Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. Bone scan C. USG of liver D. Gamma-glutamyl transpeptidase (GGT) estimation 2 / 50 2. Which of the following reflects the best prognostic marker of hepatocellular function? A. Alkaline phosphatase B. SGPT C. Prothrombin time D. Serum bilirubin 3 / 50 3. Hirschsprung’s disease is not manifested by: A. Vomiting B. Rectal ampulla is full of faeces while the anal sphincter is normal C. Obstipation D. Distended abdomen 4 / 50 4. Which one of the following is false regarding type B hepatitis serology? A. IgG anti-HBc indicates acute hepatitis B virus infection B. Anti-HBs appear to reflect immunity C. Persistence of HBsAg>6 months implies carrier state D. HBeAg implies high infectivity 5 / 50 5. Commonest organism causing pyogenic liver abscess is: A. E. coli B. Staphylococci C. Streptococcus faecalis D. Anaerobes 6 / 50 6. Achalasia cardia may lead to all except: A. Pneumonia B. Lung abscess C. Emphysema D. Fibrosis of the lung 7 / 50 7. All are recognised complications of inflammatory bowel disease except: A. Pyoderma gangrenosum B. Erythema marginatum C. Aphthous stomatitis D. Gallstone formation 8 / 50 8. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Ileum B. Jejunum C. Colon D. Stomach 9 / 50 9. Achalasia cardia gives rise to all except: A. Dysphagia B. Regurgitation C. Chest pain D. Heartburn 10 / 50 10. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Campylobacter B. Rota virus C. Yersinia D. Shigella 11 / 50 11. Which of the following is false regarding autoimmune hepatitis? A. Very high bilirubin level B. Hypoalbuminaemia is very active disease C. AST and ALT levels fluctuate within 100-1000 units D. Hyperglobulinaemia is common 12 / 50 12. Endopeptidases include all except: A. Chymotrypsin B. Carboxypeptidase C. Elastase D. Trypsin 13 / 50 13. The commonest site of carcinoma of the stomach is: A. Prepyloric B. Lesser curvature C. Body of the stomach D. Greater curvature 14 / 50 14. The commonest cause of pancreatic calcification is: A. Protein-energy malnutrition B. Pancreatic carcinoma C. Hyperthyroidism D. Alcohol abuse 15 / 50 15. The most reliable method of measuring steatorrhoea is: A. Schilling test B. Small intestinal mucosal biopsy C. Fecal fat estimation D. D-xylose absorption test 16 / 50 16. Which cardiovascular disorder is not associated with steatorrhoea? A. Congestive cardiac failure B. Left atrial myxoma C. Mesenteric vascular insufficiency D. Constrictive pericarditis 17 / 50 17. Which one of the following is false regarding primary biliary cirrhosis? A. Moderate to severe jaundice B. Starts with pruritus C. Female preponderance D. Clubbing 18 / 50 18. Acute viral hepatitis may develop from all of the following except: A. Infectious mononucleosis B. Yellow fever C. Herpes zoster virus D. Cytomegalovirus 19 / 50 19. Which of the following clotting factors is not produced in the liver? A. IV B. V C. II D. VII 20 / 50 20. All of the following are methods for detection of H. pylori except: A. Endoscopic view B. Histology C. Rapid urease test D. Polymerase chain reaction 21 / 50 21. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. During the first 10 days of life B. Over the first 4-6 weeks of life C. Within the first 24 hours of birth D. At birth 22 / 50 22. Among the following drugs, which one is thought to be the safest in pregnancy? A. Sucralfate B. Misoprostol C. Carbenoxolone D. Omeprazole 23 / 50 23. Manometric study of the lower oesophagus is important in all except: A. Mallory-Weiss syndrome B. Diffuse oesophageal spasm C. Polymyositis D. Achalasia cardia 24 / 50 24. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Budd-Chiari syndrome B. Tuberculous peritonitis C. Cirrhosis of liver D. Congestive cardiac failure 25 / 50 25. Which is true regarding Vincent’s angina? A. Superficial ulcers in mouth B. Hiatus hernia may be associated with C. Gum is the principal site of affection D. May be complicated by angina pectoris 26 / 50 26. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Vagotomy B. Gastric bypass C. Pyloroplasty D. Jejunoileal bypass 27 / 50 27. ‘String sign’ in Crohn’s disease is due to: A. Small ulceration B. Fistula C. Spasm D. Pseudopolyps 28 / 50 28. Absolute contraindication for liver biopsy is: A. Amoebic liver abscess B. Cirrhosis of liver C. Cholestasis D. Haemangioma of liver 29 / 50 29. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. May lead to the development of an amoebic liver abscess C. Abscess commonly affects the right lobe D. Jaundice is present in majority 30 / 50 30. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Mitral stenosis C. Aortic incompetence D. Tricuspid incompetence 31 / 50 31. The most reliable screening test for patients suffering from malabsorption is: A. Radioactive triolein absorption (breath) test B. Quantitative determination of faecal fat C. D-xylose absorption test D. Small intestinal X-rays 32 / 50 32. Malabsorption may produce all of the following except: A. Cheilosis B. Achlorhydria C. Peripheral neuropathy D. Loss of libido 33 / 50 33. Which is not true so far as definition of cirrhosis of liver is concerned? A. Regeneration B. Fibrosis C. Necrosis D. Fatty infiltration 34 / 50 34. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Alpha C. Beta D. Non-beta 35 / 50 35. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Malabsorption D. Lactose intolerance 36 / 50 36. A ‘white patch’ in the throat may be due to all except: A. Streptococcal infection B. Diphtheria C. Ludwig's angina D. Infectious mononucleosis 37 / 50 37. Which of the following is not included in the list of high-folate diet? A. Milk B. Fruits C. Liver D. Vegetables 38 / 50 38. Congenital hepatic fibrosis may be associated with: A. Medullary sponge kidney B. Retroperitoneal fibrosis C. Endocardial fibroelastosis D. Atrial septal defect 39 / 50 39. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. HIDA scan B. Ultrasonography C. ERCP D. CT scan 40 / 50 40. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Emphysema C. Electrolyte imbalance D. Arthritis 41 / 50 41. Which of the following is false regarding acute appendicitis? A. Nausea and vomiting occur in 50-60% of cases B. Meckel's diverticulitis is one of the close differential diagnosis C. The temperature is usually normal or slightly elevated D. Anorexia is rare 42 / 50 42. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Crescentic glomerulonephritis C. Wegener's granulomatosis D. Primary sclerosing cholangitis 43 / 50 43. Superficial venous flow in portal hypertension is: A. Above downwards B. Towards umbilicus C. Below upwards D. Away from the umbilicus 44 / 50 44. All of the following produce “sub-total villous atrophy’ except: A. Hypogammaglobulinaemia B. Abetalipoproteinaemia C. Coeliac disease D. Radiation 45 / 50 45. Pseudomembranous colitis is not produced by: A. Streptomycin B. Clindamycin C. Chloramphenicol D. Ampicillin 46 / 50 46. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Coexistent coeliac sprue B. Abnormal bacterial proliferation in proximal intestine C. Exocrine pancreatic insufficiency D. Associated vasculitis 47 / 50 47. Botulism may be associated with all of the following except: A. Constipation B. Diplopia C. Increased salivation D. Descending paralysis 48 / 50 48. Octreotide can be used in all except: A. Ulcerative colitis B. Short bowel syndrome C. Oesophageal variceal bleeding D. Pancreatic ascites 49 / 50 49. All of the following are true regarding right-sided colonic carcinoma except: A. Cachexia B. Anaemia C. Pain abdomen D. Alteration of bowel habit 50 / 50 50. The commonest cause of metastasis to the wall of the stomach is: A. Melanoma B. Carcinoma of breast C. Hepatoma D. Carcinoma of thyroid LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology