Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Non-cirrhotic portal fibrosis may be associated with: A. Umbilical sepsis B. Oral contraceptives C. Chronic arsenic ingestion D. Sarcoidosis 2 / 50 2. Which one is true in relation to Barrett’s oesophagus? A. Hiatal hernia may be present in 20% of patients B. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus C. A consequence of achalasia cardia D. Risk of adenocarcinoma increases 10-fold 3 / 50 3. Gluten-free diet is beneficial in: A. Atopic eczema B. Dermatitis herpetiformis C. Pemphigus D. Psoriasis 4 / 50 4. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Post-encephalitic parkinsonism C. Achalasia cardia D. Carcinoma of the tongue 5 / 50 5. The most common gastrointestinal disorder in a community is: A. Irritable bowel syndrome B. Reflux oesophagitis C. Duodenal ulcer D. Diverticulitis 6 / 50 6. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Sense of complete evacuation C. Abdominal distension D. Colicky pain abdomen 7 / 50 7. Weil’s disease is associated with: A. Absence of renal involvement B. Jaundice in all C. Leucopenia with lymphocytosis D. Severe muscle pain 8 / 50 8. Regarding cimetidine, all of the following are true except: A. May produce benign intracranial hypertension B. Tender gynecomastia may be a complication after prolonged use C. Related structurally to histamine D. May cause mild elevation of serum transaminases and creatinine levels 9 / 50 9. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Isospora belli C. Microsporidia D. Mycobacterium avium-intracellulare 10 / 50 10. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Hepatitis-like picture C. Laennec's cirrhosis D. Fatty infiltration 11 / 50 11. Lower oesophageal sphincter is relaxed by: A. Metoclopramide B. Beta-adrenergic agonist C. Gastrin D. Protein meal 12 / 50 12. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Ca++ C. Folate D. Vitamin B12 13 / 50 13. Absolute contraindication for liver biopsy is: A. Haemangioma of liver B. Cholestasis C. Amoebic liver abscess D. Cirrhosis of liver 14 / 50 14. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Contraction of the rectum C. Distention of the rectum D. Distention of the sigmoid colon 15 / 50 15. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Clindamycin C. Streptomycin D. Ampicillin 16 / 50 16. Treatment modalities of Wilson’s disease include all except: A. Tetrathiomolybdate B. Elemental zinc C. Penicillamine D. Colchicine 17 / 50 17. Regarding haematochezia, which one is false? A. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon B. Passage of bright red blood per rectum C. The blood may not be mixed with stool D. Bleeding source is proximal to ligament of Treitz 18 / 50 18. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Dyspnoea, flushing, valvular heart disease C. Flushing, diarrhoea, valvular heart disease D. Pruritus, wheezing, diarrhoea 19 / 50 19. Which endocrine disorder is associated with exudative ascites? A. Hypothyroidism B. Hyperparathyroidism C. Conn's syndrome D. Addison's disease 20 / 50 20. High transaminase levels may be found in all except: A. Acute myocardial infarction B. Chronic pancreatitis C. Acute viral hepatitis D. Right-sided heart failure 21 / 50 21. Diarrhoea may be associated with all except: A. Clindamycin B. Colchicine C. Digitalis D. Sucralfate 22 / 50 22. 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 23 / 50 23. Which ion is necessary for the active transport of sugars? A. Magnesium B. Potassium C. Calcium D. Sodium 24 / 50 24. The best way to diagnose Gilbert’s syndrome is: A. Bromsulphalein (BSP) excretion test B. Liver biopsy C. 48 hours fasting with only 300 cal/ day D. Testing for red blood cell survival 25 / 50 25. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgM B. IgD C. IgA D. IgG 26 / 50 26. The causative agent of tropical sprue is: A. Unknown B. Yersinia C. Shigella D. Campylobacter 27 / 50 27. Amino acids malabsorption is seen in: A. Alkaptonuria B. Cystinuria C. Homocystinuria D. Phenylketonuria 28 / 50 28. All of the following produce “sub-total villous atrophy’ except: A. Abetalipoproteinaemia B. Radiation C. Coeliac disease D. Hypogammaglobulinaemia 29 / 50 29. Pruritus associated with cholestasis is mostly seen: A. After a cold bath B. On the palms and soles C. At daytime D. In males 30 / 50 30. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Meconium ileus C. Tetany D. Malabsorption 31 / 50 31. Passage of a bolus of food through the oesophagus is the function of: A. Voluntary phase of deglutition B. Tertiary peristaltic wave C. Secondary peristaltic wave D. Primary peristaltic wave 32 / 50 32. Endopeptidases include all except: A. Trypsin B. Elastase C. Carboxypeptidase D. Chymotrypsin 33 / 50 33. Chronic active hepatitis may have all the following features except: A. Arthralgia B. Haematemesis C. Jaundice D. Amenorrhoea 34 / 50 34. 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. Usually have 3 clinical components: spastic, diarrhoeal and both D. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 35 / 50 35. The most specific treatment in coeliac sprue is: A. Gluten-free diet B. Corticosteroids C. Folic acid D. Antibiotics 36 / 50 36. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Small intestinal biopsy C. Type of anaemia D. D-xylose absorption test 37 / 50 37. Giardiasis is characterised by all except: A. Lactose intolerance B. Inflammation of duodenal and jejunal mucosa C. Infection usually occurs by ingesting contaminated water containing the flagellate form D. Malabsorption 38 / 50 38. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Vitamin B12 C. Salt and water D. Ca++ 39 / 50 39. Protein-losing enteropathy maybe feature of all except: A. Juvenile polyposis coli B. Atrial septal defect C. Intestinal tuberculosis D. Chronic cor pulmonale 40 / 50 40. Lactose intolerance with lactase deficiency may be present in all except: A. Giardiasis B. Amoebiasis C. Crohn's s disease D. Cystic fibrosis 41 / 50 41. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Congenital hepatic fibrosis is an example B. Blocked hepatic vein C. Commonest cause of portal hypertension D. Raised wedged hepatic venous pressure 42 / 50 42. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Arthritis B. Emphysema C. Electrolyte imbalance D. Nephrolithiasis 43 / 50 43. The commonest site of carcinoid tumour is: A. Appendix B. Stomach C. Colon D. Ileum 44 / 50 44. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. ERCP B. CT scan C. Ultrasonography D. HIDA scan 45 / 50 45. Fatty liver may be produced by: A. Chloramphenicol B. Oral contraceptives C. Anabolic steroids D. Tetracycline 46 / 50 46. The most common cause of Budd-Chiari syndrome is: A. Valve in hepatic veins B. Hepatoma C. Paroxysmal nocturnal hemoglobinuria D. Oral contraceptives 47 / 50 47. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Rectal prolapse and straining by patient are common associations C. Surgery by resection rectopexy may be done D. Rectal bleeding and tenesmus are common 48 / 50 48. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Irritable bowel syndrome C. Diverticulosis D. Ulcerative colitis 49 / 50 49. Which one of the following is not an ocular complication of ulcerative colitis? A. Scleromalacia perforans B. Cataract C. Uveitis D. Episcleritis 50 / 50 50. Chronic gastritis may be characterised by all except: A. Gastric polyp B. Incessant vomiting C. Anorexia D. 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