Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Jaundice C. Mild, firm hepatomegaly D. Liver biopsy is diagnostic 2 / 50 2. Which of the following is false regarding pernicious anaemia? A. 60% have anti-intrinsic factor antibody B. It is a common cause of haemolytic anaemia in the West C. 90% have anti-parietal cell antibody D. Gastric polyp is common 3 / 50 3. Normal portal venous pressure is: A. 7-10 mmHg B. 5-7mmHg C. <5mmHg D. >12mmHg 4 / 50 4. Extraintestinal amoebiasis may involve all except: A. Vulva B. Skin C. Meninges with encephalon D. Heart 5 / 50 5. Spider naevi: A. Correlates with the amount of urinary oestradiol excretion B. Are pathognomonic of portal hypertension C. May be seen in some healthy people D. Often seen in the first trimester of pregnancy 6 / 50 6. Which light source produces best photodecomposition of bilirubin? A. Ultraviolet B. Fluorescent C. Sunlight D. Moonlight 7 / 50 7. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Mesenteric vascular insufficiency C. Left atrial myxoma D. Congestive cardiac failure 8 / 50 8. A desire for defaecation is initiated by: A. Distention of the rectum B. Contraction of the internal anal sphincter C. Contraction of the rectum D. Distention of the sigmoid colon 9 / 50 9. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Burns C. Pseudopancreatic cyst D. Acute intermittent porphyria 10 / 50 10. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Hepatocellular failure C. Upper GI bleeding D. Hepatomegaly 11 / 50 11. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. Invariably requires surgery C. 'Nutcracker' oesophagus is the mildest form D. Chest pain mimics angina pectoris 12 / 50 12. The commonest cause of pancreatic calcification is: A. Hyperthyroidism B. Pancreatic carcinoma C. Protein-energy malnutrition D. Alcohol abuse 13 / 50 13. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. In majority of patients, bleeding stops spontaneously D. Commonly precipitated by vomiting and retching 14 / 50 14. Hepatic rub may be found in: A. Acute viral hepatitis B. Pyogenic liver abscess C. Hepatic neoplasm D. Hemangioma of liver 15 / 50 15. The most reliable screening test for patients suffering from malabsorption is: A. Radioactive triolein absorption (breath) test B. Small intestinal X-rays C. D-xylose absorption test D. Quantitative determination of faecal fat 16 / 50 16. Regarding H. pylori, which statement is false? A. Often resides in the dental plaques of the patient B. Gram-negative bacillus C. Multiflagellated D. It penetrates within the epithelial cells of the stomach 17 / 50 17. Pregnancy predisposes to all except: A. Acute hepatic failure B. Steatosis C. Cholestasis D. Chronic hepatitis 18 / 50 18. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Ileum C. Stomach D. Jejunum 19 / 50 19. Commonest cause of hepatoma is: A. Haemochromatosis B. Cirrhosis of liver C. alpha1-antitrypsin deficiency D. Alcohol 20 / 50 20. Lower oesophageal sphincter is relaxed by: A. Gastrin B. Metoclopramide C. Protein meal D. Beta-adrenergic agonist 21 / 50 21. Which statement is false regarding duodenal ulcer? A. More common in first degree relatives of duodenal ulcer patients B. Increased incidence of HLA-B5 antigen C. An increase in serum pepsinogen II level D. Increased frequency of blood group O and of the non-secretor status 22 / 50 22. Cholangiocarcinoma may be associated with: A. Biliary atresia B. Cholelithiasis C. Tinea echinococcus infestation D. Ulcerative colitis 23 / 50 23. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Insulinoma D. Somatostatinoma 24 / 50 24. Minimal hepatic encephalopathy is classically diagnosed by: A. Psychometric study B. EEG C. Evoked potential study D. MRI of brain 25 / 50 25. Leptospirosis can be diagnosed during the 1st week of illness by: A. Stool culture B. Urine analysis C. Agglutination test D. Dark-field examination 26 / 50 26. Luge gastric folds are seen in all except: A. Sarcoidosis B. Menetrier's disease C. Gastric malignancy D. Chronic H. pylori infection 27 / 50 27. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-DR3 C. HLA-B8 D. HLA-DQ1 28 / 50 28. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Post-encephalitic parkinsonism C. Achalasia cardia D. Carcinoma of the tongue 29 / 50 29. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Non-beta C. Beta D. Alpha 30 / 50 30. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. May cause mild elevation of serum transaminases and creatinine levels C. Related structurally to histamine D. May produce benign intracranial hypertension 31 / 50 31. Which one is false regarding irritable bowel syndrome? A. Colicky pain abdomen B. Abdominal distension C. Sense of complete evacuation D. Mucous diarrhoea or pencil-like pasty stools 32 / 50 32. ‘String sign’ in Crohn’s disease is due to: A. Pseudopolyps B. Spasm C. Small ulceration D. Fistula 33 / 50 33. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Phosphate depletion is a complication C. May contribute to osteomalacia D. Produces constipation 34 / 50 34. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Ulcerative colitis C. Diverticulosis D. Irritable bowel syndrome 35 / 50 35. Which is true regarding Vincent’s angina? A. May be complicated by angina pectoris B. Superficial ulcers in mouth C. Gum is the principal site of affection D. Hiatus hernia may be associated with 36 / 50 36. All of the following produce hypergastrinemia except: A. Atrophic fundal gastritis B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Duodenal ulcer 37 / 50 37. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A late complication of vagotomy C. A cause of haematemesis and/ or melaena D. A cause of dysphagia 38 / 50 38. Regarding angiodysplasia of colon, which one is false? A. Aortic stenosis may be associated with it B. Left colon is commonly affected C. It looks like spider angiomas of the skin D. Haemotochezia is common 39 / 50 39. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Carcinoid syndrome C. Systemic mastocytosis D. Whipple's disease 40 / 50 40. All are recognised complications of acute pancreatitis except: A. Pancreatic phlegmon B. Pancreatic ascites C. Pancreatic malignancy D. Pancreatic pseudocyst 41 / 50 41. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of haemoglobin B. Ineffective erythropoiesis C. Breakdown of myoglobin D. Rotor syndrome 42 / 50 42. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Abdominal pain C. Pancreatic calcification D. Steatorrhoea 43 / 50 43. Which of the following is not a variety of osmotic diarrhoea? A. Coeliac disease B. Laxative abuse C. Whipple's disease D. Lactase deficiency 44 / 50 44. Pruritus associated with cholestasis is mostly seen: A. On the palms and soles B. At daytime C. After a cold bath D. In males 45 / 50 45. Hepatitis-like features may be seen in therapy with all except: A. Zidovudine B. Atorvastatin C. Ketoconazole D. INH 46 / 50 46. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Coexistent coeliac sprue B. Associated vasculitis C. Abnormal bacterial proliferation in proximal intestine D. Exocrine pancreatic insufficiency 47 / 50 47. Incidence of gastric carcinoid is increased in all except: A. Achlorhydria B. Pernicious anaemia C. Mesenteric fibrosis D. Hashimoto's thyroiditis 48 / 50 48. Crohn’s disease may be complicated by all except: A. Clubbing B. Amyloidosis C. Hydroureter D. Chronic cholecystitis 49 / 50 49. Regarding Meckel’s diverticulum, which one is false? A. May contain oesophageal or rectal mucosa B. Present within 100 cm of the ileocaecal valve C. Present in 2% population D. Usually 5 cm long 50 / 50 50. Characteristic of hepatic pre-coma is: A. Presence of ankle clonus B. Babinski's sign C. Night-time somnolence D. Flaccid muscles LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology