GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Geographic tongue is ideally treated by: A. Iron B. Folic acid C. Vitamin B-complex D. None of the above 2 / 50 2. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgA B. IgD C. IgG D. IgM 3 / 50 3. All of the following produce hypergastrinemia except: A. Zollinger-Ellison syndrome B. Duodenal ulcer C. Lansoprazole therapy D. Atrophic fundal gastritis 4 / 50 4. The commonest cause of colonic obstruction is: A. Hernia B. Neoplasm C. Adhesions D. Volvulus 5 / 50 5. The most reliable screening test for patients suffering from malabsorption is: A. Radioactive triolein absorption (breath) test B. Small intestinal X-rays C. D-xylose absorption test D. Quantitative determination of faecal fat 6 / 50 6. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Folic acid C. Antibiotics D. Corticosteroids 7 / 50 7. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Cardnoid syndrome B. Whipple's disease C. Intestinal lymphangiectasia D. Intestinal lymphoma 8 / 50 8. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Flaccid muscles C. Presence of ankle clonus D. Babinski's sign 9 / 50 9. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Surgery by resection rectopexy may be done C. Rectal bleeding and tenesmus are common D. Rectal prolapse and straining by patient are common associations 10 / 50 10. Incidence of gastric carcinoid is increased in all except: A. Mesenteric fibrosis B. Pernicious anaemia C. Achlorhydria D. Hashimoto's thyroiditis 11 / 50 11. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Ileum B. Stomach C. Colon D. Jejunum 12 / 50 12. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Endocardial fibroelastosis C. Medullary sponge kidney D. Retroperitoneal fibrosis 13 / 50 13. All of the following produce invasive diarrhoea except: A. Clostridium difficile B. Shigella C. Campylobacter D. Clostridium perfringens 14 / 50 14. All of the following enzymes may be normally found in stool except: A. Trypsin B. Amylase C. Pepsin D. Lipase 15 / 50 15. Which of the following is false regarding autoimmune hepatitis? A. Very high bilirubin level B. Hyperglobulinaemia is common C. Hypoalbuminaemia is very active disease D. AST and ALT levels fluctuate within 100-1000 units 16 / 50 16. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. H2-receptor antagonists C. Coating agents like sucralfate D. Prostaglandins like misoprostol 17 / 50 17. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatitis-like picture B. Hepatic vein thrombosis C. Fatty infiltration D. Laennec's cirrhosis 18 / 50 18. What percentage of Zollinger-Ellison syndrome are malignant? A. 40% B. 30% C. 20% D. 60% 19 / 50 19. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Coeliac disease C. Sickle cell disease D. Haemolytic anaemia 20 / 50 20. Tropical sprue may be associated with all except: A. Malabsorption B. Treatment is done satisfactorily by intestinal resection C. Patchy lesion D. Partial villous atrophy is more common than subtotal villous atrophy 21 / 50 21. Incidence of stress ulcers in acutely traumatised patients is: A. 50-60% B. 30-40% C. 90-100% D. 70-80% 22 / 50 22. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Sheehan's syndrome C. Schizophrenia D. Anorexia nervos 23 / 50 23. Chronic active hepatitis may have all the following features except: A. Arthralgia B. Jaundice C. Amenorrhoea D. Haematemesis 24 / 50 24. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Metastasis in liver D. Hypervitaminosis D 25 / 50 25. Crohn’s disease may produce all of the following except: A. Vesicovaginal fistula B. Rectovesical fistula C. Jejuno-colic fistula D. Perianal fistula 26 / 50 26. Fats are ingested primarily in the form of: A. Diglycerides B. Fatty acids C. Triglycerides D. Monoglycerides 27 / 50 27. The commonest site of carcinoid tumour is: A. Ileum B. Appendix C. Colon D. Stomach 28 / 50 28. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Gastric bypass B. Jejunoileal bypass C. Pyloroplasty D. Vagotomy 29 / 50 29. Melanosis coli indicates: A. Melanoma affecting colon B. Anthraquinone laxative abuse C. Hypereosinophilic enteritis D. Crohn's disease 30 / 50 30. Which of the following is false regarding pernicious anaemia? A. 60% have anti-intrinsic factor antibody B. It is a common cause of haemolytic anaemia in the West C. Gastric polyp is common D. 90% have anti-parietal cell antibody 31 / 50 31. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Commonest site of affection is lower third C. Odynophagia may be a symptom D. Tracheo-esophageal fistula may occur in advanced disease 32 / 50 32. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Intestinal lymphangiectasia C. Coeliac disease D. Eosinophilic enteritis 33 / 50 33. Regarding haematochezia, which one is false? A. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon B. Bleeding source is proximal to ligament of Treitz C. Passage of bright red blood per rectum D. The blood may not be mixed with stool 34 / 50 34. All are characteristic features of Wilson’s disease except: A. Slurred speech B. Sensory loss C. Chorea D. Grimacing 35 / 50 35. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Short bowel syndrome C. Ulcerative colitis D. Pancreatic ascites 36 / 50 36. Whipple’s triad is found in: A. Glucagonoma B. Somatostatinoma C. Carcinoid syndrome D. Insulinoma 37 / 50 37. Pyrosis is better known as: A. Water brash B. Retching C. Heartburn D. Singultus 38 / 50 38. The valvular heart disease common in carcinoid syndrome is: A. Tricuspid incompetence B. Pulmonary incompetence C. Aortic incompetence D. Mitral stenosis 39 / 50 39. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Metastatic tumour C. Cyst D. Amyloid 40 / 50 40. Aerophagia is commonly found in all except: A. Rapid eating habit B. Pyloric stenosis C. Hypochondriac personality D. Chronic anxiety states 41 / 50 41. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Sclerosing cholangitis C. Osteoporosis D. Osteomalacia 42 / 50 42. All are major components of intestinal gas except: A. N2 B. CO2 C. Methane D. H2S 43 / 50 43. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Inferior vena caval obstruction B. Superior vena caval obstruction C. Portal hypertension D. Hepatic vein thrombosis 44 / 50 44. Auto-vagotomy may be observed in: A. Parkinsonism B. Diabetes mellitus C. Progressive systemic sclerosis D. Amyloidosis 45 / 50 45. Normal portal venous pressure is: A. 7-10 mmHg B. 5-7mmHg C. >12mmHg D. <5mmHg 46 / 50 46. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Pseudoxanthoma elasticum B. Ehlers-Danlos syndrome C. Peutz-Jeghers syndrome D. Render-Weber-Osler disease 47 / 50 47. Sialorrhoea is associated with all of the following except: A. Carcinoma of the tongue B. Post-encephalitic parkinsonism C. Achalasia cardia D. Wilson's disease 48 / 50 48. Which one is false in granulomatous hepatitis? A. Mild, firm hepatomegaly B. Liver biopsy is diagnostic C. Sarcoidosis may be an aetiology D. Jaundice 49 / 50 49. The presenting feature of non-cirrhotic portal fibrosis is: A. Ascites B. Hepatomegaly C. Upper GI bleeding D. Hepatocellular failure 50 / 50 50. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A fluctuating clinical course C. Means nothing to clinical course D. A bad prognosis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology