Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is the most sensitive and test of choice in diagnosing cystic dud obstruction, i.e. acute cholecystitis? A. Ultrasonography B. CT scan C. HIDA scan D. ERCP 2 / 50 2. Acute pancreatitis may be caused by: A. Thiazides B. Legionella pneumoniae C. Propranolol D. Measles 3 / 50 3. Aerophagia is commonly found in all except: A. Rapid eating habit B. Hypochondriac personality C. Chronic anxiety states D. Pyloric stenosis 4 / 50 4. Which indicates chronicity in hepatitis B virus infection? A. HBeAg B. DNA polymerase C. Anti-HBs D. IgG anti-HBc 5 / 50 5. Extraintestinal amoebiasis may involve all except: A. Heart B. Skin C. Meninges with encephalon D. Vulva 6 / 50 6. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Cefixime C. Pantoprazole D. Clarithromycin 7 / 50 7. Amino acids malabsorption is seen in: A. Homocystinuria B. Cystinuria C. Phenylketonuria D. Alkaptonuria 8 / 50 8. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Hiatal hernia may be present in 20% of patients 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 9 / 50 9. The commonest manifestation of radiation proctitis is: A. Pruritus ani B. Bleeding per rectum C. Mucous discharge D. Diarrhoea 10 / 50 10. Which is true with respect to irritable bowel syndrome? A. Nocturnal diarrhoea is common B. Commonly affects middle-aged males C. Most common GI disorder in practice D. Easily treatable 11 / 50 11. Malignant potential is least in: A. Familial colonic polyposis B. Peutz-Jeghers syndrome C. Villous adenoma of colon D. Ulcerative colitis 12 / 50 12. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. VIII C. VII D. II 13 / 50 13. The most common gastrointestinal disorder in a community is: A. Diverticulitis B. Irritable bowel syndrome C. Duodenal ulcer D. Reflux oesophagitis 14 / 50 14. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Colon C. Breast D. Thyroid 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. Serum alkaline phosphatase is increased in alt except: A. Sclerosing cholangitis B. Paget's disease of bone C. Osteomalacia D. Osteoporosis 17 / 50 17. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Jaundice C. Mild, firm hepatomegaly D. Liver biopsy is diagnostic 18 / 50 18. The Zollinger-Ellison syndrome is associated with all of the following except: A. Diarrhoea and steatorrhoea B. Recalcitrant upper GI ulcers C. Vitamin B12 malabsorption D. Diagnosis with certainty by BAO /MAO ratio 19 / 50 19. Which of the following is not included in the classical triad of chronic pancreatitis? A. Pancreatic calcification B. Diabetes mellitus C. Abdominal pain D. Steatorrhoea 20 / 50 20. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Antrum B. Lesser curvature C. Body D. Cardia 21 / 50 21. Normal portal venous pressure is: A. 5-7mmHg B. >12mmHg C. 7-10 mmHg D. <5mmHg 22 / 50 22. All of the following are examples of psychiatric illness associated with profound weight loss except: A. Depression B. Sheehan's syndrome C. Anorexia nervos D. Schizophrenia 23 / 50 23. Chronic afferent loop syndrome producing obstruction may lead to: A. Recurrent ulceration B. Palpitation C. Steatorrhoea D. Hypoglycaemia 24 / 50 24. The presence of diverticulosis is most commonly seen in: A. Transverse colon B. Sigmoid colon C. Caecum D. Descending colon 25 / 50 25. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 60% of the total serum bilirubin is unconjugated B. > 70% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 26 / 50 26. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Myocarditis C. Polyarteritis nodosa D. Meningitis 27 / 50 27. Carcinoma of the large intestine is mostly found in: A. Ascending colon B. Transverse colon C. Sigmoid colon D. Caecum 28 / 50 28. 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 29 / 50 29. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. With the meals C. Immediately after meals D. Just before meals 30 / 50 30. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Lithocholic acid B. Deoxycholic acid C. Chenodeoxycholic acid D. Cholic acid 31 / 50 31. Acid peptic disease is rarely found in: A. Pregnancy B. Cushing's syndrome C. Polycythaemia vera D. Chronic obstructive pulmonary disease 32 / 50 32. Regarding diffuse oesophageal spasm, which of the following is true? A. Chest pain mimics angina pectoris B. Usually a disease of teen age C. 'Nutcracker' oesophagus is the mildest form D. Invariably requires surgery 33 / 50 33. Which cardiovascular disorder is not associated with steatorrhoea? A. Constrictive pericarditis B. Mesenteric vascular insufficiency C. Left atrial myxoma D. Congestive cardiac failure 34 / 50 34. Which is not an indication of liver transplantation? A. Hereditary oxalosis B. Haemangioma of liver C. Tyrosinaemia D. Primary sclerosing cholangitis 35 / 50 35. Which of the following is not a recognized complication of ulcerative colitis? A. Bronchiectasis B. Pyoderma gangrenosum C. Autoimmune haemolytic anaemia D. Sacroiliitis 36 / 50 36. Which of the following reflects the best prognostic marker of hepatocellular function? A. Serum bilirubin B. SGPT C. Prothrombin time D. Alkaline phosphatase 37 / 50 37. Whipple’s triad is found in: A. Insulinoma B. Somatostatinoma C. Glucagonoma D. Carcinoid syndrome 38 / 50 38. Achalasia cardia may lead to all except: A. Lung abscess B. Emphysema C. Pneumonia D. Fibrosis of the lung 39 / 50 39. Malabsorption may produce all of the following except: A. Cheilosis B. Peripheral neuropathy C. Achlorhydria D. Loss of libido 40 / 50 40. All of the following may be associated with hyposplenism except: A. Haemolytic anaemia B. Coeliac disease C. Dermatitis herpetiformi D. Sickle cell disease 41 / 50 41. Features of Mallory-Weiss syndrome comprise all except: A. Commonly precipitated by vomiting and retching B. In majority of patients, bleeding stops spontaneously C. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction D. May produce melaena 42 / 50 42. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Fibrosis B. Transmural involvement C. Granuloma D. Crypt abscess 43 / 50 43. Mallory-Weiss syndrome is commonly seen accompanying: A. Reflux oesophagitis B. Oesophageal carcinoma C. Hiatal hernia D. Alcoholism 44 / 50 44. Superficial venous flow in portal hypertension is: A. Below upwards B. Away from the umbilicus C. Towards umbilicus D. Above downwards 45 / 50 45. Which light source produces best photodecomposition of bilirubin? A. Sunlight B. Ultraviolet C. Fluorescent D. Moonlight 46 / 50 46. Congestive gastropathy in portal hypertension is best treated by: A. Nitroglycerines B. Propranolol C. Somatostatin D. Terlipressin 47 / 50 47. Which of the following is false regarding acute appendicitis? A. Meckel's diverticulitis is one of the close differential diagnosis B. Nausea and vomiting occur in 50-60% of cases C. Anorexia is rare D. The temperature is usually normal or slightly elevated 48 / 50 48. The major site of bile salt absorption is: A. Distal small intestine B. Duodenum C. Proximal small intestine D. Stomach 49 / 50 49. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Stomach biopsy B. Liver biopsy C. Lymph node biopsy D. Rectal biopsy 50 / 50 50. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Segmentation and clumping B. Coarsening of mucosal folds C. Dilatation D. Loss of mucosal pattern LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology