Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Predominant unconjugated bilirubin is seen in all except: A. Rotor syndrome B. Breakdown of myoglobin C. Breakdown of haemoglobin D. Ineffective erythropoiesis 2 / 50 2. Which of the following does not give rise to haematemesis? A. Duodenal diverticula B. Mallory-Weiss syndrome C. Stomatostatinoma D. Ca stomach 3 / 50 3. Gastrin is predominantly secreted from: A. 2nd part of the duodenum B. Jejunum C. Antral mucosa D. Fundus of the stomach 4 / 50 4. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Transmural involvement B. Fibrosis C. Crypt abscess D. Granuloma 5 / 50 5. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Clinically not significant C. A premalignant condition D. Commonly seen 6 / 50 6. Which of the following is false regarding autoimmune hepatitis? A. Hyperglobulinaemia is common B. AST and ALT levels fluctuate within 100-1000 units C. Very high bilirubin level D. Hypoalbuminaemia is very active disease 7 / 50 7. What is true about Weil’s disease? A. Myocarditis may be a complication B. Liver biopsy is diagnostic C. Leucopenia D. Low glucose in CSF 8 / 50 8. Which of the following is not true in lupoid hepatitis? A. Cushingoid face B. High risk of developing hepatoma C. ANA is positive in majority D. Associated with other autoimmune diseases 9 / 50 9. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Colon C. Ileum D. Stomach 10 / 50 10. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Cirrhosis of liver C. Vitamin B12 malabsorpfion D. Hypochlorhydria 11 / 50 11. Which cardiovascular disorder is not associated with steatorrhoea? A. Left atrial myxoma B. Congestive cardiac failure C. Mesenteric vascular insufficiency D. Constrictive pericarditis 12 / 50 12. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Lactose intolerance C. Infection usually occurs by ingesting contaminated water containing the flagellate form D. Malabsorption 13 / 50 13. Secretory diarrhoea has no association with: A. Villous adenoma of rectum B. Pancreatic insufficiency C. Medullary carcinoma of thyroid D. Zollinger-Ellison syndrome 14 / 50 14. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Barium enema B. Stool smear C. Sigmoidoscopy D. Stool culture 15 / 50 15. The commonest malignant tumour of the gallbladder is: A. Haemangioendothelioma B. Adenocarcinoma C. Sarcoma D. Squamous cell carcinoma 16 / 50 16. Chronicity in hepatitis C virus infection is: A. 50% B. 30% C. 10% D. 80% 17 / 50 17. The commonest cause of pancreatic calcification is: A. Alcohol abuse B. Pancreatic carcinoma C. Hyperthyroidism D. Protein-energy malnutrition 18 / 50 18. Regarding haematochezia, which one is false? A. The blood may not be mixed with stool B. Passage of bright red blood per rectum C. Bleeding source is proximal to ligament of Treitz D. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon 19 / 50 19. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Paralytic ileus C. Worsening ascites D. Worsening jaundice 20 / 50 20. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Eosinophilic enteritis C. Intestinal lymphangiectasia D. Coeliac disease 21 / 50 21. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum bilirubin C. Serum transaminases D. Serum albumin 22 / 50 22. The best way to diagnose Gilbert’s syndrome is: A. 48 hours fasting with only 300 cal/ day B. Testing for red blood cell survival C. Bromsulphalein (BSP) excretion test D. Liver biopsy 23 / 50 23. Carcinoma of the large intestine is mostly found in: A. Transverse colon B. Caecum C. Sigmoid colon D. Ascending colon 24 / 50 24. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DR4 C. HLA-DQ1 D. HLA-DR3 25 / 50 25. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Lithocholic acid C. Chenodeoxycholic acid D. Cholic acid 26 / 50 26. Necrolytic migratory erythema is a feature of: A. Insulinoma B. Glucagonoma C. Carcinoid syndrome D. Hepatoblastoma 27 / 50 27. A ‘white patch’ in the throat may be due to all except: A. Diphtheria B. Infectious mononucleosis C. Streptococcal infection D. Ludwig's angina 28 / 50 28. Features of Mallory-Weiss syndrome comprise all except: A. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction B. May produce melaena C. In majority of patients, bleeding stops spontaneously D. Commonly precipitated by vomiting and retching 29 / 50 29. Melanosis coli indicates: A. Hypereosinophilic enteritis B. Melanoma affecting colon C. Anthraquinone laxative abuse D. Crohn's disease 30 / 50 30. 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 31 / 50 31. Which of the following clotting factors retains its activity in hepatocellular disorder? A. II B. VII C. IX D. VIII 32 / 50 32. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. Brucella abortus C. LD body D. Leptospira 33 / 50 33. Crohn’s disease may be complicated by all except: A. Clubbing B. Hydroureter C. Chronic cholecystitis D. Amyloidosis 34 / 50 34. Characteristic of hepatic pre-coma is: A. Babinski's sign B. Presence of ankle clonus C. Night-time somnolence D. Flaccid muscles 35 / 50 35. Major organ responsible for the removal of gastrin is: A. Liver B. Lung C. Kidney D. Intestine 36 / 50 36. NSAID-induced ulcers are best treated by: A. H2-receptor antagonists B. Prostaglandins like misoprostol C. Proton pump inhibitors D. Coating agents like sucralfate 37 / 50 37. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Shunt hyperbilirubinaemia C. Crigler-Najjar syndrome D. Gilbert's syndrome 38 / 50 38. Amino acids malabsorption is seen in: A. Alkaptonuria B. Homocystinuria C. Phenylketonuria D. Cystinuria 39 / 50 39. All are examples of APUDomas except: A. Hepatoma B. Phaeochromocytoma C. Medullary carcinoma of thyroid gland D. Melanoma 40 / 50 40. All of the following endocrine disorders are associated with malabsorption except: A. Carcinoid syndrome B. Hyperparathyroidism C. Diabetes mellitus D. Adrenal insufficiency 41 / 50 41. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Amyloid C. Metastatic tumour D. Cyst 42 / 50 42. The definitive test for diagnosis of haemochromatosis is: A. Plasma iron >300 μg/ dl B. Liver biopsy C. TIBC < 200 μg/dl D. Hepatic iron index >1.5 43 / 50 43. A desire for defaecation is initiated by: A. Distention of the rectum B. Distention of the sigmoid colon C. Contraction of the rectum D. Contraction of the internal anal sphincter 44 / 50 44. Which of the following clotting factors is not produced in the liver? A. IV B. V C. VII D. II 45 / 50 45. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Iron deficiency C. Vitamin B12 deficiency D. Hemolysis 46 / 50 46. Hepatic rub may be found in: A. Hemangioma of liver B. Hepatic neoplasm C. Acute viral hepatitis D. Pyogenic liver abscess 47 / 50 47. Menetrier’s disease may have all of the following except: A. Hypoproteinaemia B. Gastritis C. Hypochlorhydria D. Large tortuous gastric mucosal folds 48 / 50 48. Which of the following pancreatic islet cells synthesizes glucagon? A. Beta B. Alpha C. Non-beta D. Delta 49 / 50 49. Mallory-Weiss syndrome is commonly seen accompanying: A. Alcoholism B. Hiatal hernia C. Reflux oesophagitis D. Oesophageal carcinoma 50 / 50 50. Peritonitis may be complicated by all except: A. Renal failure B. Acute lung injury C. Haemorrhagic pancreatitis D. Pelvic abscess LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology