Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following clotting factors is not produced in the liver? A. II B. IV C. V D. VII 2 / 50 2. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Abnormal bacterial proliferation in proximal intestine C. Coexistent coeliac sprue D. Exocrine pancreatic insufficiency 3 / 50 3. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Bile or pancreatic cytology B. Biliary manometry C. Endoscopic sphincterotomy and stone removal D. Best visualisation of cystic duct 4 / 50 4. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Gastroenterostomy B. Vagotomy with gastroenterostomy C. Vagotomy with pyloroplasty D. Three-quarter gastric resection 5 / 50 5. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 90-100% C. 70-80% D. 30-40% 6 / 50 6. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hypergastrinaemia C. Hyperlipidaemia D. Hyperamylasaemia 7 / 50 7. Which one is false in granulomatous hepatitis? A. Mild, firm hepatomegaly B. Jaundice C. Liver biopsy is diagnostic D. Sarcoidosis may be an aetiology 8 / 50 8. Latent jaundice may be a feature of all except: A. Congestive cardiac failure B. Pernicious anaemia C. Tropical sprue D. Acute pulmonary thromboembolism 9 / 50 9. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. Hampers vision C. The inferior pole of cornea is first affected D. Copper deposition in Descemet's membrane 10 / 50 10. All are recognised complications of acute viral hepatitis except: A. Myocarditis B. Aplastic anaemia C. Meningitis D. Polyarteritis nodosa 11 / 50 11. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 70ml B. 200ml C. 270ml D. 120ml 12 / 50 12. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Vagotomy B. Jejunoileal bypass C. Pyloroplasty D. Gastric bypass 13 / 50 13. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum transaminases C. Serum albumin D. Serum bilirubin 14 / 50 14. Which of the following is not responsible for food poisoning? A. Clostridium perfringens B. Clostridium botulinum C. Bacillus cereus D. Streptococcus (Group A) 15 / 50 15. All of the following can be associated with obstructive jaundice except: A. Pregnancy B. Oral contraceptives C. Secondary carcinoma of liver D. Crigler-Najjar type II 16 / 50 16. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Haemophilia C. Anticoagulant therapy D. Trauma 17 / 50 17. Ulcerative colitis involves the rectal mucosa in: A. 90-100% B. 30-40% C. 50-60% D. 70-80% 18 / 50 18. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Hypochondriac personality C. Rapid eating habit D. Chronic anxiety states 19 / 50 19. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 60% C. 40% D. 30% 20 / 50 20. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Pancreatic gastrinomas are most common in the head of the pancreas C. Solitary primary tumours are very common D. Majority of tumours are biologically malignant 21 / 50 21. Carcinoma of oesophagus may be predisposed by alt except: A. Chronic achalasia cardia B. Plummer-Vinson syndrome C. Lye ingestion D. Hypervitaminosis A 22 / 50 22. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Laennec's cirrhosis C. Fatty infiltration D. Hepatitis-like picture 23 / 50 23. Manometric study of the lower oesophagus is important in all except: A. Diffuse oesophageal spasm B. Mallory-Weiss syndrome C. Achalasia cardia D. Polymyositis 24 / 50 24. Which is true in halothane-induced. hepatitis? A. Males are commonly susceptible B. Peripheral eosinophilia C. Marked cholestasis D. Splenomegaly 25 / 50 25. Non-cirrhotic portal fibrosis may be associated with: A. Chronic arsenic ingestion B. Oral contraceptives C. Sarcoidosis D. Umbilical sepsis 26 / 50 26. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgA C. IgM D. IgD 27 / 50 27. All of the following produce “sub-total villous atrophy’ except: A. Coeliac disease B. Abetalipoproteinaemia C. Radiation D. Hypogammaglobulinaemia 28 / 50 28. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Distention of the sigmoid colon C. Contraction of the rectum D. Distention of the rectum 29 / 50 29. Hepatitis-like features may be seen in therapy with all except: A. Ketoconazole B. INH C. Atorvastatin D. Zidovudine 30 / 50 30. Normal faecal fat is defined as: A. < 12 g for 24 hrs B. < 6 g for 24 hrs C. < 15 g for 24 hr D. < 9 g for 24 hrs 31 / 50 31. Granulomatous hepatitis is not a feature of: A. Tuberculosis B. Sarcoidosis C. Metastatic carcinoma D. Blastomycosis 32 / 50 32. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgG anti-HBc B. HBeAg C. IgM anti-HBc D. HBV DNA 33 / 50 33. Which is not an indication of liver transplantation? A. Haemangioma of liver B. Hereditary oxalosis C. Tyrosinaemia D. Primary sclerosing cholangitis 34 / 50 34. The most common cause of Budd-Chiari syndrome is: A. Hepatoma B. Paroxysmal nocturnal hemoglobinuria C. Oral contraceptives D. Valve in hepatic veins 35 / 50 35. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Black tarry semisolid stool C. Offensive in odour D. Blood should remain at least 4 hours within the gut 36 / 50 36. The commonest cause of pancreatic calcification is: A. Protein-energy malnutrition B. Pancreatic carcinoma C. Hyperthyroidism D. Alcohol abuse 37 / 50 37. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. Autoimmune thyroiditis C. Renal tubular acidosis D. CREST syndrome 38 / 50 38. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Clubbing C. Starts with pruritus D. Female preponderance 39 / 50 39. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Pantoprazole C. Clarithromycin D. Cefixime 40 / 50 40. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Recurrent ulceration C. Hypoglycaemia D. Palpitation 41 / 50 41. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Absence of tenesmus C. Offensive stool D. Onset with purging 42 / 50 42. Hirschsprung’s disease is not manifested by: A. Distended abdomen B. Rectal ampulla is full of faeces while the anal sphincter is normal C. Vomiting D. Obstipation 43 / 50 43. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool culture B. Barium enema C. Stool smear D. Sigmoidoscopy 44 / 50 44. All are absorbed maximally in the upper small intestine except: A. Folate B. Ca++ C. Fe++ D. Vitamin B12 45 / 50 45. Chronicity in hepatitis C virus infection is: A. 80% B. 50% C. 30% D. 10% 46 / 50 46. Crohn’s disease may be complicated by all except: A. Clubbing B. Chronic cholecystitis C. Hydroureter D. Amyloidosis 47 / 50 47. Regarding ischaemic colitis, which one is true? A. Almost always an occlusive disease of mesenteric vessels B. Affects young population C. Angiography is not helpful D. Rectal bleeding is a rare complication 48 / 50 48. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DR3 C. HLA-DQ1 D. HLA-DR4 49 / 50 49. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Dilatation B. Coarsening of mucosal folds C. Segmentation and clumping D. Loss of mucosal pattern 50 / 50 50. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 500-600 g C. 300-400 g D. 100-200 g LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology