Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. In coeliac sprue, which of the following is non-deficient in the body? A. Vitamin B12 B. Folic acid C. Iron D. Serum albumin 2 / 50 2. Gastrin is predominantly secreted from: A. Jejunum B. Antral mucosa C. Fundus of the stomach D. 2nd part of the duodenum 3 / 50 3. Which of the following is not a variety of osmotic diarrhoea? A. Laxative abuse B. Lactase deficiency C. Coeliac disease D. Whipple's disease 4 / 50 4. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Vitamins and minerals absorption C. Protein metabolism D. Fat metabolism 5 / 50 5. The weight of normal daily stool of a healthy adult is: A. 100-200 g B. 500-600 g C. 300-400 g D. 700-800 g 6 / 50 6. Non-cirrhotic portal fibrosis may be associated with: A. Chronic arsenic ingestion B. Oral contraceptives C. Umbilical sepsis D. Sarcoidosis 7 / 50 7. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Portal hypertension B. Superior vena caval obstruction C. Inferior vena caval obstruction D. Hepatic vein thrombosis 8 / 50 8. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Sclerosing cholangitis C. Osteoporosis D. Osteomalacia 9 / 50 9. The commonest manifestation of radiation proctitis is: A. Diarrhoea B. Bleeding per rectum C. Pruritus ani D. Mucous discharge 10 / 50 10. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Irritable bowel syndrome C. Villous adenoma of the colon D. Zollinger-Ellison syndrome 11 / 50 11. Gastric diverticula are: A. Commonly seen B. Clinically not significant C. A premalignant condition D. Need immediate upper GI endoscopy 12 / 50 12. Which of the following does not give rise to haematemesis? A. Stomatostatinoma B. Duodenal diverticula C. Mallory-Weiss syndrome D. Ca stomach 13 / 50 13. Weil’s disease is associated with: A. Absence of renal involvement B. Jaundice in all C. Severe muscle pain D. Leucopenia with lymphocytosis 14 / 50 14. Extraintestinal amoebiasis may involve all except: A. Heart B. Skin C. Vulva D. Meninges with encephalon 15 / 50 15. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Trauma C. Anticoagulant therapy D. Haemophilia 16 / 50 16. Luge gastric folds are seen in all except: A. Sarcoidosis B. Chronic H. pylori infection C. Gastric malignancy D. Menetrier's disease 17 / 50 17. In gastroparesis, the following drugs are helpful except: A. Tetracycline B. Metoclopramide C. Domperidone D. Cisapride 18 / 50 18. The commonest type of oral malignancy is: A. Basal cell carcinoma B. Adenocarcinoma C. Squamous cell carcinoma D. Melanoma 19 / 50 19. Melanosis coli indicates: A. Crohn's disease B. Melanoma affecting colon C. Hypereosinophilic enteritis D. Anthraquinone laxative abuse 20 / 50 20. Diabetic diarrhoea may be encountered in the presence of: A. Macroangiopathy B. Neuropathy C. Retinopathy D. Nephropathy 21 / 50 21. Crohn’s disease may produce all of the following except: A. Jejuno-colic fistula B. Vesicovaginal fistula C. Perianal fistula D. Rectovesical fistula 22 / 50 22. Which of the following is false regarding acute appendicitis? A. Anorexia is rare B. The temperature is usually normal or slightly elevated C. Nausea and vomiting occur in 50-60% of cases D. Meckel's diverticulitis is one of the close differential diagnosis 23 / 50 23. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 100 ml B. 75 ml C. 15 ml D. 30 ml 24 / 50 24. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Surgery by resection rectopexy may be done B. Rectal prolapse and straining by patient are common associations C. Commonly in the posterior wall of rectum D. Rectal bleeding and tenesmus are common 25 / 50 25. Ulcerative colitis involves the rectal mucosa in: A. 70-80% B. 30-40% C. 90-100% D. 50-60% 26 / 50 26. Silvery stool signifies a lesion characteristic of: A. Ampulla of Vater B. Ileocaecal region C. Meckel's diverticulum D. Right colic flexure 27 / 50 27. Normally in health, the venous flow in abdominal superficial veins is: A. From below upwards B. From above downwards C. Away from the umbilicus D. Towards the umbilicus 28 / 50 28. 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 29 / 50 29. Auto-vagotomy may be observed in: A. Diabetes mellitus B. Amyloidosis C. Parkinsonism D. Progressive systemic sclerosis 30 / 50 30. The major site of bile salt absorption is: A. Duodenum B. Stomach C. Distal small intestine D. Proximal small intestine 31 / 50 31. Which ion is necessary for the active transport of sugars? A. Calcium B. Sodium C. Magnesium D. Potassium 32 / 50 32. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBV DNA B. HBeAg C. IgM anti-HBc D. IgG anti-HBc 33 / 50 33. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Folic acid B. Broad-spectrum antibiotics C. Vitamin D. Iron 34 / 50 34. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Pancreatitis B. Haemorrhoids C. Diverticulosis D. Gastro-esophageal reflux disease 35 / 50 35. Severe kwashiorkor may have a hepatic lesion in the form of: A. Hepatic vein thrombosis B. Laennec's cirrhosis C. Fatty infiltration D. Hepatitis-like picture 36 / 50 36. The commonest cause of anaemia after peptic ulcer surgery is: A. Hemolysis B. Vitamin B12 deficiency C. Folic acid deficiency D. Iron deficiency 37 / 50 37. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Elevated blood urea nitrogen B. Increased bicarbonate level in serum C. Hypercalcaemia D. Hypophosphataemia 38 / 50 38. Which endocrine disorder is associated with exudative ascites? A. Hyperparathyroidism B. Hypothyroidism C. Addison's disease D. Conn's syndrome 39 / 50 39. The definitive test for diagnosis of haemochromatosis is: A. Plasma iron >300 μg/ dl B. TIBC < 200 μg/dl C. Hepatic iron index >1.5 D. Liver biopsy 40 / 50 40. All of the following are true regarding acute mesenteric vascular occlusion except: A. Abdominal distension with normal peristaltic sound, even with severe infarction B. Young women are the main victims C. Severe periumbilical pain at the onset D. Barium study of the small intestine reveals 'thumbprinting' 41 / 50 41. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Protein meal C. Metoclopramide D. Gastrin 42 / 50 42. The most common cause of Budd-Chiari syndrome is: A. Hepatoma B. Valve in hepatic veins C. Paroxysmal nocturnal hemoglobinuria D. Oral contraceptives 43 / 50 43. The Kayser-Fleischer (KF) ring is: A. Copper deposition in Descemet's membrane B. Broader laterally and medially C. Hampers vision D. The inferior pole of cornea is first affected 44 / 50 44. The commonest extraintestinal complication of ulcerative colitis is: A. Arthritis B. Sclerosing cholangitis C. Uveitis D. Pyoderma gangrenosum 45 / 50 45. Chronic gastritis may be associated with all except: A. Antibodies to parietal cells B. Gastro-oesophageal reflux disease C. Gastric atrophy D. Intestinal metaplasia 46 / 50 46. Which of the following agent’s absorption is least affected in massive small bowel resection? A. Fat B. Ca++ C. Salt and water D. Vitamin B12 47 / 50 47. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Lymph node biopsy B. Stomach biopsy C. Liver biopsy D. Rectal biopsy 48 / 50 48. Minimal fluid required to have classical shifting dullness in ascites is: A. More than 1 litre B. 500-1000 ml C. 250-500 ml D. 100-250 ml 49 / 50 49. Secretory diarrhoea has no association with: A. Zollinger-Ellison syndrome B. Medullary carcinoma of thyroid C. Villous adenoma of rectum D. Pancreatic insufficiency 50 / 50 50. Which of the following clotting factors is not produced in the liver? A. IV B. II C. VII D. V LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology