GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Weil’s disease is associated with: A. Jaundice in all B. Leucopenia with lymphocytosis C. Severe muscle pain D. Absence of renal involvement 2 / 50 2. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. Serotonin antagonist C. beta-adrenergic agonist D. H1 + H2 receptor antagonist 3 / 50 3. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Glucagonoma C. Insulinoma D. Carcinoid syndrome 4 / 50 4. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool culture B. Stool smear C. Sigmoidoscopy D. Barium enema 5 / 50 5. Which is true regarding irritable bowel syndrome? A. Periodicity is common B. Temporary relief of pain by the passage of flatus or stool C. Pain abdomen usually lasts for 1/2 hour D. Nocturnal pain abdomen is frequent complaint 6 / 50 6. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Gilbert's syndrome C. Crigler-Najjar syndrome D. Dubin-Johnson syndrome 7 / 50 7. Cholangiocarcinoma may be associated with: A. Tinea echinococcus infestation B. Biliary atresia C. Cholelithiasis D. Ulcerative colitis 8 / 50 8. Tropical sprue may be associated with all except: A. Patchy lesion B. Partial villous atrophy is more common than subtotal villous atrophy C. Treatment is done satisfactorily by intestinal resection D. Malabsorption 9 / 50 9. Pyloric stenosis is commonly associated. with all except: A. Bilious vomiting B. Distension of upper abdomen with succussion splash C. Obliteration of Traube's space tympanicity D. Visible peristalsis 10 / 50 10. Which of the following has the highest acid secretory effect? A. Carbohydrate B. Fat C. Protein D. Iron 11 / 50 11. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Amenorrhoea C. Carotenaemia D. Loss of axillary and pubic hair 12 / 50 12. Lactose intolerance with lactase deficiency may be present in all except: A. Crohn's s disease B. Cystic fibrosis C. Giardiasis D. Amoebiasis 13 / 50 13. Which segment of the colon is commonly affected by vascular insufficiency? A. Ascending colon B. Splenic flexure C. Transverse colon D. Hepatic flexure 14 / 50 14. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. USG of liver C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 15 / 50 15. Acid peptic disease is rarely found in: A. Polycythaemia vera B. Chronic obstructive pulmonary disease C. Cushing's syndrome D. Pregnancy 16 / 50 16. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Vagotomy B. Gastric bypass C. Jejunoileal bypass D. Pyloroplasty 17 / 50 17. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Ulcerative colitis B. Wegener's granulomatosis C. Primary sclerosing cholangitis D. Crescentic glomerulonephritis 18 / 50 18. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Majority of tumours are biologically malignant C. Pancreatic gastrinomas are most common in the head of the pancreas D. Solitary primary tumours are very common 19 / 50 19. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Atrophic fundal gastritis 20 / 50 20. Amino acids malabsorption is seen in: A. Homocystinuria B. Phenylketonuria C. Alkaptonuria D. Cystinuria 21 / 50 21. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Zollinger-Ellison syndrome B. Villous adenoma of the colon C. Irritable bowel syndrome D. Carcinoid syndrome 22 / 50 22. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with pyloroplasty B. Three-quarter gastric resection C. Vagotomy with gastroenterostomy D. Gastroenterostomy 23 / 50 23. Pneumaturia is an established feature of: A. Irritable bowel syndrome B. Intestinal lymphoma C. Coeliac disease D. Crohn's disease 24 / 50 24. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Recurrent ulceration C. Palpitation D. Hypoglycaemia 25 / 50 25. Giardiasis is characterised by all except: A. Malabsorption B. Lactose intolerance C. Inflammation of duodenal and jejunal mucosa D. Infection usually occurs by ingesting contaminated water containing the flagellate form 26 / 50 26. All are major components of intestinal gas except: A. H2S B. Methane C. CO2 D. N2 27 / 50 27. The most specific treatment in coeliac sprue is: A. Antibiotics B. Folic acid C. Gluten-free diet D. Corticosteroids 28 / 50 28. Which of the following is false regarding autoimmune hepatitis? A. Hypoalbuminaemia is very active disease B. Very high bilirubin level C. Hyperglobulinaemia is common D. AST and ALT levels fluctuate within 100-1000 units 29 / 50 29. The lower oesophageal mucosa ring (Schatzki ring) is: A. A normal oesophageal anatomy B. A cause of haematemesis and/ or melaena C. A late complication of vagotomy D. A cause of dysphagia 30 / 50 30. Symptoms of carcinoma of the left colon include all except: A. Melena B. Low back pain C. Altered bowel habits D. Cramps in the abdomen 31 / 50 31. Water is minimally absorbed from: A. Ascending colon B. Descending colon C. Transverse colon D. Caecum 32 / 50 32. Regarding haematochezia, which one is false? A. Bleeding source is proximal to ligament of Treitz B. Passage of bright red blood per rectum C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. The blood may not be mixed with stool 33 / 50 33. All are recognised complications of inflammatory bowel disease except: A. Pyoderma gangrenosum B. Gallstone formation C. Aphthous stomatitis D. Erythema marginatum 34 / 50 34. Chronic active hepatitis may have all the following features except: A. Haematemesis B. Jaundice C. Amenorrhoea D. Arthralgia 35 / 50 35. Chronicity in hepatitis C virus infection is: A. 80% B. 50% C. 30% D. 10% 36 / 50 36. The commonest site of carcinoid tumour is: A. Appendix B. Colon C. Ileum D. Stomach 37 / 50 37. Hyperdefaecation is found in all except: A. Proctitis B. Hyperthyroidism C. Irritable bowel syndrome D. Diabetes mellitus 38 / 50 38. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Level of transaminases B. Serum albumin estimation C. Serum bilirubin assay D. Bromsulphalein (BSP) excretion test 39 / 50 39. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Prepyloric C. Body of the stomach D. Greater curvature 40 / 50 40. The commonest micro-organism responsible for cholangitis is: A. Streptococcus faecalis B. Klebsiella pneumoniae C. Salmonella D. E. coli 41 / 50 41. Achalasia cardia may lead to all except: A. Emphysema B. Fibrosis of the lung C. Lung abscess D. Pneumonia 42 / 50 42. Which one of the following is false regarding type B hepatitis serology? A. IgG anti-HBc indicates acute hepatitis B virus infection B. Anti-HBs appear to reflect immunity C. HBeAg implies high infectivity D. Persistence of HBsAg>6 months implies carrier state 43 / 50 43. 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. Right lower intercostal tenderness D. Jaundice is present in majority 44 / 50 44. The commonest type of pancreatic carcinoma is: A. Cystadenocarcinoma B. Ductal adenocarcinoma C. Islet cell carcinoma D. Mucinous carcinoma 45 / 50 45. Which of the following is not included in the list of high-folate diet? A. Milk B. Liver C. Vegetables D. Fruits 46 / 50 46. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Hepatoma C. Valve in hepatic veins D. Oral contraceptives 47 / 50 47. All of the following may be associated with diarrhoea except: A. Colchicine B. Theophylline C. Amitriptyline D. Sorbitol 48 / 50 48. Which of the following is not responsible for food poisoning? A. Clostridium botulinum B. Streptococcus (Group A) C. Bacillus cereus D. Clostridium perfringens 49 / 50 49. Leptospirosis can be diagnosed during the 1st week of illness by: A. Stool culture B. Dark-field examination C. Urine analysis D. Agglutination test 50 / 50 50. The most common gastrointestinal disorder in a community is: A. Duodenal ulcer B. Reflux oesophagitis C. Irritable bowel syndrome D. 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