Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Anorexia nervos C. Schizophrenia D. Sheehan's syndrome 2 / 50 2. All are recognised complications of inflammatory bowel disease except: A. Gallstone formation B. Aphthous stomatitis C. Erythema marginatum D. Pyoderma gangrenosum 3 / 50 3. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Villus C. Crypts D. Columnar cells 4 / 50 4. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. Small intestinal biopsy C. D-xylose absorption test D. Type of anaemia 5 / 50 5. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 15 ml B. 30 ml C. 75 ml D. 100 ml 6 / 50 6. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma creatinine ratio >30 B. Urine Na+ concentration >10 mEq/dl C. Slow-onset azotaemia in chronic liver disease D. Urine to plasma osmolality ratio >1.0 7 / 50 7. Hepatic amoebiasis is associated with all except: A. Jaundice is present in majority B. Right lower intercostal tenderness C. May lead to the development of an amoebic liver abscess D. Abscess commonly affects the right lobe 8 / 50 8. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 50-60% C. 70-80% D. 90-100% 9 / 50 9. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Mallory-Weiss syndrome C. Ruptured oesophageal varices D. Duodenal ulcer 10 / 50 10. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Colon C. Thyroid D. Breast 11 / 50 11. Extraintestinal amoebiasis may involve all except: A. Skin B. Vulva C. Heart D. Meninges with encephalon 12 / 50 12. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Stool culture C. Sigmoidoscopy D. Barium enema 13 / 50 13. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Ileum C. Jejunum D. Stomach 14 / 50 14. Which organ does not move at all with respiration? A. Kidney B. Stomach C. Pancreas D. Transverse colon 15 / 50 15. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBeAg B. IgG anti-HBc C. IgM anti-HBc D. HBV DNA 16 / 50 16. Malignant potential is least in: A. Familial colonic polyposis B. Villous adenoma of colon C. Peutz-Jeghers syndrome D. Ulcerative colitis 17 / 50 17. Pneumaturia is an established feature of: A. Crohn's disease B. Irritable bowel syndrome C. Intestinal lymphoma D. Coeliac disease 18 / 50 18. The best single diagnostic test for cystic fibrosis is: A. Serum amylase B. Serum lipase C. Quantitative pilocarpine iontophoresis test D. Quantitative faecal fat estimation 19 / 50 19. Weil’s disease is associated with: A. Severe muscle pain B. Leucopenia with lymphocytosis C. Absence of renal involvement D. Jaundice in all 20 / 50 20. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Tetracycline B. Nifedipine C. Massive dose of estrogen D. Amiodarone 21 / 50 21. Botulism may be associated with all of the following except: A. Descending paralysis B. Increased salivation C. Constipation D. Diplopia 22 / 50 22. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Eosinophilic enteritis C. Coeliac disease D. Ulcerative colitis 23 / 50 23. Gastrin is predominantly secreted from: A. Antral mucosa B. Jejunum C. 2nd part of the duodenum D. Fundus of the stomach 24 / 50 24. 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 25 / 50 25. Malabsorption may produce all of the following except: A. Loss of libido B. Achlorhydria C. Peripheral neuropathy D. Cheilosis 26 / 50 26. All are recognised complications of acute pancreatitis except: A. Pancreatic phlegmon B. Pancreatic pseudocyst C. Pancreatic ascites D. Pancreatic malignancy 27 / 50 27. All of the following may produce intestinal pseudo-obstruction except: A. Diabetes mellitus B. Imipramine C. Hyperthyroidism D. Scleroderma 28 / 50 28. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Render-Weber-Osler disease B. Pseudoxanthoma elasticum C. Peutz-Jeghers syndrome D. Ehlers-Danlos syndrome 29 / 50 29. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Uveitis C. Pyoderma gangrenosum D. Sclerosing cholangitis 30 / 50 30. Pruritus associated with cholestasis is mostly seen: A. After a cold bath B. At daytime C. On the palms and soles D. In males 31 / 50 31. Which is true in familial polyposis coli? A. The rectum is spared B. X-linked recessive inheritance C. Polyps are present since birth D. The patient may not have any symptoms until a carcinoma has developed 32 / 50 32. 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. 7th day B. 1st day C. 3rd day D. 2nd day 33 / 50 33. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Haematemesis C. Arthralgia D. Jaundice 34 / 50 34. Which of the following has the highest acid secretory effect? A. Fat B. Protein C. Carbohydrate D. Iron 35 / 50 35. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Presence of ankle clonus C. Flaccid muscles D. Night-time somnolence 36 / 50 36. Pyrosis is better known as: A. Singultus B. Water brash C. Retching D. Heartburn 37 / 50 37. The basic defect in coeliac sprue lies in: A. Vitamins and minerals absorption B. Protein metabolism C. Fat metabolism D. Carbohydrate metabolism 38 / 50 38. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 39 / 50 39. Constipation may develop from all except: A. Colchicine B. Cholestyramine C. Calcium-channel blocker D. Clonidine 40 / 50 40. H. pylori is usually not associated with: A. Gastric lymphoma B. Zollinger-Ellison syndrome C. Antral gastritis D. Non-ulcer dyspepsia 41 / 50 41. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Sense of complete evacuation C. Colicky pain abdomen D. Mucous diarrhoea or pencil-like pasty stools 42 / 50 42. Which of the following is not responsible for food poisoning? A. Streptococcus (Group A) B. Clostridium botulinum C. Bacillus cereus D. Clostridium perfringens 43 / 50 43. Hour-glass stomach is usually produced by: A. Syphilis B. Lymphoma C. Developmental anomaly D. Gastric ulcer 44 / 50 44. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Gilbert's syndrome B. Dubin-Johnson syndrome C. Rotor syndrome D. Reye's syndrome 45 / 50 45. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 50% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 85% of the total serum bilirubin is unconjugated 46 / 50 46. 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 47 / 50 47. Which one of the following is false regarding type B hepatitis serology? A. IgG anti-HBc indicates acute hepatitis B virus infection B. HBeAg implies high infectivity C. Persistence of HBsAg>6 months implies carrier state D. Anti-HBs appear to reflect immunity 48 / 50 48. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Propranolol C. Nitroglycerines D. Somatostatin 49 / 50 49. In gastroparesis, the following drugs are helpful except: A. Metoclopramide B. Tetracycline C. Cisapride D. Domperidone 50 / 50 50. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Squamous cell carcinoma C. Haemangioendothelioma D. Adenocarcinoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology