Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. 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. 3rd day B. 2nd day C. 1st day D. 7th day 2 / 50 2. Amino acids malabsorption is seen in: A. Phenylketonuria B. Cystinuria C. Homocystinuria D. Alkaptonuria 3 / 50 3. A desire for defaecation is initiated by: A. Distention of the rectum B. Contraction of the rectum C. Contraction of the internal anal sphincter D. Distention of the sigmoid colon 4 / 50 4. Whipple’s triad is found in: A. Somatostatinoma B. Insulinoma C. Glucagonoma D. Carcinoid syndrome 5 / 50 5. Which one is false in granulomatous hepatitis? A. Jaundice B. Liver biopsy is diagnostic C. Sarcoidosis may be an aetiology D. Mild, firm hepatomegaly 6 / 50 6. All are recognised complications of acute viral hepatitis except: A. Meningitis B. Myocarditis C. Aplastic anaemia D. Polyarteritis nodosa 7 / 50 7. The single most important point which differentiates tropical sprue from coeliac sprue is: A. D-xylose absorption test B. Response to treatment C. Small intestinal biopsy D. Type of anaemia 8 / 50 8. Oral mucous membrane may be affected in all except: A. Pemphigus Vulgaris B. Dermatitis herpetiformis C. Lichen planus D. Stevens-Johnson syndrome 9 / 50 9. All are major components of intestinal gas except: A. Methane B. N2 C. H2S D. CO2 10 / 50 10. All of the following endocrine disorders are associated with malabsorption except: A. Carcinoid syndrome B. Hyperparathyroidism C. Diabetes mellitus D. Adrenal insufficiency 11 / 50 11. Major organ responsible for the removal of gastrin is: A. Kidney B. Lung C. Intestine D. Liver 12 / 50 12. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Lansoprazole therapy C. Zollinger-Ellison syndrome D. Atrophic fundal gastritis 13 / 50 13. Carbenoxolone sodium may be associated with all of the following features except: A. May be associated with milk-alkali syndrome B. Development of systemic hypertension C. Development of potassium depletion D. Complicated by oedema 14 / 50 14. Superficial venous flow in portal hypertension is: A. Below upwards B. Above downwards C. Towards umbilicus D. Away from the umbilicus 15 / 50 15. Achalasia cardia gives rise to all except: A. Heartburn B. Chest pain C. Dysphagia D. Regurgitation 16 / 50 16. Commonest cause of hepatoma is: A. alpha1-antitrypsin deficiency B. Haemochromatosis C. Cirrhosis of liver D. Alcohol 17 / 50 17. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatomegaly B. Upper GI bleeding C. Hepatocellular failure D. Ascites 18 / 50 18. Menetrier’s disease may have all of the following except: A. Hypochlorhydria B. Large tortuous gastric mucosal folds C. Gastritis D. Hypoproteinaemia 19 / 50 19. Chronic gastritis may be associated with all except: A. Antibodies to parietal cells B. Intestinal metaplasia C. Gastro-oesophageal reflux disease D. Gastric atrophy 20 / 50 20. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Breast C. Thyroid D. Colon 21 / 50 21. Diabetic diarrhoea may be encountered in the presence of: A. Nephropathy B. Neuropathy C. Macroangiopathy D. Retinopathy 22 / 50 22. Which of the following reflects the best prognostic marker of hepatocellular function? A. Prothrombin time B. SGPT C. Serum bilirubin D. Alkaline phosphatase 23 / 50 23. Acute pancreatitis is not associated with: A. Hyperparathyroidism B. Pancreatic islet cell tumour C. Biliary tract disease D. Pancreatic carcinoma 24 / 50 24. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Insulinoma B. Gastrinoma C. Glucagonoma D. Somatostatinoma 25 / 50 25. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Somatostatin C. Propranolol D. Nitroglycerines 26 / 50 26. Bacillary dysentery can be differentiated from ulcerative colitis by: A. Stool culture B. Sigmoidoscopy C. Stool smear D. Barium enema 27 / 50 27. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Hyperthyroidism C. Protein-energy malnutrition D. Alcohol abuse 28 / 50 28. Chronicity in hepatitis C virus infection is: A. 10% B. 50% C. 30% D. 80% 29 / 50 29. Which one of the following is not a space-occupying disease of liver? A. Gummas B. Metastatic tumour C. Cyst D. Amyloid 30 / 50 30. Bentiromide test diagnoses? A. Pancreatic ductal obstruction B. Exocrine pancreatic function C. Endocrine pancreatic function D. Pancreatic carcinoma 31 / 50 31. Which cardiovascular disorder is not associated with steatorrhoea? A. Left atrial myxoma B. Congestive cardiac failure C. Mesenteric vascular insufficiency D. Constrictive pericarditis 32 / 50 32. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Streptomycin C. Ampicillin D. Clindamycin 33 / 50 33. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Macronodular cirrhosis C. Micronodular cirrhosis D. Haemosiderosis 34 / 50 34. Portal hypertension associated with soft liver suggests: A. Non-cirrhotic portal fibrosis B. Budd-Chiari syndrome C. Extrahepatic obstruction D. Cirrhosis of liver 35 / 50 35. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of myoglobin B. Breakdown of haemoglobin C. Ineffective erythropoiesis D. Rotor syndrome 36 / 50 36. WBC in stool is not found in: A. Campylobacter B. Entero-invasive E. coli C. Shigella D. Giardiasis 37 / 50 37. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Coeliac sprue B. Whipple's disease C. Systemic mastocytosis D. Carcinoid syndrome 38 / 50 38. Passage of a bolus of food through the oesophagus is the function of: A. Primary peristaltic wave B. Secondary peristaltic wave C. Voluntary phase of deglutition D. Tertiary peristaltic wave 39 / 50 39. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Benign adenomas in liver B. Budd-chiari syndrome C. Peliosis hepatis D. Hepatic granulomas 40 / 50 40. Mid-zonal necrosis of liver is caused by: A. Eclampsia B. Yellow fever C. Carbon tetrachloride D. Phosphorus poisoning 41 / 50 41. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Cardia C. Antrum D. Lesser curvature 42 / 50 42. Which is true with respect to irritable bowel syndrome? A. Most common GI disorder in practice B. Commonly affects middle-aged males C. Easily treatable D. Nocturnal diarrhoea is common 43 / 50 43. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Malignancy never follows even in long-standing disease C. Segmental involvement is common D. Granuloma and fistula formation are characteristic 44 / 50 44. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Serum albumin estimation B. Serum bilirubin assay C. Level of transaminases D. Bromsulphalein (BSP) excretion test 45 / 50 45. Acid peptic disease is rarely found in: A. Chronic obstructive pulmonary disease B. Polycythaemia vera C. Pregnancy D. Cushing's syndrome 46 / 50 46. The commonest cause of chronic relapsing pancreatitis is: A. Gallstones B. Alcohol abuse C. Trauma D. Infection 47 / 50 47. Which of the following pancreatic islet cells synthesizes glucagon? A. Beta B. Delta C. Non-beta D. Alpha 48 / 50 48. Non-cirrhotic portal fibrosis may be associated with: A. Sarcoidosis B. Chronic arsenic ingestion C. Umbilical sepsis D. Oral contraceptives 49 / 50 49. Which of the following is not a disorder of intestinal motility? A. Ulcerative colitis B. Intestinal pseudo-obstruction C. Diverticulosis D. Irritable bowel syndrome 50 / 50 50. Pneumaturia is an established feature of: A. Coeliac disease B. Irritable bowel syndrome C. Crohn's disease D. 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