Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Fatty liver may be produced by: A. Tetracycline B. Anabolic steroids C. Oral contraceptives D. Chloramphenicol 2 / 50 2. Carcinoid syndrome: A. Increases BP B. Is multiple in 1/5th cases C. Produces jaundice D. More common in women 3 / 50 3. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Sinus tachycardia B. Bloody diarrhoea C. Fever D. Discordance between subjective symptoms and objective findings 4 / 50 4. The commonest site of carcinoid tumour is: A. Colon B. Appendix C. Ileum D. Stomach 5 / 50 5. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Hyperglycaemia > 200 mg/ dl B. Leucocytosis > 16000/mm3 C. Serum LDH > 400 ID /L D. Serum AST> 400 ID /L 6 / 50 6. Tropical sprue may be associated with all except: A. Patchy lesion B. Partial villous atrophy is more common than subtotal villous atrophy C. Malabsorption D. Treatment is done satisfactorily by intestinal resection 7 / 50 7. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 85% of the total serum bilirubin is unconjugated B. > 70% of the total serum bilirubin is unconjugated C. > 60% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 8 / 50 8. Which one is false regarding irritable bowel syndrome? A. Sense of complete evacuation B. Abdominal distension C. Colicky pain abdomen D. Mucous diarrhoea or pencil-like pasty stools 9 / 50 9. The commonest extraintestinal complication of ulcerative colitis is: A. Uveitis B. Sclerosing cholangitis C. Pyoderma gangrenosum D. Arthritis 10 / 50 10. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Crigler-Najjar syndrome B. Shunt hyperbilirubinaemia C. Gilbert's syndrome D. Dubin-Johnson syndrome 11 / 50 11. Steatorrhoea accompanying diabetes mellitus may be due to all except: A. Abnormal bacterial proliferation in proximal intestine B. Exocrine pancreatic insufficiency C. Coexistent coeliac sprue D. Associated vasculitis 12 / 50 12. Aerophagia is commonly found in all except: A. Rapid eating habit B. Chronic anxiety states C. Pyloric stenosis D. Hypochondriac personality 13 / 50 13. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Emphysema C. Arthritis D. Electrolyte imbalance 14 / 50 14. ‘String sign’ in Crohn’s disease is due to: A. Small ulceration B. Pseudopolyps C. Fistula D. Spasm 15 / 50 15. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool smear B. Barium enema C. Sigmoidoscopy D. Stool culture 16 / 50 16. Mallory-Weiss syndrome is commonly seen accompanying: A. Hiatal hernia B. Oesophageal carcinoma C. Alcoholism D. Reflux oesophagitis 17 / 50 17. Pyrosis is better known as: A. Water brash B. Singultus C. Heartburn D. Retching 18 / 50 18. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine to plasma creatinine ratio >30 C. Urine Na+ concentration >10 mEq/dl D. Urine to plasma osmolality ratio >1.0 19 / 50 19. Which of the following is not effective to eradicate H. pylori? A. Pantoprazole B. Clarithromycin C. Cefixime D. Tinidazole 20 / 50 20. Which is not an indication of liver transplantation? A. Hereditary oxalosis B. Primary sclerosing cholangitis C. Tyrosinaemia D. Haemangioma of liver 21 / 50 21. Secretory diarrhoea has no association with: A. Pancreatic insufficiency B. Villous adenoma of rectum C. Zollinger-Ellison syndrome D. Medullary carcinoma of thyroid 22 / 50 22. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Cataract C. Scleromalacia perforans D. Uveitis 23 / 50 23. What percentage of Zollinger-Ellison syndrome are malignant? A. 40% B. 20% C. 30% D. 60% 24 / 50 24. Crohn’s disease may be complicated by all except: A. Amyloidosis B. Hydroureter C. Clubbing D. Chronic cholecystitis 25 / 50 25. Characteristic of hepatic pre-coma is: A. Presence of ankle clonus B. Night-time somnolence C. Babinski's sign D. Flaccid muscles 26 / 50 26. Which one of the following is false regarding type B hepatitis serology? A. Anti-HBs appear to reflect immunity B. Persistence of HBsAg>6 months implies carrier state C. IgG anti-HBc indicates acute hepatitis B virus infection D. HBeAg implies high infectivity 27 / 50 27. All of the following are methods for detection of H. pylori except: A. Histology B. Rapid urease test C. Endoscopic view D. Polymerase chain reaction 28 / 50 28. The commonest hepatic lesion in haemochromatosis is: A. Haemosiderosis B. Macronodular cirrhosis C. Fatty liver D. Micronodular cirrhosis 29 / 50 29. Hepatic amoebiasis is associated with all except: A. Right lower intercostal tenderness B. May lead to the development of an amoebic liver abscess C. Jaundice is present in majority D. Abscess commonly affects the right lobe 30 / 50 30. Carbenoxolone sodium may be associated with all of the following features except: A. Development of potassium depletion B. Complicated by oedema C. May be associated with milk-alkali syndrome D. Development of systemic hypertension 31 / 50 31. Octreotide can be used in all except: A. Ulcerative colitis B. Short bowel syndrome C. Pancreatic ascites D. Oesophageal variceal bleeding 32 / 50 32. The presence of hepatic bruit over the liver suggests: A. Portal hypertension B. Hepatoma C. Perihepatitis D. Recent liver biopsy 33 / 50 33. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Histamine injection test C. Secretin injection test D. Feeding of a standard mea 34 / 50 34. The commonest type of pancreatic carcinoma is: A. Islet cell carcinoma B. Ductal adenocarcinoma C. Cystadenocarcinoma D. Mucinous carcinoma 35 / 50 35. Gardner’s syndrome may be associated with all except: A. Fibromas B. Astrocytoma C. Epidermoid cyst D. Osteomas 36 / 50 36. Bentiromide test diagnoses? A. Exocrine pancreatic function B. Endocrine pancreatic function C. Pancreatic ductal obstruction D. Pancreatic carcinoma 37 / 50 37. The water content of adult stool is approximately: A. 50-60% B. 40-50% C. More than 60% D. 20-30% 38 / 50 38. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 30 ml C. 15 ml D. 75 ml 39 / 50 39. The causative agent of tropical sprue is: A. Unknown B. Shigella C. Yersinia D. Campylobacter 40 / 50 40. Primary biliary cirrhosis may be associated with all except: A. Autoimmune thyroiditis B. CREST syndrome C. Wilson's disease D. Renal tubular acidosis 41 / 50 41. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Whipple's disease B. Intestinal lymphangiectasia C. Cardnoid syndrome D. Intestinal lymphoma 42 / 50 42. Which of the following does not produce secretory diarrhoea? A. Hyperparathyroidism B. Carcinoid syndrome C. Medullary carcinoma of the thyroid gland D. Zollinger-Ellison syndrome 43 / 50 43. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Metoclopramide C. Protein meal D. Gastrin 44 / 50 44. Achalasia cardia gives rise to all except: A. Dysphagia B. Chest pain C. Regurgitation D. Heartburn 45 / 50 45. Which indicates chronicity in hepatitis B virus infection? A. DNA polymerase B. IgG anti-HBc C. HBeAg D. Anti-HBs 46 / 50 46. Regarding carcinoma of oesophagus, all are true except: A. Odynophagia may be a symptom B. Tracheo-esophageal fistula may occur in advanced disease C. Dysphagia starts with solid foods D. Commonest site of affection is lower third 47 / 50 47. Normal faecal fat is defined as: A. < 12 g for 24 hrs B. < 6 g for 24 hrs C. < 9 g for 24 hrs D. < 15 g for 24 hr 48 / 50 48. Which of the following is not associated with leucocytosis? A. Weil's disease B. Acute viral hepatitis C. Amoebic liver abscess D. Toxic hepatitis 49 / 50 49. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Cytomegalovirus B. Hepatitis B C. Hepatitis C D. Hepatitis D 50 / 50 50. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Rectal biopsy B. Lymph node biopsy C. Liver biopsy D. Stomach biopsy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology