Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Lactose intolerance with lactase deficiency may be present in all except: A. Amoebiasis B. Giardiasis C. Cystic fibrosis D. Crohn's s disease 2 / 50 2. Silvery stool signifies a lesion characteristic of: A. Ampulla of Vater B. Meckel's diverticulum C. Right colic flexure D. Ileocaecal region 3 / 50 3. All are recognised complications of acute viral hepatitis except: A. Myocarditis B. Aplastic anaemia C. Meningitis D. Polyarteritis nodosa 4 / 50 4. WBC in stool is not found in: A. Entero-invasive E. coli B. Shigella C. Campylobacter D. Giardiasis 5 / 50 5. Which of the following is false regarding cholera? A. Onset with purging B. Offensive stool C. Absence of tenesmus D. Subnormal Surface temperature 6 / 50 6. Regarding melena, which statement is false? A. Black tarry semisolid stool B. At least 60 ml of blood is required C. Offensive in odour D. Blood should remain at least 4 hours within the gut 7 / 50 7. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Arthritis B. Emphysema C. Nephrolithiasis D. Electrolyte imbalance 8 / 50 8. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Antibiotics C. Folic acid D. Corticosteroids 9 / 50 9. The causative agent of tropical sprue is: A. Unknown B. Shigella C. Yersinia D. Campylobacter 10 / 50 10. Gastrin is predominantly secreted from: A. Jejunum B. Antral mucosa C. 2nd part of the duodenum D. Fundus of the stomach 11 / 50 11. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgM C. IgA D. IgD 12 / 50 12. Carcinoid syndrome: A. More common in women B. Increases BP C. Produces jaundice D. Is multiple in 1/5th cases 13 / 50 13. High transaminase levels may be found in all except: A. Acute myocardial infarction B. Chronic pancreatitis C. Right-sided heart failure D. Acute viral hepatitis 14 / 50 14. The commonest manifestation of radiation proctitis is: A. Mucous discharge B. Pruritus ani C. Bleeding per rectum D. Diarrhoea 15 / 50 15. Achalasia cardia gives rise to all except: A. Heartburn B. Regurgitation C. Dysphagia D. Chest pain 16 / 50 16. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatomegaly B. Ascites C. Hepatocellular failure D. Upper GI bleeding 17 / 50 17. Tropical sprue may be associated with all except: A. Malabsorption B. Treatment is done satisfactorily by intestinal resection C. Partial villous atrophy is more common than subtotal villous atrophy D. Patchy lesion 18 / 50 18. The weight of normal daily stool of a healthy adult is: A. 300-400 g B. 500-600 g C. 700-800 g D. 100-200 g 19 / 50 19. Crohn’s disease is caused by: A. Not known B. Autoimmunity C. Toxin elaborated by infectious microorganisms D. Nutritional deficiency 20 / 50 20. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Antiphospholipid syndrome B. Congenital hepatic fibrosis C. Oral contraceptive pills D. Right atrial myxoma 21 / 50 21. In coeliac sprue, which of the following is non-deficient in the body? A. Folic acid B. Vitamin B12 C. Serum albumin D. Iron 22 / 50 22. Which of the following clotting factors is not produced in the liver? A. IV B. VII C. II D. V 23 / 50 23. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Loss of mucosal pattern B. Dilatation C. Coarsening of mucosal folds D. Segmentation and clumping 24 / 50 24. Regarding angiodysplasia of colon, which one is false? A. Left colon is commonly affected B. It looks like spider angiomas of the skin C. Aortic stenosis may be associated with it D. Haemotochezia is common 25 / 50 25. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Breast C. Thyroid D. Colon 26 / 50 26. 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. IgG anti-HBc D. HBeAg 27 / 50 27. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Haemosiderosis C. Micronodular cirrhosis D. Macronodular cirrhosis 28 / 50 28. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Acidosis C. Hyperchloraemia D. Hyperkalaemia 29 / 50 29. Amino acids malabsorption is seen in: A. Phenylketonuria B. Cystinuria C. Homocystinuria D. Alkaptonuria 30 / 50 30. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Retroperitoneal fibrosis C. Medullary sponge kidney D. Endocardial fibroelastosis 31 / 50 31. All of the following may be associated with hyposplenism except: A. Haemolytic anaemia B. Sickle cell disease C. Coeliac disease D. Dermatitis herpetiformi 32 / 50 32. Portal hypertension associated with soft liver suggests: A. Budd-Chiari syndrome B. Extrahepatic obstruction C. Non-cirrhotic portal fibrosis D. Cirrhosis of liver 33 / 50 33. Fatty liver may be produced by: A. Anabolic steroids B. Tetracycline C. Chloramphenicol D. Oral contraceptives 34 / 50 34. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Majority of tumours are biologically malignant B. Pancreatic gastrinomas are most common in the head of the pancreas C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Solitary primary tumours are very common 35 / 50 35. Hepatic amoebiasis is associated with all except: A. May lead to the development of an amoebic liver abscess B. Jaundice is present in majority C. Right lower intercostal tenderness D. Abscess commonly affects the right lobe 36 / 50 36. Michaelis-Gutmann bodies are found in: A. Diverticulosis of colon B. Pneumatosis cystoides intestinalis C. Pseudomyxoma peritonei D. Malakoplakia of colon 37 / 50 37. Pyloric stenosis is commonly associated. with all except: A. Obliteration of Traube's space tympanicity B. Bilious vomiting C. Visible peristalsis D. Distension of upper abdomen with succussion splash 38 / 50 38. Pneumaturia is an established feature of: A. Coeliac disease B. Intestinal lymphoma C. Irritable bowel syndrome D. Crohn's disease 39 / 50 39. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. USG of liver C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 40 / 50 40. All are characteristic features of Wilson’s disease except: A. Chorea B. Sensory loss C. Slurred speech D. Grimacing 41 / 50 41. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. Commonly precipitated by vomiting and retching C. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction D. In majority of patients, bleeding stops spontaneously 42 / 50 42. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 1st day B. 7th day C. 2nd day D. 3rd day 43 / 50 43. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Intestinal lymphoma C. Cardnoid syndrome D. Whipple's disease 44 / 50 44. Treatment modalities of Wilson’s disease include all except: A. Penicillamine B. Colchicine C. Elemental zinc D. Tetrathiomolybdate 45 / 50 45. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Ehlers-Danlos syndrome B. Peutz-Jeghers syndrome C. Pseudoxanthoma elasticum D. Render-Weber-Osler disease 46 / 50 46. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 270ml C. 70ml D. 200ml 47 / 50 47. Regarding ulcerative colitis, which is true? A. Granuloma and fistula formation are characteristic B. Segmental involvement is common C. Malignancy never follows even in long-standing disease D. Crypt abscesses are typical 48 / 50 48. Carcinoma of oesophagus may be predisposed by alt except: A. Plummer-Vinson syndrome B. Chronic achalasia cardia C. Lye ingestion D. Hypervitaminosis A 49 / 50 49. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Bromsulphalein (BSP) excretion test B. Level of transaminases C. Serum albumin estimation D. Serum bilirubin assay 50 / 50 50. 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. Gram-negative bacillus D. 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