Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Rectal biopsy C. Liver biopsy D. Stomach biopsy 2 / 50 2. The single most important point which differentiates tropical sprue from coeliac sprue is: A. Response to treatment B. D-xylose absorption test C. Small intestinal biopsy D. Type of anaemia 3 / 50 3. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Electrolyte imbalance C. Arthritis D. Emphysema 4 / 50 4. The ideal time to give antacids in peptic ulcer disease is: A. With the meals B. Just before meals C. One hour after meals and at bedtime D. Immediately after meals 5 / 50 5. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Glucocorticoid helps cure B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Jejunoileal bypass may be an aetiology D. Occasionally progresses to cirrhosis and liver failure 6 / 50 6. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Clarithromycin C. Pantoprazole D. Cefixime 7 / 50 7. Major organ responsible for the removal of gastrin is: A. Lung B. Intestine C. Liver D. Kidney 8 / 50 8. Aerophagia is commonly found in all except: A. Rapid eating habit B. Chronic anxiety states C. Pyloric stenosis D. Hypochondriac personality 9 / 50 9. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Crypt abscess C. Transmural involvement D. Granuloma 10 / 50 10. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Broad-spectrum antibiotics B. Iron C. Folic acid D. Vitamin 11 / 50 11. Gastric diverticula are: A. A premalignant condition B. Need immediate upper GI endoscopy C. Clinically not significant D. Commonly seen 12 / 50 12. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Crigler-Najjar syndrome B. Dubin-Johnson syndrome C. Gilbert's syndrome D. Shunt hyperbilirubinaemia 13 / 50 13. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Pain abdomen C. Constipation D. Rectal pain 14 / 50 14. Which of the following does not give rise to haematemesis? A. Ca stomach B. Stomatostatinoma C. Duodenal diverticula D. Mallory-Weiss syndrome 15 / 50 15. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Diverticulosis C. Irritable bowel syndrome D. Ulcerative colitis 16 / 50 16. Pyrosis is better known as: A. Water brash B. Heartburn C. Singultus D. Retching 17 / 50 17. Which one of the following is false regarding type B hepatitis serology? A. HBeAg implies high infectivity B. Persistence of HBsAg>6 months implies carrier state C. Anti-HBs appear to reflect immunity D. IgG anti-HBc indicates acute hepatitis B virus infection 18 / 50 18. Which cardiovascular disorder is not associated with steatorrhoea? A. Mesenteric vascular insufficiency B. Congestive cardiac failure C. Left atrial myxoma D. Constrictive pericarditis 19 / 50 19. The Kayser-Fleischer (KF) ring is: A. Hampers vision B. Broader laterally and medially C. The inferior pole of cornea is first affected D. Copper deposition in Descemet's membrane 20 / 50 20. Crohn’s disease is caused by: A. Autoimmunity B. Toxin elaborated by infectious microorganisms C. Nutritional deficiency D. Not known 21 / 50 21. Chronic afferent loop syndrome producing obstruction may lead to: A. Palpitation B. Recurrent ulceration C. Steatorrhoea D. Hypoglycaemia 22 / 50 22. The commonest cause of anaemia after peptic ulcer surgery is: A. Iron deficiency B. Hemolysis C. Vitamin B12 deficiency D. Folic acid deficiency 23 / 50 23. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Commonly in the posterior wall of rectum B. Surgery by resection rectopexy may be done C. Rectal prolapse and straining by patient are common associations D. Rectal bleeding and tenesmus are common 24 / 50 24. Leptospirosis can be diagnosed during the 1st week of illness by: A. Agglutination test B. Stool culture C. Urine analysis D. Dark-field examination 25 / 50 25. The commonest extraintestinal complication of ulcerative colitis is: A. Pyoderma gangrenosum B. Arthritis C. Uveitis D. Sclerosing cholangitis 26 / 50 26. The valvular heart disease common in carcinoid syndrome is: A. Mitral stenosis B. Aortic incompetence C. Pulmonary incompetence D. Tricuspid incompetence 27 / 50 27. Symptoms of carcinoma of the left colon include all except: A. Low back pain B. Altered bowel habits C. Cramps in the abdomen D. Melena 28 / 50 28. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Three-quarter gastric resection B. Vagotomy with gastroenterostomy C. Gastroenterostomy D. Vagotomy with pyloroplasty 29 / 50 29. 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 30 / 50 30. Which light source produces best photodecomposition of bilirubin? A. Moonlight B. Ultraviolet C. Fluorescent D. Sunlight 31 / 50 31. Calcification of spleen is seen in: A. Thalassemia B. Tropical splenomegaly syndrome C. Hydatid cyst D. Malaria 32 / 50 32. The commonest site of carcinoid tumour is: A. Stomach B. Colon C. Ileum D. Appendix 33 / 50 33. The presence of hepatic bruit over the liver suggests: A. Recent liver biopsy B. Perihepatitis C. Hepatoma D. Portal hypertension 34 / 50 34. Which of the following is not a variety of osmotic diarrhoea? A. Whipple's disease B. Coeliac disease C. Lactase deficiency D. Laxative abuse 35 / 50 35. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Serum AST> 400 ID /L B. Leucocytosis > 16000/mm3 C. Serum LDH > 400 ID /L D. Hyperglycaemia > 200 mg/ dl 36 / 50 36. Carbenoxolone sodium may be associated with all of the following features except: A. Development of systemic hypertension B. May be associated with milk-alkali syndrome C. Development of potassium depletion D. Complicated by oedema 37 / 50 37. 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 albumin D. Serum transaminases 38 / 50 38. Fatty liver may be produced by: A. Chloramphenicol B. Oral contraceptives C. Tetracycline D. Anabolic steroids 39 / 50 39. Achalasia cardia may lead to all except: A. Lung abscess B. Emphysema C. Fibrosis of the lung D. Pneumonia 40 / 50 40. Melanosis coli indicates: A. Crohn's disease B. Melanoma affecting colon C. Hypereosinophilic enteritis D. Anthraquinone laxative abuse 41 / 50 41. All of the following can be associated with obstructive jaundice except: A. Secondary carcinoma of liver B. Crigler-Najjar type II C. Oral contraceptives D. Pregnancy 42 / 50 42. A desire for defaecation is initiated by: A. Distention of the rectum B. Contraction of the internal anal sphincter C. Distention of the sigmoid colon D. Contraction of the rectum 43 / 50 43. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Carcinoma of the tongue C. Post-encephalitic parkinsonism D. Achalasia cardia 44 / 50 44. Pyloric stenosis may be complicated by: A. Acidosis B. Hypochloraemic alkalosis C. Hyperchloraemia D. Hyperkalaemia 45 / 50 45. Geographic tongue is ideally treated by: A. None of the above B. Iron C. Folic acid D. Vitamin B-complex 46 / 50 46. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Jaundice C. Arthralgia D. Haematemesis 47 / 50 47. Which segment of the colon is commonly affected by vascular insufficiency? A. Splenic flexure B. Transverse colon C. Hepatic flexure D. Ascending colon 48 / 50 48. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Protein-losing enteropathy C. Cirrhosis of liver D. Irritable bowel syndrome 49 / 50 49. Carcinoma of oesophagus may be predisposed by alt except: A. Hypervitaminosis A B. Chronic achalasia cardia C. Lye ingestion D. Plummer-Vinson syndrome 50 / 50 50. Secretin is produced in largest quantities in: A. Jejunum B. Ileum C. Stomach D. Duodenum LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology