Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with pyloroplasty B. Vagotomy with gastroenterostomy C. Three-quarter gastric resection D. Gastroenterostomy 2 / 50 2. Hyperdefaecation is found in all except: A. Proctitis B. Diabetes mellitus C. Hyperthyroidism D. Irritable bowel syndrome 3 / 50 3. Gastrin is predominantly secreted from: A. Antral mucosa B. Fundus of the stomach C. 2nd part of the duodenum D. Jejunum 4 / 50 4. Minimal hepatic encephalopathy is classically diagnosed by: A. EEG B. Psychometric study C. Evoked potential study D. MRI of brain 5 / 50 5. Crohn’s disease is caused by: A. Not known B. Toxin elaborated by infectious microorganisms C. Nutritional deficiency D. Autoimmunity 6 / 50 6. Menetrier’s disease may have all of the following except: A. Gastritis B. Large tortuous gastric mucosal folds C. Hypochlorhydria D. Hypoproteinaemia 7 / 50 7. The presence of hepatic bruit over the liver suggests: A. Hepatoma B. Perihepatitis C. Portal hypertension D. Recent liver biopsy 8 / 50 8. Upper GI bleeding, angioid streaks in retina and yellowish skin papules indicate: A. Peutz-Jeghers syndrome B. Pseudoxanthoma elasticum C. Render-Weber-Osler disease D. Ehlers-Danlos syndrome 9 / 50 9. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Mycobacterium avium-intracellulare C. Microsporidia D. Isospora belli 10 / 50 10. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Colicky pain abdomen C. Abdominal distension D. Sense of complete evacuation 11 / 50 11. Normal portal venous pressure is: A. 7-10 mmHg B. 5-7mmHg C. >12mmHg D. <5mmHg 12 / 50 12. Regarding cimetidine, all of the following are true except: A. Related structurally to histamine B. Tender gynecomastia may be a complication after prolonged use C. May produce benign intracranial hypertension D. May cause mild elevation of serum transaminases and creatinine levels 13 / 50 13. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 15 ml B. 100 ml C. 30 ml D. 75 ml 14 / 50 14. Carcinoid syndrome: A. More common in women B. Produces jaundice C. Is multiple in 1/5th cases D. Increases BP 15 / 50 15. Regarding solitary rectal ulcer syndrome (SRUS), which of the following is false? A. Rectal bleeding and tenesmus are common B. Commonly in the posterior wall of rectum C. Surgery by resection rectopexy may be done D. Rectal prolapse and straining by patient are common associations 16 / 50 16. Minimal fluid required to have classical shifting dullness in ascites is: A. 500-1000 ml B. 100-250 ml C. More than 1 litre D. 250-500 ml 17 / 50 17. All are absorbed maximally in the upper small intestine except: A. Folate B. Vitamin B12 C. Fe++ D. Ca++ 18 / 50 18. Malabsorption may produce all of the following except: A. Cheilosis B. Peripheral neuropathy C. Loss of libido D. Achlorhydria 19 / 50 19. The most common gastrointestinal disorder in a community is: A. Reflux oesophagitis B. Duodenal ulcer C. Diverticulitis D. Irritable bowel syndrome 20 / 50 20. Continued infectivity in HBV infection is diagnosed by: A. HBsAg B. IgM anti-HBc C. Anti-HBs D. HBV DNA 21 / 50 21. Absolute contraindication for liver biopsy is: A. Cholestasis B. Cirrhosis of liver C. Amoebic liver abscess D. Haemangioma of liver 22 / 50 22. Lower oesophageal sphincter is relaxed by: A. Beta-adrenergic agonist B. Metoclopramide C. Gastrin D. Protein meal 23 / 50 23. Which light source produces best photodecomposition of bilirubin? A. Ultraviolet B. Moonlight C. Fluorescent D. Sunlight 24 / 50 24. Geographic tongue is ideally treated by: A. Vitamin B-complex B. None of the above C. Folic acid D. Iron 25 / 50 25. Pseudomembranous colitis is not produced by: A. Ampicillin B. Clindamycin C. Streptomycin D. Chloramphenicol 26 / 50 26. Which one is true in relation to Barrett’s oesophagus? A. A consequence of achalasia cardia B. Risk of adenocarcinoma increases 10-fold C. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus D. Hiatal hernia may be present in 20% of patients 27 / 50 27. The classical triad in carcinoid syndrome is: A. Pruritus, wheezing, diarrhoea B. Dyspnoea, flushing, valvular heart disease C. Flushing, diarrhoea, valvular heart disease D. Telangiectasias, flushing, diarrhoea 28 / 50 28. 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 to plasma osmolality ratio >1.0 D. Urine Na+ concentration >10 mEq/dl 29 / 50 29. Regarding haematochezia, which one is false? A. The blood may not be mixed with stool B. Passage of bright red blood per rectum C. Maybe due to rectal polyp, ulcerative colitis or angiodysplasia of colon D. Bleeding source is proximal to ligament of Treitz 30 / 50 30. Which organ does not move at all with respiration? A. Transverse colon B. Kidney C. Pancreas D. Stomach 31 / 50 31. Superficial venous flow in portal hypertension is: A. Away from the umbilicus B. Towards umbilicus C. Below upwards D. Above downwards 32 / 50 32. Diarrhoea may be associated with all except: A. Colchicine B. Sucralfate C. Digitalis D. Clindamycin 33 / 50 33. Commonest cause of duodenal haematoma is: A. Anticoagulant therapy B. Acute leukaemia C. Trauma D. Haemophilia 34 / 50 34. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Aortic incompetence C. Tricuspid incompetence D. Mitral stenosis 35 / 50 35. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Meconium ileus C. Malabsorption D. Tetany 36 / 50 36. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Prepyloric C. Body of the stomach D. Greater curvature 37 / 50 37. Auto-vagotomy may be observed in: A. Diabetes mellitus B. Progressive systemic sclerosis C. Parkinsonism D. Amyloidosis 38 / 50 38. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. The disease process is improving B. A bad prognosis C. A fluctuating clinical course D. Means nothing to clinical course 39 / 50 39. Pyloric stenosis may be complicated by: A. Acidosis B. Hypochloraemic alkalosis C. Hyperchloraemia D. Hyperkalaemia 40 / 50 40. A ‘white patch’ in the throat may be due to all except: A. Infectious mononucleosis B. Diphtheria C. Streptococcal infection D. Ludwig's angina 41 / 50 41. All of the following are true regarding right-sided colonic carcinoma except: A. Anaemia B. Cachexia C. Alteration of bowel habit D. Pain abdomen 42 / 50 42. Jejuno-ileal bypass surgery done for obesity may be complicated by all except: A. Nephrolithiasis B. Arthritis C. Emphysema D. Electrolyte imbalance 43 / 50 43. Commonest cause of antral gastritis is: A. Alcohol B. Pernicious anaemia C. Herpes virus infection D. H. pylori infection 44 / 50 44. Regarding ischaemic colitis, which one is true? A. Affects young population B. Almost always an occlusive disease of mesenteric vessels C. Rectal bleeding is a rare complication D. Angiography is not helpful 45 / 50 45. In gastroparesis, the following drugs are helpful except: A. Cisapride B. Metoclopramide C. Tetracycline D. Domperidone 46 / 50 46. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum albumin C. Serum bilirubin D. Serum transaminases 47 / 50 47. The commonest cause of post-transfusion hepatitis is: A. Hepatitis B B. Hepatitis E C. Hepatitis D D. Hepatitis C 48 / 50 48. Symptoms of carcinoma of the left colon include all except: A. Cramps in the abdomen B. Melena C. Low back pain D. Altered bowel habits 49 / 50 49. Which of the following is not true in lupoid hepatitis? A. Associated with other autoimmune diseases B. Cushingoid face C. ANA is positive in majority D. High risk of developing hepatoma 50 / 50 50. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas B. Solitary primary tumours are very common C. Pancreatic gastrinomas are most common in the head of the pancreas D. Majority of tumours are biologically malignant LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology