Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Regarding diffuse oesophageal spasm, which of the following is true? A. 'Nutcracker' oesophagus is the mildest form B. Usually a disease of teen age C. Invariably requires surgery D. Chest pain mimics angina pectoris 2 / 50 2. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Rectal pain C. Pain abdomen D. Constipation 3 / 50 3. WBC in stool is not found in: A. Campylobacter B. Giardiasis C. Shigella D. Entero-invasive E. coli 4 / 50 4. All of the following are true regarding right-sided colonic carcinoma except: A. Alteration of bowel habit B. Anaemia C. Pain abdomen D. Cachexia 5 / 50 5. Pyloric stenosis may be complicated by: A. Hyperkalaemia B. Hypochloraemic alkalosis C. Hyperchloraemia D. Acidosis 6 / 50 6. Malignant potential is least in: A. Peutz-Jeghers syndrome B. Villous adenoma of colon C. Familial colonic polyposis D. Ulcerative colitis 7 / 50 7. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 75 ml B. 15 ml C. 100 ml D. 30 ml 8 / 50 8. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Peutz-Jeghers syndrome C. Pseudoxanthoma elasticum D. Ehlers-Danlos syndrome 9 / 50 9. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Gilbert's syndrome C. Dubin-Johnson syndrome D. Reye's syndrome 10 / 50 10. Whipple’s triad is found in: A. Glucagonoma B. Somatostatinoma C. Insulinoma D. Carcinoid syndrome 11 / 50 11. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Cholic acid B. Chenodeoxycholic acid C. Lithocholic acid D. Deoxycholic acid 12 / 50 12. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Systemic mastocytosis C. Carcinoid syndrome D. Whipple's disease 13 / 50 13. The lower oesophageal mucosa ring (Schatzki ring) is: A. A late complication of vagotomy B. A normal oesophageal anatomy C. A cause of dysphagia D. A cause of haematemesis and/ or melaena 14 / 50 14. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Ileocaecal region C. Ampulla of Vater D. Right colic flexure 15 / 50 15. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Pancreatic insufficiency C. Medullary carcinoma of thyroid D. Villous adenoma of rectum 16 / 50 16. All of the following produce invasive diarrhoea except: A. Clostridium perfringens B. Shigella C. Clostridium difficile D. Campylobacter 17 / 50 17. The commonest cause of upper GI bleeding in an alcoholic is: A. Duodenal ulcer B. Mallory-Weiss syndrome C. Acute gastritis D. Ruptured oesophageal varices 18 / 50 18. Protein-losing enteropathy maybe feature of all except: A. Intestinal tuberculosis B. Chronic cor pulmonale C. Juvenile polyposis coli D. Atrial septal defect 19 / 50 19. Mallory-Weiss syndrome is commonly seen accompanying: A. Oesophageal carcinoma B. Hiatal hernia C. Reflux oesophagitis D. Alcoholism 20 / 50 20. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Cirrhosis of liver B. Irritable bowel syndrome C. Chronic pancreatitis D. Protein-losing enteropathy 21 / 50 21. The major site of bile salt absorption is: A. Stomach B. Proximal small intestine C. Distal small intestine D. Duodenum 22 / 50 22. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis C C. Hepatitis B D. Hepatitis D 23 / 50 23. Which of the following is not a variety of osmotic diarrhoea? A. Lactase deficiency B. Whipple's disease C. Coeliac disease D. Laxative abuse 24 / 50 24. The commonest type of pancreatic carcinoma is: A. Mucinous carcinoma B. Cystadenocarcinoma C. Ductal adenocarcinoma D. Islet cell carcinoma 25 / 50 25. Mucosal immunity is mainly due to: A. IgG B. IgM C. IgA D. IgD 26 / 50 26. Which of the following has the highest acid secretory effect? A. Protein B. Carbohydrate C. Fat D. Iron 27 / 50 27. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. AST and ALT levels fluctuate within 100-1000 units C. Very high bilirubin level D. Hyperglobulinaemia is common 28 / 50 28. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Arthritis C. Uveitis D. Sclerosing cholangitis 29 / 50 29. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Metoclopramide C. Protein meal D. Gastrin 30 / 50 30. Which one is false regarding irritable bowel syndrome? A. Colicky pain abdomen B. Sense of complete evacuation C. Abdominal distension D. Mucous diarrhoea or pencil-like pasty stools 31 / 50 31. The valvular heart disease common in carcinoid syndrome is: A. Tricuspid incompetence B. Mitral stenosis C. Pulmonary incompetence D. Aortic incompetence 32 / 50 32. Serum alkaline phosphatase is increased in alt except: A. Osteomalacia B. Osteoporosis C. Paget's disease of bone D. Sclerosing cholangitis 33 / 50 33. Regarding H. pylori, which statement is false? A. It penetrates within the epithelial cells of the stomach B. Multiflagellated C. Often resides in the dental plaques of the patient D. Gram-negative bacillus 34 / 50 34. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 70-80% C. 50-60% D. 90-100% 35 / 50 35. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Coating agents like sucralfate C. H2-receptor antagonists D. Prostaglandins like misoprostol 36 / 50 36. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Somatostatin C. Propranolol D. Nitroglycerines 37 / 50 37. Symptoms of carcinoma of the left colon include all except: A. Altered bowel habits B. Melena C. Cramps in the abdomen D. Low back pain 38 / 50 38. Halitosis is present in all except: A. Amoebic liver abscess B. Atrophic rhinitis C. Hepatic failure D. Gastrocolic fistula 39 / 50 39. Which indicates chronicity in hepatitis B virus infection? A. IgG anti-HBc B. HBeAg C. Anti-HBs D. DNA polymerase 40 / 50 40. Which of the following clotting factors is not produced in the liver? A. V B. IV C. II D. VII 41 / 50 41. Oral mucous membrane may be affected in all except: A. Stevens-Johnson syndrome B. Dermatitis herpetiformis C. Lichen planus D. Pemphigus Vulgaris 42 / 50 42. Geographic tongue is ideally treated by: A. None of the above B. Iron C. Folic acid D. Vitamin B-complex 43 / 50 43. Which part of the colonic carcinoma is very easily overlooked? A. Hepatic flexure B. Caecum C. Transverse colon D. Splenic flexure 44 / 50 44. The commonest cause of post-transfusion hepatitis is: A. Hepatitis C B. Hepatitis B C. Hepatitis E D. Hepatitis D 45 / 50 45. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Gastroenterostomy B. Three-quarter gastric resection C. Vagotomy with pyloroplasty D. Vagotomy with gastroenterostomy 46 / 50 46. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DR3 C. HLA-DR4 D. HLA-DQ1 47 / 50 47. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Clindamycin C. Ampicillin D. Streptomycin 48 / 50 48. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Medullary sponge kidney C. Endocardial fibroelastosis D. Retroperitoneal fibrosis 49 / 50 49. All are causes of chylous ascites except: A. Tuberculosis B. Thrombosis of mesenteric artery C. Filariasis D. Intra-abdominal malignancy 50 / 50 50. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypercalcaemia B. Hypophosphataemia C. Increased bicarbonate level in serum D. 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