Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Melanosis coli indicates: A. Crohn's disease B. Melanoma affecting colon C. Hypereosinophilic enteritis D. Anthraquinone laxative abuse 2 / 50 2. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Vitamin B12 deficiency C. Iron deficiency D. Hemolysis 3 / 50 3. High transaminase levels may be found in all except: A. Acute viral hepatitis B. Acute myocardial infarction C. Right-sided heart failure D. Chronic pancreatitis 4 / 50 4. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Sheehan's syndrome B. Depression C. Schizophrenia D. Anorexia nervos 5 / 50 5. Weil’s disease is associated with: A. Jaundice in all B. Absence of renal involvement C. Severe muscle pain D. Leucopenia with lymphocytosis 6 / 50 6. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Paget's disease C. Metastasis in liver D. Hypervitaminosis D 7 / 50 7. Pyloric stenosis may be complicated by: A. Hyperkalaemia B. Hypochloraemic alkalosis C. Hyperchloraemia D. Acidosis 8 / 50 8. The definitive test for diagnosis of haemochromatosis is: A. Liver biopsy B. TIBC < 200 μg/dl C. Plasma iron >300 μg/ dl D. Hepatic iron index >1.5 9 / 50 9. The commonest cause of colonic obstruction is: A. Adhesions B. Hernia C. Neoplasm D. Volvulus 10 / 50 10. All are examples of APUDomas except: A. Phaeochromocytoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Hepatoma 11 / 50 11. All of the following are true regarding diverticulitis except: A. Males are affected more than females B. Perforation is a serious complication C. Right side of colon is less affected than the left D. Massive rectal bleeding is very common 12 / 50 12. Which one of the following is not a space-occupying disease of liver? A. Cyst B. Gummas C. Metastatic tumour D. Amyloid 13 / 50 13. Which of the following infections commonly produces hepatic granuloma? A. Leptospira B. Brucella abortus C. Pneumococcus D. LD body 14 / 50 14. In gastroparesis, the following drugs are helpful except: A. Domperidone B. Metoclopramide C. Tetracycline D. Cisapride 15 / 50 15. Atypical chest pain of reflux oesophagitis is very often precipitated by: A. Consumption of food B. Induction of vomiting C. Change of posture D. Attacks of emotional stress 16 / 50 16. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Renal insufficiency C. Acute intermittent porphyria D. Burns 17 / 50 17. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Feeding of a standard mea C. Secretin injection test D. Histamine injection test 18 / 50 18. Non-alcoholic steatohepatitis (NASH) may be produced by all except: A. Nifedipine B. Amiodarone C. Tetracycline D. Massive dose of estrogen 19 / 50 19. The commonest type of oral malignancy is: A. Melanoma B. Basal cell carcinoma C. Squamous cell carcinoma D. Adenocarcinoma 20 / 50 20. Jejunal diverticula may be associated with: A. Chronic pancreatitis B. Hypochlorhydria C. Vitamin B12 malabsorpfion D. Cirrhosis of liver 21 / 50 21. All of the following produce invasive diarrhoea except: A. Shigella B. Clostridium perfringens C. Clostridium difficile D. Campylobacter 22 / 50 22. Regarding Meckel’s diverticulum, which one is false? A. Usually 5 cm long B. Present in 2% population C. Present within 100 cm of the ileocaecal valve D. May contain oesophageal or rectal mucosa 23 / 50 23. Menetrier’s disease may have all of the following except: A. Large tortuous gastric mucosal folds B. Hypoproteinaemia C. Hypochlorhydria D. Gastritis 24 / 50 24. Luge gastric folds are seen in all except: A. Menetrier's disease B. Chronic H. pylori infection C. Sarcoidosis D. Gastric malignancy 25 / 50 25. Carcinoid syndrome: A. Produces jaundice B. Increases BP C. More common in women D. Is multiple in 1/5th cases 26 / 50 26. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Somatostatinoma B. Insulinoma C. Gastrinoma D. Glucagonoma 27 / 50 27. What percentage of Zollinger-Ellison syndrome are malignant? A. 40% B. 30% C. 20% D. 60% 28 / 50 28. Major organ responsible for the removal of gastrin is: A. Liver B. Lung C. Kidney D. Intestine 29 / 50 29. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgA B. IgG C. IgD D. IgM 30 / 50 30. Malignant potential is least in: A. Ulcerative colitis B. Villous adenoma of colon C. Familial colonic polyposis D. Peutz-Jeghers syndrome 31 / 50 31. The most common cause of Budd-Chiari syndrome is: A. Paroxysmal nocturnal hemoglobinuria B. Hepatoma C. Oral contraceptives D. Valve in hepatic veins 32 / 50 32. Commonest cause of hepatoma is: A. Cirrhosis of liver B. Alcohol C. alpha1-antitrypsin deficiency D. Haemochromatosis 33 / 50 33. WBC in stool is not found in: A. Entero-invasive E. coli B. Campylobacter C. Giardiasis D. Shigella 34 / 50 34. Which of the following does not give rise to haematemesis? A. Ca stomach B. Mallory-Weiss syndrome C. Stomatostatinoma D. Duodenal diverticula 35 / 50 35. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Cardia B. Lesser curvature C. Antrum D. Body 36 / 50 36. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Coating agents like sucralfate C. Prostaglandins like misoprostol D. H2-receptor antagonists 37 / 50 37. Gastric diverticula are: A. Need immediate upper GI endoscopy B. Commonly seen C. A premalignant condition D. Clinically not significant 38 / 50 38. Superficial venous flow in portal hypertension is: A. Towards umbilicus B. Below upwards C. Away from the umbilicus D. Above downwards 39 / 50 39. The causative agent of tropical sprue is: A. Unknown B. Yersinia C. Campylobacter D. Shigella 40 / 50 40. Regarding carcinoma of oesophagus, all are true except: A. Dysphagia starts with solid foods B. Tracheo-esophageal fistula may occur in advanced disease C. Odynophagia may be a symptom D. Commonest site of affection is lower third 41 / 50 41. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Peliosis hepatis C. Budd-chiari syndrome D. Hepatic granulomas 42 / 50 42. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Coeliac disease C. Sickle cell disease D. Haemolytic anaemia 43 / 50 43. All are absorbed maximally in the upper small intestine except: A. Folate B. Fe++ C. Vitamin B12 D. Ca++ 44 / 50 44. Which is not an indication of liver transplantation? A. Primary sclerosing cholangitis B. Hereditary oxalosis C. Tyrosinaemia D. Haemangioma of liver 45 / 50 45. Oral mucous membrane may be affected in all except: A. Stevens-Johnson syndrome B. Lichen planus C. Pemphigus Vulgaris D. Dermatitis herpetiformis 46 / 50 46. Bentiromide test diagnoses? A. Exocrine pancreatic function B. Pancreatic ductal obstruction C. Endocrine pancreatic function D. Pancreatic carcinoma 47 / 50 47. All of the following are true regarding right-sided colonic carcinoma except: A. Cachexia B. Pain abdomen C. Alteration of bowel habit D. Anaemia 48 / 50 48. All of the following endocrine disorders are associated with malabsorption except: A. Adrenal insufficiency B. Carcinoid syndrome C. Diabetes mellitus D. Hyperparathyroidism 49 / 50 49. Peritonitis may be complicated by all except: A. Pelvic abscess B. Renal failure C. Acute lung injury D. Haemorrhagic pancreatitis 50 / 50 50. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Serum bilirubin assay C. Level of transaminases D. 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