Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Exocrine pancreatic insufficiency B. Coexistent coeliac sprue C. Abnormal bacterial proliferation in proximal intestine D. Associated vasculitis 2 / 50 2. Octreotide can be used in all except: A. Pancreatic ascites B. Short bowel syndrome C. Ulcerative colitis D. Oesophageal variceal bleeding 3 / 50 3. The classical triad in carcinoid syndrome is: A. Dyspnoea, flushing, valvular heart disease B. Pruritus, wheezing, diarrhoea C. Telangiectasias, flushing, diarrhoea D. Flushing, diarrhoea, valvular heart disease 4 / 50 4. Cholangiocarcinoma may be associated with: A. Biliary atresia B. Cholelithiasis C. Tinea echinococcus infestation D. Ulcerative colitis 5 / 50 5. The commonest hepatic lesion in haemochromatosis is: A. Haemosiderosis B. Macronodular cirrhosis C. Fatty liver D. Micronodular cirrhosis 6 / 50 6. Which indicates chronicity in hepatitis B virus infection? A. IgG anti-HBc B. DNA polymerase C. HBeAg D. Anti-HBs 7 / 50 7. Burst abdomen commonly occurs on which post-op day of abdominal surgery? A. 1st day B. 2nd day C. 3rd day D. 7th day A. 2nd day B. 3rd day C. 7th day D. 1st day 8 / 50 8. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Barium enema B. Stool smear C. Stool culture D. Sigmoidoscopy 9 / 50 9. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Burns C. Acute intermittent porphyria D. Renal insufficiency 10 / 50 10. Achalasia cardia may lead to all except: A. Lung abscess B. Fibrosis of the lung C. Pneumonia D. Emphysema 11 / 50 11. Carcinoma of oesophagus may be predisposed by alt except: A. Hypervitaminosis A B. Plummer-Vinson syndrome C. Chronic achalasia cardia D. Lye ingestion 12 / 50 12. Oral mucous membrane may be affected in all except: A. Lichen planus B. Dermatitis herpetiformis C. Stevens-Johnson syndrome D. Pemphigus Vulgaris 13 / 50 13. All are causes of chylous ascites except: A. Intra-abdominal malignancy B. Tuberculosis C. Filariasis D. Thrombosis of mesenteric artery 14 / 50 14. All of the following produce “sub-total villous atrophy’ except: A. Coeliac disease B. Radiation C. Hypogammaglobulinaemia D. Abetalipoproteinaemia 15 / 50 15. Features of Mallory-Weiss syndrome comprise all except: A. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction B. Commonly precipitated by vomiting and retching C. May produce melaena D. In majority of patients, bleeding stops spontaneously 16 / 50 16. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Protein-losing enteropathy C. Cirrhosis of liver D. Irritable bowel syndrome 17 / 50 17. Constipation may develop from all except: A. Colchicine B. Calcium-channel blocker C. Clonidine D. Cholestyramine 18 / 50 18. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum transaminases B. Serum cholesterol C. Serum bilirubin D. Serum albumin 19 / 50 19. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Portal hypertension B. Inferior vena caval obstruction C. Hepatic vein thrombosis D. Superior vena caval obstruction 20 / 50 20. What is true about Weil’s disease? A. Liver biopsy is diagnostic B. Leucopenia C. Low glucose in CSF D. Myocarditis may be a complication 21 / 50 21. Acute viral hepatitis may develop from all of the following except: A. Yellow fever B. Cytomegalovirus C. Infectious mononucleosis D. Herpes zoster virus 22 / 50 22. Regarding diffuse oesophageal spasm, which of the following is true? A. Invariably requires surgery B. 'Nutcracker' oesophagus is the mildest form C. Usually a disease of teen age D. Chest pain mimics angina pectoris 23 / 50 23. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Dubin-Johnson syndrome B. Crigler-Najjar syndrome C. Shunt hyperbilirubinaemia D. Gilbert's syndrome 24 / 50 24. All are recognised complications of acute pancreatitis except: A. Pancreatic pseudocyst B. Pancreatic ascites C. Pancreatic malignancy D. Pancreatic phlegmon 25 / 50 25. Congenital hepatic fibrosis may be associated with: A. Atrial septal defect B. Retroperitoneal fibrosis C. Endocardial fibroelastosis D. Medullary sponge kidney 26 / 50 26. Protein-losing enteropathy maybe feature of all except: A. Chronic cor pulmonale B. Intestinal tuberculosis C. Atrial septal defect D. Juvenile polyposis coli 27 / 50 27. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Acute lung injury C. Fulminant hepatocellular failure D. Disseminated intravascular coagulation 28 / 50 28. The commonest malignant tumour of the gallbladder is: A. Sarcoma B. Haemangioendothelioma C. Adenocarcinoma D. Squamous cell carcinoma 29 / 50 29. Non-cirrhotic portal fibrosis may be associated with: A. Chronic arsenic ingestion B. Sarcoidosis C. Oral contraceptives D. Umbilical sepsis 30 / 50 30. Malignant potential is least in: A. Peutz-Jeghers syndrome B. Villous adenoma of colon C. Familial colonic polyposis D. Ulcerative colitis 31 / 50 31. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Whipple's disease C. Coeliac sprue D. Pancreatic insufficiency 32 / 50 32. All of the following are true in irritable bowel syndrome except: A. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Usually have 3 clinical components: spastic, diarrhoeal and both 33 / 50 33. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphangiectasia B. Cardnoid syndrome C. Intestinal lymphoma D. Whipple's disease 34 / 50 34. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Hypophosphataemia B. Increased bicarbonate level in serum C. Elevated blood urea nitrogen D. Hypercalcaemia 35 / 50 35. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Paget's disease of bone C. Osteoporosis D. Osteomalacia 36 / 50 36. Chronicity in hepatitis C virus infection is: A. 30% B. 50% C. 10% D. 80% 37 / 50 37. Hyperdefaecation is found in all except: A. Proctitis B. Hyperthyroidism C. Irritable bowel syndrome D. Diabetes mellitus 38 / 50 38. All are recognised complications of acute viral hepatitis except: A. Polyarteritis nodosa B. Aplastic anaemia C. Myocarditis D. Meningitis 39 / 50 39. All of the following are methods for detection of H. pylori except: A. Polymerase chain reaction B. Endoscopic view C. Histology D. Rapid urease test 40 / 50 40. Hepatic rub may be found in: A. Hemangioma of liver B. Pyogenic liver abscess C. Acute viral hepatitis D. Hepatic neoplasm 41 / 50 41. Commonest organism causing pyogenic liver abscess is: A. Anaerobes B. Streptococcus faecalis C. Staphylococci D. E. coli 42 / 50 42. Commonest cause of duodenal haematoma is: A. Anticoagulant therapy B. Haemophilia C. Trauma D. Acute leukaemia 43 / 50 43. The commonest site of carcinoma of the stomach is: A. Prepyloric B. Body of the stomach C. Lesser curvature D. Greater curvature 44 / 50 44. Malabsorption may produce all of the following except: A. Achlorhydria B. Loss of libido C. Peripheral neuropathy D. Cheilosis 45 / 50 45. Acute pancreatitis may be caused by: A. Legionella pneumoniae B. Measles C. Thiazides D. Propranolol 46 / 50 46. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Isospora belli C. Mycobacterium avium-intracellulare D. Microsporidia 47 / 50 47. The commonest site of carcinoid tumour is: A. Colon B. Ileum C. Appendix D. Stomach 48 / 50 48. Spider naevi: A. Are pathognomonic of portal hypertension B. Often seen in the first trimester of pregnancy C. May be seen in some healthy people D. Correlates with the amount of urinary oestradiol excretion 49 / 50 49. Which of the following is false regarding acute appendicitis? A. The temperature is usually normal or slightly elevated B. Nausea and vomiting occur in 50-60% of cases C. Meckel's diverticulitis is one of the close differential diagnosis D. Anorexia is rare 50 / 50 50. All of the following may be associated with hypoglobulinaemia except: A. Severe combined immunodeficiency B. Chronic lymphatic leukaemia C. AIDS D. 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