Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Secretin injection test C. Feeding of a standard mea D. Calcium infusion test 2 / 50 2. Which of the following is not a disorder of intestinal motility? A. Diverticulosis B. Intestinal pseudo-obstruction C. Irritable bowel syndrome D. Ulcerative colitis 3 / 50 3. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Meningitis C. Myocarditis D. Polyarteritis nodosa 4 / 50 4. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Transmural involvement C. Crypt abscess D. Granuloma 5 / 50 5. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Yersinia B. Rota virus C. Campylobacter D. Shigella 6 / 50 6. Which ion is necessary for the active transport of sugars? A. Calcium B. Potassium C. Magnesium D. Sodium 7 / 50 7. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Folic acid B. Vitamin C. Broad-spectrum antibiotics D. Iron 8 / 50 8. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Congestive cardiac failure C. Mesenteric vascular insufficiency D. Left atrial myxoma 9 / 50 9. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of dysphagia B. A cause of haematemesis and/ or melaena C. A late complication of vagotomy D. A normal oesophageal anatomy 10 / 50 10. Which is true regarding irritable bowel syndrome? A. Pain abdomen usually lasts for 1/2 hour B. Temporary relief of pain by the passage of flatus or stool C. Periodicity is common D. Nocturnal pain abdomen is frequent complaint 11 / 50 11. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Gilbert's syndrome B. Shunt hyperbilirubinaemia C. Crigler-Najjar syndrome D. Dubin-Johnson syndrome 12 / 50 12. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Blocked hepatic vein B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Commonest cause of portal hypertension 13 / 50 13. Macroglossia is not found in: A. Bulbar palsy B. Myxoedema C. Hurler syndrome D. Primary amyloidosis 14 / 50 14. Silvery stool signifies a lesion characteristic of: A. Meckel's diverticulum B. Right colic flexure C. Ileocaecal region D. Ampulla of Vater 15 / 50 15. The commonest cause of metastasis to the wall of the stomach is: A. Melanoma B. Hepatoma C. Carcinoma of thyroid D. Carcinoma of breast 16 / 50 16. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Malignancy never follows even in long-standing disease C. Segmental involvement is common D. Granuloma and fistula formation are characteristic 17 / 50 17. The classical triad in carcinoid syndrome is: A. Telangiectasias, flushing, diarrhoea B. Pruritus, wheezing, diarrhoea C. Flushing, diarrhoea, valvular heart disease D. Dyspnoea, flushing, valvular heart disease 18 / 50 18. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-DQ1 C. HLA-DR3 D. HLA-B8 19 / 50 19. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. High risk of developing hepatoma C. Associated with other autoimmune diseases D. Cushingoid face 20 / 50 20. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Metastasis in liver C. Paget's disease D. Hypervitaminosis D 21 / 50 21. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Pseudoxanthoma elasticum C. Ehlers-Danlos syndrome D. Render-Weber-Osler disease 22 / 50 22. Which of the following is not a recognized complication of ulcerative colitis? A. Pyoderma gangrenosum B. Bronchiectasis C. Autoimmune haemolytic anaemia D. Sacroiliitis 23 / 50 23. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Clindamycin C. Ampicillin D. Streptomycin 24 / 50 24. Water is minimally absorbed from: A. Descending colon B. Caecum C. Ascending colon D. Transverse colon 25 / 50 25. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Coeliac sprue C. Whipple's disease D. Systemic mastocytosis 26 / 50 26. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Infectious mononucleosis C. Streptococcal infection D. Ludwig's angina 27 / 50 27. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypercalcaemia B. Increased bicarbonate level in serum C. Elevated blood urea nitrogen D. Hypophosphataemia 28 / 50 28. Which of the following infections may produce features like cardiospasm? A. Trypanosomiasis B. Trichinosis C. Leishmaniasis D. Schistosomiasis 29 / 50 29. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Hyperparathyroidism B. Phaeochromocytoma C. Pituitary adenomas D. Medullary carcinoma of thyroid 30 / 50 30. Crohn’s disease may produce all of the following except: A. Rectovesical fistula B. Vesicovaginal fistula C. Jejuno-colic fistula D. Perianal fistula 31 / 50 31. Lactose intolerance with lactase deficiency may be present in all except: A. Crohn's s disease B. Amoebiasis C. Cystic fibrosis D. Giardiasis 32 / 50 32. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Type of anaemia B. D-xylose absorption test C. Response to treatment D. Small intestinal biopsy 33 / 50 33. Hour-glass stomach is usually produced by: A. Developmental anomaly B. Lymphoma C. Syphilis D. Gastric ulcer 34 / 50 34. Regarding carcinoma of oesophagus, all are true except: A. Tracheo-esophageal fistula may occur in advanced disease B. Commonest site of affection is lower third C. Dysphagia starts with solid foods D. Odynophagia may be a symptom 35 / 50 35. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Protein-losing enteropathy C. Irritable bowel syndrome D. Cirrhosis of liver 36 / 50 36. Treatment modalities of Wilson’s disease include all except: A. Colchicine B. Tetrathiomolybdate C. Penicillamine D. Elemental zinc 37 / 50 37. Pyrosis is better known as: A. Water brash B. Heartburn C. Retching D. Singultus 38 / 50 38. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis C C. Hepatitis B D. Hepatitis D 39 / 50 39. Secretory diarrhoea has no association with: A. Pancreatic insufficiency B. Villous adenoma of rectum C. Zollinger-Ellison syndrome D. Medullary carcinoma of thyroid 40 / 50 40. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. The blood may not be mixed with stool C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. Passage of bright red blood per rectum 41 / 50 41. Non-cirrhotic portal fibrosis may be associated with: A. Sarcoidosis B. Chronic arsenic ingestion C. Oral contraceptives D. Umbilical sepsis 42 / 50 42. Ulcerative colitis involves the rectal mucosa in: A. 70-80% B. 30-40% C. 90-100% D. 50-60% 43 / 50 43. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. 90% have anti-parietal cell antibody C. It is a common cause of haemolytic anaemia in the West D. 60% have anti-intrinsic factor antibody 44 / 50 44. Which is true in familial polyposis coli? A. The rectum is spared B. The patient may not have any symptoms until a carcinoma has developed C. X-linked recessive inheritance D. Polyps are present since birth 45 / 50 45. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Arthritis B. Emphysema C. Electrolyte imbalance D. Nephrolithiasis 46 / 50 46. Which endocrine disorder is associated with exudative ascites? A. Addison's disease B. Hypothyroidism C. Conn's syndrome D. Hyperparathyroidism 47 / 50 47. 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. > 85% of the total serum bilirubin is unconjugated D. > 70% of the total serum bilirubin is unconjugated 48 / 50 48. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Clinically not significant C. A premalignant condition D. Commonly seen 49 / 50 49. The water content of adult stool is approximately: A. 50-60% B. 20-30% C. 40-50% D. More than 60% 50 / 50 50. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Pancreatic carcinoma C. Hyperparathyroidism D. 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