Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All are major components of intestinal gas except: A. H2S B. Methane C. N2 D. CO2 2 / 50 2. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Serum bilirubin assay C. Bromsulphalein (BSP) excretion test D. Level of transaminases 3 / 50 3. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Diverticulosis B. Gastro-esophageal reflux disease C. Haemorrhoids D. Pancreatitis 4 / 50 4. Regarding ulcerative colitis, which is true? A. Granuloma and fistula formation are characteristic B. Crypt abscesses are typical C. Segmental involvement is common D. Malignancy never follows even in long-standing disease 5 / 50 5. Carcinoma of the large intestine is mostly found in: A. Caecum B. Transverse colon C. Ascending colon D. Sigmoid colon 6 / 50 6. Gum hypertrophy is not a feature of: A. Scurvy B. Amlodipine therapy C. Carbamazepine therapy D. Acute monocytic leukaemia 7 / 50 7. All of the following enzymes may be normally found in stool except: A. Pepsin B. Amylase C. Lipase D. Trypsin 8 / 50 8. The best single diagnostic test for cystic fibrosis is: A. Serum lipase B. Quantitative faecal fat estimation C. Serum amylase D. Quantitative pilocarpine iontophoresis test 9 / 50 9. Macroglossia is not found in: A. Myxoedema B. Primary amyloidosis C. Hurler syndrome D. Bulbar palsy 10 / 50 10. Granulomatous hepatitis is not a feature of: A. Metastatic carcinoma B. Tuberculosis C. Sarcoidosis D. Blastomycosis 11 / 50 11. Which segment of the Gl tract is most susceptible to volvulus? A. Small intestine B. Stomach C. Sigmoid colon D. Caecum 12 / 50 12. All of the following may be associated with diarrhoea except: A. Theophylline B. Colchicine C. Amitriptyline D. Sorbitol 13 / 50 13. Chronicity in hepatitis C virus infection is: A. 30% B. 50% C. 80% D. 10% 14 / 50 14. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Macronodular cirrhosis C. Haemosiderosis D. Micronodular cirrhosis 15 / 50 15. Regarding H. pylori, which statement is false? A. Often resides in the dental plaques of the patient B. It penetrates within the epithelial cells of the stomach C. Multiflagellated D. Gram-negative bacillus 16 / 50 16. Which is true in halothane-induced. hepatitis? A. Males are commonly susceptible B. Marked cholestasis C. Splenomegaly D. Peripheral eosinophilia 17 / 50 17. Regarding diffuse oesophageal spasm, which of the following is true? A. Usually a disease of teen age B. Invariably requires surgery C. Chest pain mimics angina pectoris D. 'Nutcracker' oesophagus is the mildest form 18 / 50 18. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Shigella B. Campylobacter C. Yersinia D. Rota virus 19 / 50 19. Lower oesophageal sphincter is relaxed by: A. Protein meal B. Gastrin C. Metoclopramide D. Beta-adrenergic agonist 20 / 50 20. Halitosis is present in all except: A. Hepatic failure B. Gastrocolic fistula C. Atrophic rhinitis D. Amoebic liver abscess 21 / 50 21. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Arthritis C. Sclerosing cholangitis D. Pyoderma gangrenosum 22 / 50 22. Hepatic rub may be found in: A. Hepatic neoplasm B. Hemangioma of liver C. Pyogenic liver abscess D. Acute viral hepatitis 23 / 50 23. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Best visualisation of cystic duct B. Endoscopic sphincterotomy and stone removal C. Bile or pancreatic cytology D. Biliary manometry 24 / 50 24. Normal portal venous pressure is: A. <5mmHg B. >12mmHg C. 7-10 mmHg D. 5-7mmHg 25 / 50 25. The commonest micro-organism responsible for cholangitis is: A. Klebsiella pneumoniae B. E. coli C. Salmonella D. Streptococcus faecalis 26 / 50 26. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Elevated blood urea nitrogen C. Hypercalcaemia D. Hypophosphataemia 27 / 50 27. Which one is true in relation to Barrett’s oesophagus? A. Hiatal hernia may be present in 20% of patients B. A consequence of achalasia cardia C. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus D. Risk of adenocarcinoma increases 10-fold 28 / 50 28. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 50% of the total serum bilirubin is unconjugated B. > 85% of the total serum bilirubin is unconjugated C. > 70% of the total serum bilirubin is unconjugated D. > 60% of the total serum bilirubin is unconjugated 29 / 50 29. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Histamine injection test C. Calcium infusion test D. Feeding of a standard mea 30 / 50 30. Michaelis-Gutmann bodies are found in: A. Malakoplakia of colon B. Diverticulosis of colon C. Pneumatosis cystoides intestinalis D. Pseudomyxoma peritonei 31 / 50 31. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Worsening jaundice C. Paralytic ileus D. Worsening ascites 32 / 50 32. ‘String sign’ in Crohn’s disease is due to: A. Small ulceration B. Spasm C. Pseudopolyps D. Fistula 33 / 50 33. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Coexistent coeliac sprue B. Associated vasculitis C. Exocrine pancreatic insufficiency D. Abnormal bacterial proliferation in proximal intestine 34 / 50 34. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Uveitis C. Scleromalacia perforans D. Cataract 35 / 50 35. Which one is false in granulomatous hepatitis? A. Liver biopsy is diagnostic B. Mild, firm hepatomegaly C. Jaundice D. Sarcoidosis may be an aetiology 36 / 50 36. Hepatocellular jaundice does not result from: A. Gliclazide B. Halothane C. Rifampicin D. Copper sulphate 37 / 50 37. All of the following are true regarding diverticulitis except: A. Males are affected more than females B. Right side of colon is less affected than the left C. Perforation is a serious complication D. Massive rectal bleeding is very common 38 / 50 38. The classical triad in carcinoid syndrome is: A. Flushing, diarrhoea, valvular heart disease B. Telangiectasias, flushing, diarrhoea C. Pruritus, wheezing, diarrhoea D. Dyspnoea, flushing, valvular heart disease 39 / 50 39. Symptoms of carcinoma of the left colon include all except: A. Altered bowel habits B. Low back pain C. Cramps in the abdomen D. Melena 40 / 50 40. Predominant unconjugated bilirubin is seen in all except: A. Ineffective erythropoiesis B. Breakdown of haemoglobin C. Rotor syndrome D. Breakdown of myoglobin 41 / 50 41. Water is minimally absorbed from: A. Ascending colon B. Caecum C. Descending colon D. Transverse colon 42 / 50 42. Incidence of stress ulcers in acutely traumatised patients is: A. 90-100% B. 50-60% C. 70-80% D. 30-40% 43 / 50 43. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Caecum C. Sigmoid colon D. Descending colon 44 / 50 44. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. May cause mild elevation of serum transaminases and creatinine levels C. May produce benign intracranial hypertension D. Tender gynecomastia may be a complication after prolonged use 45 / 50 45. H. pylori is usually not associated with: A. Antral gastritis B. Gastric lymphoma C. Non-ulcer dyspepsia D. Zollinger-Ellison syndrome 46 / 50 46. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Malabsorption C. Inflammation of duodenal and jejunal mucosa D. Lactose intolerance 47 / 50 47. All of the following may produce intestinal pseudo-obstruction except: A. Scleroderma B. Hyperthyroidism C. Diabetes mellitus D. Imipramine 48 / 50 48. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Left atrial myxoma C. Mesenteric vascular insufficiency D. Congestive cardiac failure 49 / 50 49. Primary biliary cirrhosis may be associated with all except: A. Wilson's disease B. Renal tubular acidosis C. Autoimmune thyroiditis D. CREST syndrome 50 / 50 50. Pneumaturia is an established feature of: A. Intestinal lymphoma B. Irritable bowel syndrome C. Coeliac disease D. Crohn's disease LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology