial fibroelastosis 18 / 50 18. The commonest micro-organism responsible for cholangitis is: A. Streptococcus faecalis B. E. coli C. Klebsiella pneumoniae D. Salmonella 19 / 50 19. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Coeliac sprue C. Systemic mastocytosis D. Whipple's disease 20 / 50 20. Hyperdefaecation is found in all except: A. Proctitis B. Diabetes mellitus C. Hyperthyroidism D. Irritable bowel syndrome 21 / 50 21. H. pylori is usually not associated with: A. Antral gastritis B. Non-ulcer dyspepsia C. Zollinger-Ellison syndrome D. Gastric lymphoma 22 / 50 22. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Abscess commonly affects the right lobe 23 / 50 23. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas C. Pancreatic gastrinomas are most common in the head of the pancreas D. Majority of tumours are biologically malignant 24 / 50 24. Which of the following is not responsible for food poisoning? A. Bacillus cereus B. Clostridium botulinum C. Streptococcus (Group A) D. Clostridium perfringens 25 / 50 25. Characteristics of anorexia nervosa include all except: A. Loss of axillary and pubic hair B. Hypothermia C. Amenorrhoea D. Carotenaemia 26 / 50 26. Gluten-free diet is beneficial in: A. Psoriasis B. Atopic eczema C. Dermatitis herpetiformis D. Pemphigus 27 / 50 27. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Shunt hyperbilirubinaemia C. Crigler-Najjar syndrome D. Gilbert's syndrome 28 / 50 28. Which is true in halothane-induced. hepatitis? A. Peripheral eosinophilia B. Marked cholestasis C. Males are commonly susceptible D. Splenomegaly 29 / 50 29. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Nitroglycerines C. Propranolol D. Somatostatin 30 / 50 30. Lactose intolerance with lactase deficiency may be present in all except: A. Amoebiasis B. Giardiasis C. Cystic fibrosis D. Crohn's s disease 31 / 50 31. Regarding melena, which statement is false? A. Black tarry semisolid stool B. At least 60 ml of blood is required C. Offensive in odour D. Blood should remain at least 4 hours within the gut 32 / 50 32. Which of the following does not give rise to haematemesis? A. Mallory-Weiss syndrome B. Stomatostatinoma C. Duodenal diverticula D. Ca stomach 33 / 50 33. Latent jaundice may be a feature of all except: A. Pernicious anaemia B. Congestive cardiac failure C. Acute pulmonary thromboembolism D. Tropical sprue 34 / 50 34. The most common cause of Budd-Chiari syndrome is: A. Oral contraceptives B. Valve in hepatic veins C. Paroxysmal nocturnal hemoglobinuria D. Hepatoma 35 / 50 35. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Metastasis in liver C. Paget's disease D. Hypervitaminosis D 36 / 50 36. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. EEG C. MRI of brain D. Evoked potential study 37 / 50 37. Giardia lamblia infestation produces a syndrome mimicking: A. Tropical sprue B. Irritable bowel syndrome C. Biliary dyspepsia D. Peptic ulcer disease 38 / 50 38. Water is minimally absorbed from: A. Transverse colon B. Ascending colon C. Caecum D. Descending colon 39 / 50 39. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 70ml C. 200ml D. 270ml 40 / 50 40. Carcinoma of oesophagus may be predisposed by alt except: A. Lye ingestion B. Plummer-Vinson syndrome C. Hypervitaminosis A D. Chronic achalasia cardia 41 / 50 41. Which of the following is not associated with leucocytosis? A. Acute viral hepatitis B. Weil's disease C. Amoebic liver abscess D. Toxic hepatitis 42 / 50 42. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Adenocarcinoma C. Haemangioendothelioma D. Squamous cell carcinoma 43 / 50 43. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 15 g for 24 hr C. < 6 g for 24 hrs D. < 12 g for 24 hrs 44 / 50 44. The commonest hepatic lesion in haemochromatosis is: A. Macronodular cirrhosis B. Haemosiderosis C. Micronodular cirrhosis D. Fatty liver 45 / 50 45. 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 46 / 50 46. All of the following may be associated with hyposplenism except: A. Sickle cell disease B. Haemolytic anaemia C. Coeliac disease D. Dermatitis herpetiformi 47 / 50 47. The commonest complaint by a patient with Ca rectum is: A. Pain abdomen B. Constipation C. Rectal pain D. Haematochezia 48 / 50 48. Extraintestinal amoebiasis may involve all except: A. Vulva B. Skin C. Meninges with encephalon D. Heart 49 / 50 49. Regarding diffuse oesophageal spasm, which of the following is true? A. Chest pain mimics angina pectoris B. Invariably requires surgery C. Usually a disease of teen age D. 'Nutcracker' oesophagus is the mildest form 50 / 50 50. Acid peptic disease is rarely found in: A. Chronic obstructive pulmonary disease B. Cushing's syndrome C. Polycythaemia vera D. Pregnancy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology