Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The best way to diagnose Gilbert’s syndrome is: A. 48 hours fasting with only 300 cal/ day B. Bromsulphalein (BSP) excretion test C. Testing for red blood cell survival D. Liver biopsy 2 / 50 2. 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 3 / 50 3. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Malabsorption C. Tetany D. Meconium ileus 4 / 50 4. Luge gastric folds are seen in all except: A. Menetrier's disease B. Sarcoidosis C. Gastric malignancy D. Chronic H. pylori infection 5 / 50 5. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Ascending colon C. Transverse colon D. Hepatic flexure 6 / 50 6. Secretin is produced in largest quantities in: A. Ileum B. Duodenum C. Stomach D. Jejunum 7 / 50 7. Commonest cause of hepatoma is: A. Cirrhosis of liver B. Alcohol C. Haemochromatosis D. alpha1-antitrypsin deficiency 8 / 50 8. Mid-zonal necrosis of liver is caused by: A. Eclampsia B. Carbon tetrachloride C. Phosphorus poisoning D. Yellow fever 9 / 50 9. Normal faecal fat is defined as: A. < 9 g for 24 hrs B. < 12 g for 24 hrs C. < 15 g for 24 hr D. < 6 g for 24 hrs 10 / 50 10. All of the following may be associated with diarrhoea except: A. Theophylline B. Colchicine C. Sorbitol D. Amitriptyline 11 / 50 11. Which is not true so far as definition of cirrhosis of liver is concerned? A. Necrosis B. Fibrosis C. Regeneration D. Fatty infiltration 12 / 50 12. Hepatic rub may be found in: A. Hemangioma of liver B. Acute viral hepatitis C. Pyogenic liver abscess D. Hepatic neoplasm 13 / 50 13. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Endoscopic view C. Histology D. Rapid urease test 14 / 50 14. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 250-500 ml C. 500-1000 ml D. 100-250 ml 15 / 50 15. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Pyloroplasty B. Vagotomy C. Gastric bypass D. Jejunoileal bypass 16 / 50 16. Chronic gastritis may be associated with all except: A. Gastro-oesophageal reflux disease B. Antibodies to parietal cells C. Intestinal metaplasia D. Gastric atrophy 17 / 50 17. Regarding ischaemic colitis, which one is true? A. Almost always an occlusive disease of mesenteric vessels B. Angiography is not helpful C. Rectal bleeding is a rare complication D. Affects young population 18 / 50 18. Which of the following is not true in lupoid hepatitis? A. ANA is positive in majority B. Associated with other autoimmune diseases C. High risk of developing hepatoma D. Cushingoid face 19 / 50 19. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Macroangiopathy C. Nephropathy D. Retinopathy 20 / 50 20. Gum hypertrophy is not a feature of: A. Amlodipine therapy B. Carbamazepine therapy C. Acute monocytic leukaemia D. Scurvy 21 / 50 21. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Small intestinal biopsy B. Type of anaemia C. Response to treatment D. D-xylose absorption test 22 / 50 22. Pseudomembranous colitis is best treated by: A. Clindamycin B. Tobramycin C. Vancomycin D. Erythromycin 23 / 50 23. Which one of the following is not a space-occupying disease of liver? A. Metastatic tumour B. Cyst C. Gummas D. Amyloid 24 / 50 24. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin D B. Vitamin B12 C. Vitamin A D. Folic acid 25 / 50 25. The commonest extraintestinal complication of ulcerative colitis is: A. Sclerosing cholangitis B. Arthritis C. Uveitis D. Pyoderma gangrenosum 26 / 50 26. All of the following are true regarding Whipple’s disease except: A. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly B. Gram-negative bacilli Clostridium whippeli is responsible C. Cranial nerve palsy may occur D. Coronary arteritis may be a feature 27 / 50 27. Among the following drugs, which one is thought to be the safest in pregnancy? A. Omeprazole B. Misoprostol C. Carbenoxolone D. Sucralfate 28 / 50 28. Which of the following is false regarding cholera? A. Absence of tenesmus B. Subnormal Surface temperature C. Onset with purging D. Offensive stool 29 / 50 29. Which of the following is not included in the classical triad of chronic pancreatitis? A. Steatorrhoea B. Pancreatic calcification C. Diabetes mellitus D. Abdominal pain 30 / 50 30. A desire for defaecation is initiated by: A. Distention of the sigmoid colon B. Distention of the rectum C. Contraction of the internal anal sphincter D. Contraction of the rectum 31 / 50 31. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Endoscopic sphincterotomy and stone removal B. Bile or pancreatic cytology C. Biliary manometry D. Best visualisation of cystic duct 32 / 50 32. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Ileum C. Colon D. Stomach 33 / 50 33. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Leucocytosis > 16000/mm3 B. Serum LDH > 400 ID /L C. Hyperglycaemia > 200 mg/ dl D. Serum AST> 400 ID /L 34 / 50 34. Which of the following is not associated with leucocytosis? A. Acute viral hepatitis B. Toxic hepatitis C. Amoebic liver abscess D. Weil's disease 35 / 50 35. Incidence of stress ulcers in acutely traumatised patients is: A. 30-40% B. 70-80% C. 50-60% D. 90-100% 36 / 50 36. 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. Bleeding source is proximal to ligament of Treitz D. The blood may not be mixed with stool 37 / 50 37. Hepatitis-like features may be seen in therapy with all except: A. Ketoconazole B. Zidovudine C. INH D. Atorvastatin 38 / 50 38. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Primary sclerosing cholangitis B. Ulcerative colitis C. Crescentic glomerulonephritis D. Wegener's granulomatosis 39 / 50 39. The classical triad in carcinoid syndrome is: A. Flushing, diarrhoea, valvular heart disease B. Pruritus, wheezing, diarrhoea C. Telangiectasias, flushing, diarrhoea D. Dyspnoea, flushing, valvular heart disease 40 / 50 40. The commonest micro-organism responsible for cholangitis is: A. Streptococcus faecalis B. Klebsiella pneumoniae C. E. coli D. Salmonella 41 / 50 41. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Emphysema C. Arthritis D. Electrolyte imbalance 42 / 50 42. Bentiromide test diagnoses? A. Exocrine pancreatic function B. Endocrine pancreatic function C. Pancreatic ductal obstruction D. Pancreatic carcinoma 43 / 50 43. The water content of adult stool is approximately: A. 50-60% B. 40-50% C. 20-30% D. More than 60% 44 / 50 44. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 70% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 45 / 50 45. Which of the following has the highest acid secretory effect? A. Protein B. Carbohydrate C. Iron D. Fat 46 / 50 46. Which ion is necessary for the active transport of sugars? A. Sodium B. Magnesium C. Calcium D. Potassium 47 / 50 47. Manometric study of the lower oesophagus is important in all except: A. Achalasia cardia B. Mallory-Weiss syndrome C. Diffuse oesophageal spasm D. Polymyositis 48 / 50 48. 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. Coarsening of mucosal folds C. Segmentation and clumping D. Dilatation 49 / 50 49. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Systemic mastocytosis B. Whipple's disease C. Carcinoid syndrome D. Coeliac sprue 50 / 50 50. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Clarithromycin C. Tinidazole D. Cefixime LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology