Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The most common cause of Budd-Chiari syndrome is: A. Valve in hepatic veins B. Oral contraceptives C. Hepatoma D. Paroxysmal nocturnal hemoglobinuria 2 / 50 2. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Irritable bowel syndrome B. Villous adenoma of the colon C. Carcinoid syndrome D. Zollinger-Ellison syndrome 3 / 50 3. Menetrier’s disease may have all of the following except: A. Large tortuous gastric mucosal folds B. Hypoproteinaemia C. Gastritis D. Hypochlorhydria 4 / 50 4. Giardiasis is characterised by all except: A. Inflammation of duodenal and jejunal mucosa B. Infection usually occurs by ingesting contaminated water containing the flagellate form C. Lactose intolerance D. Malabsorption 5 / 50 5. Malabsorption may produce all of the following except: A. Loss of libido B. Achlorhydria C. Cheilosis D. Peripheral neuropathy 6 / 50 6. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Whipple's disease C. Systemic mastocytosis D. Coeliac sprue 7 / 50 7. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Coeliac disease C. Crohn's disease D. Irritable bowel syndrome 8 / 50 8. Continued infectivity in HBV infection is diagnosed by: A. HBV DNA B. Anti-HBs C. IgM anti-HBc D. HBsAg 9 / 50 9. All are causes of chylous ascites except: A. Thrombosis of mesenteric artery B. Filariasis C. Tuberculosis D. Intra-abdominal malignancy 10 / 50 10. Chronicity in hepatitis C virus infection is: A. 50% B. 10% C. 80% D. 30% 11 / 50 11. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Mycobacterium avium-intracellulare B. Isospora belli C. Microsporidia D. Cryptosporidium 12 / 50 12. What percentage of Zollinger-Ellison syndrome are malignant? A. 20% B. 30% C. 40% D. 60% 13 / 50 13. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Medullary carcinoma of thyroid C. Pancreatic insufficiency D. Villous adenoma of rectum 14 / 50 14. The commonest cause of upper GI bleeding in an alcoholic is: A. Acute gastritis B. Duodenal ulcer C. Mallory-Weiss syndrome D. Ruptured oesophageal varices 15 / 50 15. Weil’s disease is associated with: A. Absence of renal involvement B. Jaundice in all C. Leucopenia with lymphocytosis D. Severe muscle pain 16 / 50 16. Which of the following surgeries is related to severe hepatocellular dysfunction? A. Pyloroplasty B. Vagotomy C. Gastric bypass D. Jejunoileal bypass 17 / 50 17. Which is true with respect to irritable bowel syndrome? A. Commonly affects middle-aged males B. Easily treatable C. Most common GI disorder in practice D. Nocturnal diarrhoea is common 18 / 50 18. The most reliable screening test for patients suffering from malabsorption is: A. D-xylose absorption test B. Radioactive triolein absorption (breath) test C. Small intestinal X-rays D. Quantitative determination of faecal fat 19 / 50 19. Gum hypertrophy is not a feature of: A. Acute monocytic leukaemia B. Amlodipine therapy C. Scurvy D. Carbamazepine therapy 20 / 50 20. Anti-saccharomyces cerevisiae antibody (ASCA) is classically present in: A. Primary sclerosing cholangitis B. Ulcerative colitis C. Crescentic glomerulonephritis D. Wegener's granulomatosis 21 / 50 21. Which of the following pancreatic islet cells synthesizes glucagon? A. Delta B. Beta C. Alpha D. Non-beta 22 / 50 22. Primary biliary cirrhosis may be associated with all except: A. Renal tubular acidosis B. CREST syndrome C. Autoimmune thyroiditis D. Wilson's disease 23 / 50 23. All the drugs are given at some time in the treatment of carcinoid syndrome except: A. Methylxanthine bronchodilator B. beta-adrenergic agonist C. Serotonin antagonist D. H1 + H2 receptor antagonist 24 / 50 24. Which of the following is not a cause of hyperamylasaemia? A. Renal insufficiency B. Pseudopancreatic cyst C. Burns D. Acute intermittent porphyria 25 / 50 25. Regarding Meckel’s diverticulum, which one is false? A. Present within 100 cm of the ileocaecal valve B. Present in 2% population C. Usually 5 cm long D. May contain oesophageal or rectal mucosa 26 / 50 26. Characteristic of hepatic pre-coma is: A. Night-time somnolence B. Presence of ankle clonus C. Flaccid muscles D. Babinski's sign 27 / 50 27. Constipation may develop from all except: A. Colchicine B. Clonidine C. Calcium-channel blocker D. Cholestyramine 28 / 50 28. Spider naevi: A. May be seen in some healthy people B. Often seen in the first trimester of pregnancy C. Correlates with the amount of urinary oestradiol excretion D. Are pathognomonic of portal hypertension 29 / 50 29. Silvery stool signifies a lesion characteristic of: A. Ampulla of Vater B. Meckel's diverticulum C. Right colic flexure D. Ileocaecal region 30 / 50 30. Cholangiocarcinoma may be associated with: A. Cholelithiasis B. Tinea echinococcus infestation C. Biliary atresia D. Ulcerative colitis 31 / 50 31. Normally in health, the venous flow in abdominal superficial veins is: A. From below upwards B. From above downwards C. Towards the umbilicus D. Away from the umbilicus 32 / 50 32. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. 60% have anti-intrinsic factor antibody C. 90% have anti-parietal cell antibody D. It is a common cause of haemolytic anaemia in the West 33 / 50 33. The major immunoglobulin in primary biliary cirrhosis is: A. IgG B. IgA C. IgM D. IgD 34 / 50 34. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Coeliac disease C. Eosinophilic enteritis D. Ulcerative colitis 35 / 50 35. 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 36 / 50 36. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Protein-losing enteropathy B. Irritable bowel syndrome C. Chronic pancreatitis D. Cirrhosis of liver 37 / 50 37. The commonest cause of post-transfusion hepatitis is: A. Hepatitis D B. Hepatitis B C. Hepatitis E D. Hepatitis C 38 / 50 38. Pruritus associated with cholestasis is mostly seen: A. On the palms and soles B. In males C. After a cold bath D. At daytime 39 / 50 39. Tegaserod is used in: A. Coeliac disease B. Gastro-esophageal reflux disease C. Ulcerative colitis D. Irritable bowel syndrome 40 / 50 40. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Massive dose of estrogen B. Nifedipine C. Amiodarone D. Tetracycline 41 / 50 41. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Jejunoileal bypass may be an aetiology B. Typically occurs in overweight, diabetic, hyperlipidemic subjects C. Occasionally progresses to cirrhosis and liver failure D. Glucocorticoid helps cure 42 / 50 42. The lower oesophageal mucosa ring (Schatzki ring) is: A. A cause of haematemesis and/ or melaena B. A late complication of vagotomy C. A cause of dysphagia D. A normal oesophageal anatomy 43 / 50 43. All are characteristic features of Wilson’s disease except: A. Sensory loss B. Chorea C. Grimacing D. Slurred speech 44 / 50 44. Among the following drugs, which one is thought to be the safest in pregnancy? A. Carbenoxolone B. Misoprostol C. Sucralfate D. Omeprazole 45 / 50 45. Hepatocellular jaundice does not result from: A. Halothane B. Copper sulphate C. Gliclazide D. Rifampicin 46 / 50 46. The smallest absorbing unit of the small intestinal mucosa is: A. Crypts B. Columnar cells C. Microvillus D. Villus 47 / 50 47. Crohn’s disease may produce all of the following except: A. Rectovesical fistula B. Jejuno-colic fistula C. Vesicovaginal fistula D. Perianal fistula 48 / 50 48. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 200ml B. 70ml C. 120ml D. 270ml 49 / 50 49. H. pylori is usually not associated with: A. Antral gastritis B. Non-ulcer dyspepsia C. Zollinger-Ellison syndrome D. Gastric lymphoma 50 / 50 50. Melanosis coli indicates: A. Crohn's disease B. Hypereosinophilic enteritis C. Melanoma affecting colon D. Anthraquinone laxative abuse LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology