Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum LDH > 400 ID /L B. Leucocytosis > 16000/mm3 C. Serum AST> 400 ID /L D. Hyperglycaemia > 200 mg/ dl 2 / 50 2. Gluten-free diet is beneficial in: A. Pemphigus B. Atopic eczema C. Psoriasis D. Dermatitis herpetiformis 3 / 50 3. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Offensive stool C. Absence of tenesmus D. Onset with purging 4 / 50 4. Oral mucous membrane may be affected in all except: A. Lichen planus B. Stevens-Johnson syndrome C. Pemphigus Vulgaris D. Dermatitis herpetiformis 5 / 50 5. Which is true regarding Vincent’s angina? A. May be complicated by angina pectoris B. Hiatus hernia may be associated with C. Superficial ulcers in mouth D. Gum is the principal site of affection 6 / 50 6. Water is minimally absorbed from: A. Descending colon B. Ascending colon C. Transverse colon D. Caecum 7 / 50 7. The commonest type of pancreatic carcinoma is: A. Ductal adenocarcinoma B. Cystadenocarcinoma C. Islet cell carcinoma D. Mucinous carcinoma 8 / 50 8. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Crypt abscess C. Granuloma D. Transmural involvement 9 / 50 9. Which organ does not move at all with respiration? A. Transverse colon B. Pancreas C. Stomach D. Kidney 10 / 50 10. 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 11 / 50 11. All of the following produce “sub-total villous atrophy’ except: A. Radiation B. Abetalipoproteinaemia C. Coeliac disease D. Hypogammaglobulinaemia 12 / 50 12. Latent jaundice may be a feature of all except: A. Acute pulmonary thromboembolism B. Congestive cardiac failure C. Pernicious anaemia D. Tropical sprue 13 / 50 13. Regarding angiodysplasia of colon, which one is false? A. Haemotochezia is common B. Left colon is commonly affected C. Aortic stenosis may be associated with it D. It looks like spider angiomas of the skin 14 / 50 14. The classical triad in carcinoid syndrome is: A. Pruritus, wheezing, diarrhoea B. Telangiectasias, flushing, diarrhoea C. Dyspnoea, flushing, valvular heart disease D. Flushing, diarrhoea, valvular heart disease 15 / 50 15. Which indicates chronicity in hepatitis B virus infection? A. DNA polymerase B. Anti-HBs C. IgG anti-HBc D. HBeAg 16 / 50 16. Octreotide can be used in all except: A. Oesophageal variceal bleeding B. Pancreatic ascites C. Short bowel syndrome D. Ulcerative colitis 17 / 50 17. Chronic gastritis may be associated with all except: A. Gastric atrophy B. Intestinal metaplasia C. Gastro-oesophageal reflux disease D. Antibodies to parietal cells 18 / 50 18. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Chenodeoxycholic acid C. Cholic acid D. Lithocholic acid 19 / 50 19. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypophosphataemia B. Elevated blood urea nitrogen C. Increased bicarbonate level in serum D. Hypercalcaemia 20 / 50 20. ‘Sago spleen’ is found in: A. Focal amyloidosis B. Chronic myeloid leukaemia C. Felty's syndrome D. Chronic active hepatitis 21 / 50 21. The smallest absorbing unit of the small intestinal mucosa is: A. Microvillus B. Columnar cells C. Villus D. Crypts 22 / 50 22. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May produce benign intracranial hypertension C. May cause mild elevation of serum transaminases and creatinine levels D. Tender gynecomastia may be a complication after prolonged use 23 / 50 23. The lower oesophageal mucosa ring (Schatzki ring) is: A. A late complication of vagotomy B. A cause of haematemesis and/ or melaena C. A cause of dysphagia D. A normal oesophageal anatomy 24 / 50 24. Acute viral hepatitis may develop from all of the following except: A. Yellow fever B. Cytomegalovirus C. Infectious mononucleosis D. Herpes zoster virus 25 / 50 25. ‘String sign’ in Crohn’s disease is due to: A. Spasm B. Pseudopolyps C. Fistula D. Small ulceration 26 / 50 26. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Coeliac sprue C. Pancreatic insufficiency D. Whipple's disease 27 / 50 27. Crohn’s disease may produce all of the following except: A. Vesicovaginal fistula B. Jejuno-colic fistula C. Rectovesical fistula D. Perianal fistula 28 / 50 28. All of the following may cause traveller’s diarrhoea except: A. Campylobacter jejuni B. Clostridium difficile C. Rota and Norwalk viruses D. Enterotoxigenic E. coli 29 / 50 29. Amino acids malabsorption is seen in: A. Cystinuria B. Homocystinuria C. Alkaptonuria D. Phenylketonuria 30 / 50 30. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Barium enema B. Stool culture C. Sigmoidoscopy D. Stool smear 31 / 50 31. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Pseudomyxoma peritonei C. Diverticulosis of colon D. Malakoplakia of colon 32 / 50 32. 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 33 / 50 33. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Coating agents like sucralfate C. Prostaglandins like misoprostol D. H2-receptor antagonists 34 / 50 34. Hepatic amoebiasis is associated with all except: A. May lead to the development of an amoebic liver abscess B. Abscess commonly affects the right lobe C. Jaundice is present in majority D. Right lower intercostal tenderness 35 / 50 35. All are examples of APUDomas except: A. Medullary carcinoma of thyroid gland B. Hepatoma C. Phaeochromocytoma D. Melanoma 36 / 50 36. Regarding melena, which statement is false? A. Offensive in odour B. Black tarry semisolid stool C. Blood should remain at least 4 hours within the gut D. At least 60 ml of blood is required 37 / 50 37. Which of the following has the highest acid secretory effect? A. Iron B. Protein C. Fat D. Carbohydrate 38 / 50 38. Chronic active hepatitis may have all the following features except: A. Jaundice B. Arthralgia C. Amenorrhoea D. Haematemesis 39 / 50 39. The most common gastrointestinal disorder in a community is: A. Irritable bowel syndrome B. Reflux oesophagitis C. Diverticulitis D. Duodenal ulcer 40 / 50 40. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Coeliac disease C. Irritable bowel syndrome D. Crohn's disease 41 / 50 41. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. Renal tubular acidosis C. CREST syndrome D. Autoimmune thyroiditis 42 / 50 42. Which of the following is not effective to eradicate H. pylori? A. Clarithromycin B. Cefixime C. Pantoprazole D. Tinidazole 43 / 50 43. All of the following may be associated with diarrhoea except: A. Sorbitol B. Theophylline C. Amitriptyline D. Colchicine 44 / 50 44. Chronic gastritis may be characterised by all except: A. Anorexia B. Incessant vomiting C. Gastric polyp D. Haematemesis 45 / 50 45. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Somatostatin C. Nitroglycerines D. Propranolol 46 / 50 46. Regarding haematochezia, which one is false? A. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon B. Bleeding source is proximal to ligament of Treitz C. The blood may not be mixed with stool D. Passage of bright red blood per rectum 47 / 50 47. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Rectal ampulla is empty but tender sigmoid is full of faeces C. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 48 / 50 48. Normally in health, the venous flow in abdominal superficial veins is: A. Towards the umbilicus B. Away from the umbilicus C. From below upwards D. From above downwards 49 / 50 49. H. pylori is usually not associated with: A. Gastric lymphoma B. Antral gastritis C. Zollinger-Ellison syndrome D. Non-ulcer dyspepsia 50 / 50 50. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Nocturnal pain abdomen is frequent complaint C. Pain abdomen usually lasts for 1/2 hour D. Temporary relief of pain by the passage of flatus or stool LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology