Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Crohn’s disease may produce all of the following except: A. Perianal fistula B. Vesicovaginal fistula C. Jejuno-colic fistula D. Rectovesical fistula 2 / 50 2. Which statement is false regarding duodenal ulcer? A. An increase in serum pepsinogen II level B. Increased incidence of HLA-B5 antigen C. Increased frequency of blood group O and of the non-secretor status D. More common in first degree relatives of duodenal ulcer patients 3 / 50 3. Cholangiocarcinoma may be associated with: A. Cholelithiasis B. Biliary atresia C. Tinea echinococcus infestation D. Ulcerative colitis 4 / 50 4. Secretory diarrhoea has no association with: A. Villous adenoma of rectum B. Medullary carcinoma of thyroid C. Zollinger-Ellison syndrome D. Pancreatic insufficiency 5 / 50 5. Intestinal lymphangiectasia is characterised by all except: A. Low level of transferrin and ceruloplasmin B. Hypoproteinaemia and oedema C. Lymphocytosis D. Malabsorption 6 / 50 6. Which of the following is false regarding autoimmune hepatitis? A. AST and ALT levels fluctuate within 100-1000 units B. Hypoalbuminaemia is very active disease C. Hyperglobulinaemia is common D. Very high bilirubin level 7 / 50 7. Raspberry tongue is found in: A. Yellow fever B. Rheumatic fever C. Glandular fever D. Scarlet fever 8 / 50 8. Tegaserod is used in: A. Irritable bowel syndrome B. Gastro-esophageal reflux disease C. Coeliac disease D. Ulcerative colitis 9 / 50 9. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Cirrhosis of liver B. Tuberculous peritonitis C. Budd-Chiari syndrome D. Congestive cardiac failure 10 / 50 10. Commonest organism causing pyogenic liver abscess is: A. Anaerobes B. Staphylococci C. E. coli D. Streptococcus faecalis 11 / 50 11. Which indicates chronicity in hepatitis B virus infection? A. HBeAg B. IgG anti-HBc C. Anti-HBs D. DNA polymerase 12 / 50 12. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgA B. IgG C. IgM D. IgD 13 / 50 13. Which of the following is false regarding acute appendicitis? A. Anorexia is rare B. The temperature is usually normal or slightly elevated C. Nausea and vomiting occur in 50-60% of cases D. Meckel's diverticulitis is one of the close differential diagnosis 14 / 50 14. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening ascites C. Worsening jaundice D. Paralytic ileus 15 / 50 15. All of the following produce “sub-total villous atrophy’ except: A. Abetalipoproteinaemia B. Coeliac disease C. Radiation D. Hypogammaglobulinaemia 16 / 50 16. Late dumping syndrome may be manifested by all except: A. Confusion B. Postural hypertension C. Dizziness D. Diaphoresis 17 / 50 17. Constipation may develop from all except: A. Colchicine B. Clonidine C. Cholestyramine D. Calcium-channel blocker 18 / 50 18. Congenital hepatic fibrosis may be associated with: A. Medullary sponge kidney B. Atrial septal defect C. Endocardial fibroelastosis D. Retroperitoneal fibrosis 19 / 50 19. Features of gastric outlet obstruction produced by congenital hypertrophic pyloric stenosis develop in infants: A. At birth B. Within the first 24 hours of birth C. Over the first 4-6 weeks of life D. During the first 10 days of life 20 / 50 20. The commonest cause of chronic relapsing pancreatitis is: A. Infection B. Alcohol abuse C. Trauma D. Gallstones 21 / 50 21. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Coeliac disease C. Crohn's disease D. Irritable bowel syndrome 22 / 50 22. 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 23 / 50 23. Luge gastric folds are seen in all except: A. Chronic H. pylori infection B. Sarcoidosis C. Menetrier's disease D. Gastric malignancy 24 / 50 24. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Irritable bowel syndrome B. Chronic pancreatitis C. Protein-losing enteropathy D. Cirrhosis of liver 25 / 50 25. Which of the following reflects the best prognostic marker of hepatocellular function? A. Prothrombin time B. Serum bilirubin C. SGPT D. Alkaline phosphatase 26 / 50 26. The commonest cause of post-transfusion hepatitis is: A. Hepatitis E B. Hepatitis B C. Hepatitis D D. Hepatitis C 27 / 50 27. Which is true regarding irritable bowel syndrome? A. Temporary relief of pain by the passage of flatus or stool B. Pain abdomen usually lasts for 1/2 hour C. Nocturnal pain abdomen is frequent complaint D. Periodicity is common 28 / 50 28. Continued infectivity in HBV infection is diagnosed by: A. Anti-HBs B. HBV DNA C. HBsAg D. IgM anti-HBc 29 / 50 29. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 60% C. 30% D. 40% 30 / 50 30. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Commonest site of affection is lower third C. Tracheo-esophageal fistula may occur in advanced disease D. Dysphagia starts with solid foods 31 / 50 31. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Somatostatinoma C. Gastrinoma D. Glucagonoma 32 / 50 32. The commonest cause of upper GI bleeding in an alcoholic is: A. Mallory-Weiss syndrome B. Ruptured oesophageal varices C. Acute gastritis D. Duodenal ulcer 33 / 50 33. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Lactose intolerance C. Infection usually occurs by ingesting contaminated water containing the flagellate form D. Malabsorption 34 / 50 34. The most specific treatment in coeliac sprue is: A. Folic acid B. Antibiotics C. Corticosteroids D. Gluten-free diet 35 / 50 35. Peritonitis may be complicated by all except: A. Pelvic abscess B. Haemorrhagic pancreatitis C. Renal failure D. Acute lung injury 36 / 50 36. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hyperamylasaemia C. Hypergastrinaemia D. Hyperlipidaemia 37 / 50 37. Carbenoxolone sodium may be associated with all of the following features except: A. Development of systemic hypertension B. Complicated by oedema C. Development of potassium depletion D. May be associated with milk-alkali syndrome 38 / 50 38. All of the following may cause traveller’s diarrhoea except: A. Rota and Norwalk viruses B. Campylobacter jejuni C. Enterotoxigenic E. coli D. Clostridium difficile 39 / 50 39. The commonest cause of anaemia after peptic ulcer surgery is: A. Vitamin B12 deficiency B. Hemolysis C. Folic acid deficiency D. Iron deficiency 40 / 50 40. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Ascending colon 41 / 50 41. Botulism may be associated with all of the following except: A. Descending paralysis B. Constipation C. Increased salivation D. Diplopia 42 / 50 42. Which of the following is not effective to eradicate H. pylori? A. Clarithromycin B. Cefixime C. Tinidazole D. Pantoprazole 43 / 50 43. Octreotide can be used in all except: A. Short bowel syndrome B. Ulcerative colitis C. Oesophageal variceal bleeding D. Pancreatic ascites 44 / 50 44. 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 gastroenterostomy D. Vagotomy with pyloroplasty 45 / 50 45. Which part of the colonic carcinoma is very easily overlooked? A. Caecum B. Hepatic flexure C. Transverse colon D. Splenic flexure 46 / 50 46. All of the following are methods for detection of H. pylori except: A. Histology B. Polymerase chain reaction C. Endoscopic view D. Rapid urease test 47 / 50 47. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Right atrial myxoma B. Congenital hepatic fibrosis C. Oral contraceptive pills D. Antiphospholipid syndrome 48 / 50 48. The commonest micro-organism responsible for cholangitis is: A. Streptococcus faecalis B. Klebsiella pneumoniae C. Salmonella D. E. coli 49 / 50 49. Achalasia cardia may lead to all except: A. Pneumonia B. Fibrosis of the lung C. Emphysema D. Lung abscess 50 / 50 50. Manometric study of the lower oesophagus is important in all except: A. Polymyositis B. Mallory-Weiss syndrome C. Diffuse oesophageal spasm D. Achalasia cardia LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
