Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Endopeptidases include all except: A. Chymotrypsin B. Trypsin C. Elastase D. Carboxypeptidase 2 / 50 2. Which of the following is not a variety of osmotic diarrhoea? A. Whipple's disease B. Laxative abuse C. Lactase deficiency D. Coeliac disease 3 / 50 3. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Hypoglycaemia C. Steatorrhoea D. Palpitation 4 / 50 4. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 70-80% C. 50-60% D. 90-100% 5 / 50 5. Which of the following primaries is uncommonly associated with bony metastasis? A. Colon B. Breast C. Thyroid D. Prostate 6 / 50 6. Regarding angiodysplasia of colon, which one is false? A. Haemotochezia is common B. Aortic stenosis may be associated with it C. Left colon is commonly affected D. It looks like spider angiomas of the skin 7 / 50 7. One of the earliest manifestations of cystic fibrosis is: A. Meconium ileus B. Gram-negative sepsis C. Tetany D. Malabsorption 8 / 50 8. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Feeding of a standard mea C. Secretin injection test D. Calcium infusion test 9 / 50 9. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening ascites C. Worsening jaundice D. Paralytic ileus 10 / 50 10. Extraintestinal amoebiasis may involve all except: A. Skin B. Heart C. Vulva D. Meninges with encephalon 11 / 50 11. Whipple’s triad is found in: A. Somatostatinoma B. Carcinoid syndrome C. Insulinoma D. Glucagonoma 12 / 50 12. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. 50% of magnesium is absorbed by the small intestine C. Stronger than H2-receptor blockers D. Produces loose stool 13 / 50 13. Regarding carcinoma of oesophagus, all are true except: A. Commonest site of affection is lower third B. Odynophagia may be a symptom C. Tracheo-esophageal fistula may occur in advanced disease D. Dysphagia starts with solid foods 14 / 50 14. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Quantitative faecal fat estimation C. Serum lipase D. Quantitative pilocarpine iontophoresis test 15 / 50 15. Malignant potential is least in: A. Ulcerative colitis B. Peutz-Jeghers syndrome C. Villous adenoma of colon D. Familial colonic polyposis 16 / 50 16. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. IgM anti-HBc B. HBV DNA C. HBeAg D. IgG anti-HBc 17 / 50 17. In coeliac sprue, which of the following is non-deficient in the body? A. Vitamin B12 B. Iron C. Serum albumin D. Folic acid 18 / 50 18. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Diverticulosis of colon C. Pneumatosis cystoides intestinalis D. Pseudomyxoma peritonei 19 / 50 19. Which organ does not move at all with respiration? A. Kidney B. Pancreas C. Transverse colon D. Stomach 20 / 50 20. Hour-glass stomach is usually produced by: A. Gastric ulcer B. Syphilis C. Lymphoma D. Developmental anomaly 21 / 50 21. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Inflammation of duodenal and jejunal mucosa C. Malabsorption D. Lactose intolerance 22 / 50 22. Necrolytic migratory erythema is a feature of: A. Insulinoma B. Glucagonoma C. Carcinoid syndrome D. Hepatoblastoma 23 / 50 23. Absolute contraindication for liver biopsy is: A. Cholestasis B. Amoebic liver abscess C. Cirrhosis of liver D. Haemangioma of liver 24 / 50 24. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatomegaly B. Hepatocellular failure C. Upper GI bleeding D. Ascites 25 / 50 25. Melanosis coli indicates: A. Melanoma affecting colon B. Hypereosinophilic enteritis C. Anthraquinone laxative abuse D. Crohn's disease 26 / 50 26. The commonest type of oral malignancy is: A. Squamous cell carcinoma B. Melanoma C. Adenocarcinoma D. Basal cell carcinoma 27 / 50 27. Which is true regarding Vincent’s angina? A. Gum is the principal site of affection B. Superficial ulcers in mouth C. May be complicated by angina pectoris D. Hiatus hernia may be associated with 28 / 50 28. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Rotor syndrome C. Breakdown of myoglobin D. Breakdown of haemoglobin 29 / 50 29. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of breast B. Melanoma C. Carcinoma of thyroid D. Hepatoma 30 / 50 30. Which one of the following is false regarding primary biliary cirrhosis? A. Female preponderance B. Clubbing C. Moderate to severe jaundice D. Starts with pruritus 31 / 50 31. Auto-vagotomy may be observed in: A. Diabetes mellitus B. Parkinsonism C. Amyloidosis D. Progressive systemic sclerosis 32 / 50 32. Which of the following clotting factors retains its activity in hepatocellular disorder? A. II B. IX C. VII D. VIII 33 / 50 33. Diarrhoea may be associated with all except: A. Clindamycin B. Colchicine C. Digitalis D. Sucralfate 34 / 50 34. Granulomatous hepatitis is not a feature of: A. Tuberculosis B. Blastomycosis C. Metastatic carcinoma D. Sarcoidosis 35 / 50 35. Lactose intolerance with lactase deficiency may be present in all except: A. Crohn's s disease B. Giardiasis C. Amoebiasis D. Cystic fibrosis 36 / 50 36. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Mallory-Weiss syndrome C. Duodenal ulcer D. Acute gastritis 37 / 50 37. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diagnosis with certainty by BAO /MAO ratio B. Recalcitrant upper GI ulcers C. Diarrhoea and steatorrhoea D. Vitamin B12 malabsorption 38 / 50 38. Acid peptic disease is rarely found in: A. Cushing's syndrome B. Pregnancy C. Chronic obstructive pulmonary disease D. Polycythaemia vera 39 / 50 39. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Quantitative determination of faecal fat C. Radioactive triolein absorption (breath) test D. Small intestinal X-rays 40 / 50 40. Chronicity in hepatitis C virus infection is: A. 10% B. 50% C. 30% D. 80% 41 / 50 41. H. pylori is usually not associated with: A. Gastric lymphoma B. Zollinger-Ellison syndrome C. Antral gastritis D. Non-ulcer dyspepsia 42 / 50 42. Leptospirosis can be diagnosed during the 1st week of illness by: A. Agglutination test B. Dark-field examination C. Urine analysis D. Stool culture 43 / 50 43. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Haemangioendothelioma C. Squamous cell carcinoma D. Adenocarcinoma 44 / 50 44. The most specific treatment in coeliac sprue is: A. Antibiotics B. Gluten-free diet C. Corticosteroids D. Folic acid 45 / 50 45. Lower oesophageal sphincter is relaxed by: A. Gastrin B. Metoclopramide C. Protein meal D. Beta-adrenergic agonist 46 / 50 46. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 47 / 50 47. Continued infectivity in HBV infection is diagnosed by: A. Anti-HBs B. HBV DNA C. HBsAg D. IgM anti-HBc 48 / 50 48. Regarding haematochezia, which one is false? A. The blood may not be mixed with stool B. Bleeding source is proximal to ligament of Treitz C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. Passage of bright red blood per rectum 49 / 50 49. Which of the following is false regarding cholera? A. Offensive stool B. Subnormal Surface temperature C. Absence of tenesmus D. Onset with purging 50 / 50 50. The causative agent of tropical sprue is: A. Yersinia B. Unknown C. Campylobacter D. Shigella LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology