Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Haemosiderosis C. Micronodular cirrhosis D. Macronodular cirrhosis 2 / 50 2. Macroglossia is not found in: A. Primary amyloidosis B. Myxoedema C. Hurler syndrome D. Bulbar palsy 3 / 50 3. Hepatic rub may be found in: A. Acute viral hepatitis B. Pyogenic liver abscess C. Hemangioma of liver D. Hepatic neoplasm 4 / 50 4. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Coeliac disease C. Ulcerative colitis D. Eosinophilic enteritis 5 / 50 5. Regarding H. pylori, which statement is false? A. It penetrates within the epithelial cells of the stomach B. Often resides in the dental plaques of the patient C. Multiflagellated D. Gram-negative bacillus 6 / 50 6. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Hypochlorhydria C. Vitamin B12 malabsorpfion D. Cirrhosis of liver 7 / 50 7. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Somatostatin C. Propranolol D. Terlipressin 8 / 50 8. Which part of the colonic carcinoma is very easily overlooked? A. Hepatic flexure B. Splenic flexure C. Caecum D. Transverse colon 9 / 50 9. Which is true regarding Vincent’s angina? A. Hiatus hernia may be associated with B. May be complicated by angina pectoris C. Superficial ulcers in mouth D. Gum is the principal site of affection 10 / 50 10. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Portal hypertension B. Superior vena caval obstruction C. Inferior vena caval obstruction D. Hepatic vein thrombosis 11 / 50 11. Aerophagia is commonly found in all except: A. Chronic anxiety states B. Hypochondriac personality C. Rapid eating habit D. Pyloric stenosis 12 / 50 12. Botulism may be associated with all of the following except: A. Diplopia B. Descending paralysis C. Increased salivation D. Constipation 13 / 50 13. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Steatorrhoea C. Hypoglycaemia D. Palpitation 14 / 50 14. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Amiodarone C. Massive dose of estrogen D. Nifedipine 15 / 50 15. Continued infectivity in HBV infection is diagnosed by: A. IgM anti-HBc B. Anti-HBs C. HBV DNA D. HBsAg 16 / 50 16. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Zollinger-Ellison syndrome D. Pancreatic insufficiency 17 / 50 17. All are characteristic features of Wilson’s disease except: A. Chorea B. Sensory loss C. Slurred speech D. Grimacing 18 / 50 18. Which of the following is not included in the list of high-folate diet? A. Fruits B. Vegetables C. Liver D. Milk 19 / 50 19. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Gastroenterostomy C. Vagotomy with pyloroplasty D. Three-quarter gastric resection 20 / 50 20. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Colicky pain abdomen C. Sense of complete evacuation D. Abdominal distension 21 / 50 21. Carcinoma of oesophagus may be predisposed by alt except: A. Lye ingestion B. Hypervitaminosis A C. Chronic achalasia cardia D. Plummer-Vinson syndrome 22 / 50 22. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Liver biopsy C. Rectal biopsy D. Stomach biopsy 23 / 50 23. Chronic gastritis may be associated with all except: A. Gastric atrophy B. Intestinal metaplasia C. Gastro-oesophageal reflux disease D. Antibodies to parietal cells 24 / 50 24. The most common gastrointestinal disorder in a community is: A. Reflux oesophagitis B. Duodenal ulcer C. Diverticulitis D. Irritable bowel syndrome 25 / 50 25. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Paralytic ileus B. Ascitic pH < blood pH C. Worsening jaundice D. Worsening ascites 26 / 50 26. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of myoglobin C. Ineffective erythropoiesis D. Breakdown of haemoglobin 27 / 50 27. Acute pancreatitis may eventually lead to all of the following except: A. Disseminated intravascular coagulation B. Fulminant hepatocellular failure C. Renal failure D. Acute lung injury 28 / 50 28. Which statement is false regarding duodenal ulcer? A. Increased incidence of HLA-B5 antigen B. More common in first degree relatives of duodenal ulcer patients C. An increase in serum pepsinogen II level D. Increased frequency of blood group O and of the non-secretor status 29 / 50 29. In gastroparesis, the following drugs are helpful except: A. Cisapride B. Tetracycline C. Metoclopramide D. Domperidone 30 / 50 30. Which is true regarding irritable bowel syndrome? A. Pain abdomen usually lasts for 1/2 hour B. Periodicity is common C. Temporary relief of pain by the passage of flatus or stool D. Nocturnal pain abdomen is frequent complaint 31 / 50 31. Pyloric stenosis is commonly associated. with all except: A. Obliteration of Traube's space tympanicity B. Distension of upper abdomen with succussion splash C. Visible peristalsis D. Bilious vomiting 32 / 50 32. Chronicity in hepatitis C virus infection is: A. 10% B. 50% C. 30% D. 80% 33 / 50 33. Tropical sprue may be associated with all except: A. Treatment is done satisfactorily by intestinal resection B. Patchy lesion C. Malabsorption D. Partial villous atrophy is more common than subtotal villous atrophy 34 / 50 34. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Liver biopsy is diagnostic C. Jaundice D. Mild, firm hepatomegaly 35 / 50 35. The Kayser-Fleischer (KF) ring is: A. The inferior pole of cornea is first affected B. Broader laterally and medially C. Copper deposition in Descemet's membrane D. Hampers vision 36 / 50 36. The causative agent of tropical sprue is: A. Campylobacter B. Unknown C. Yersinia D. Shigella 37 / 50 37. Auto-vagotomy may be observed in: A. Parkinsonism B. Amyloidosis C. Diabetes mellitus D. Progressive systemic sclerosis 38 / 50 38. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Associated vasculitis B. Exocrine pancreatic insufficiency C. Abnormal bacterial proliferation in proximal intestine D. Coexistent coeliac sprue 39 / 50 39. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum transaminases B. Serum cholesterol C. Serum bilirubin D. Serum albumin 40 / 50 40. Normal portal venous pressure is: A. <5mmHg B. 7-10 mmHg C. 5-7mmHg D. >12mmHg 41 / 50 41. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Malabsorption C. Tetany D. Meconium ileus 42 / 50 42. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Cardnoid syndrome B. Intestinal lymphangiectasia C. Intestinal lymphoma D. Whipple's disease 43 / 50 43. Peritonitis may be complicated by all except: A. Renal failure B. Pelvic abscess C. Acute lung injury D. Haemorrhagic pancreatitis 44 / 50 44. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Protein metabolism C. Vitamins and minerals absorption D. Fat metabolism 45 / 50 45. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Isospora belli D. Microsporidia 46 / 50 46. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Ruptured oesophageal varices C. Mallory-Weiss syndrome D. Duodenal ulcer 47 / 50 47. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Whipple's disease B. Systemic mastocytosis C. Coeliac sprue D. Carcinoid syndrome 48 / 50 48. Pseudomembranous colitis is not produced by: A. Streptomycin B. Chloramphenicol C. Clindamycin D. Ampicillin 49 / 50 49. Carcinoid syndrome: A. Increases BP B. More common in women C. Is multiple in 1/5th cases D. Produces jaundice 50 / 50 50. 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. Rectal ampulla is empty but tender sigmoid is full of faeces C. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough D. Usually have 3 clinical components: spastic, diarrhoeal and both LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology