Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The commonest micro-organism responsible for cholangitis is: A. Salmonella B. Streptococcus faecalis C. Klebsiella pneumoniae D. E. coli 2 / 50 2. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Lansoprazole therapy C. Zollinger-Ellison syndrome D. Atrophic fundal gastritis 3 / 50 3. Carcinoid syndrome: A. Produces jaundice B. Increases BP C. More common in women D. Is multiple in 1/5th cases 4 / 50 4. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteoporosis C. Sclerosing cholangitis D. Osteomalacia 5 / 50 5. All of the following may be associated with hyposplenism except: A. Coeliac disease B. Dermatitis herpetiformi C. Haemolytic anaemia D. Sickle cell disease 6 / 50 6. Pyrosis is better known as: A. Retching B. Heartburn C. Singultus D. Water brash 7 / 50 7. High transaminase levels may be found in all except: A. Right-sided heart failure B. Chronic pancreatitis C. Acute myocardial infarction D. Acute viral hepatitis 8 / 50 8. Crohn’s disease may produce all of the following except: A. Jejuno-colic fistula B. Rectovesical fistula C. Vesicovaginal fistula D. Perianal fistula 9 / 50 9. All of the following produce invasive diarrhoea except: A. Clostridium perfringens B. Campylobacter C. Clostridium difficile D. Shigella 10 / 50 10. All of the following produce “sub-total villous atrophy’ except: A. Abetalipoproteinaemia B. Radiation C. Hypogammaglobulinaemia D. Coeliac disease 11 / 50 11. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Contrast-enhanced echocardiography B. CT scan of liver C. Pulmonary angiography D. MRI scan of liver 12 / 50 12. Gluten-induced enteropathy is strongly associated with: A. HLA-DR4 B. HLA-DR3 C. HLA-B8 D. HLA-DQ1 13 / 50 13. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Isospora belli C. Microsporidia D. Mycobacterium avium-intracellulare 14 / 50 14. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin B12 B. Vitamin A C. Folic acid D. Vitamin D 15 / 50 15. Which of the following is false regarding pernicious anaemia? A. Gastric polyp is common B. 60% have anti-intrinsic factor antibody C. It is a common cause of haemolytic anaemia in the West D. 90% have anti-parietal cell antibody 16 / 50 16. The commonest type of oral malignancy is: A. Adenocarcinoma B. Squamous cell carcinoma C. Melanoma D. Basal cell carcinoma 17 / 50 17. Venous prominence present in the upper abdomen with direction of flow towards pelvis suggests: A. Superior vena caval obstruction B. Portal hypertension C. Hepatic vein thrombosis D. Inferior vena caval obstruction 18 / 50 18. Tropical sprue may be associated with all except: A. Patchy lesion B. Partial villous atrophy is more common than subtotal villous atrophy C. Treatment is done satisfactorily by intestinal resection D. Malabsorption 19 / 50 19. The commonest cause of pancreatic calcification is: A. Hyperthyroidism B. Alcohol abuse C. Protein-energy malnutrition D. Pancreatic carcinoma 20 / 50 20. Pseudomembranous colitis is not produced by: A. Clindamycin B. Streptomycin C. Ampicillin D. Chloramphenicol 21 / 50 21. A child having diarrhoea later complicated by the appearance of rash and petechiae. The most probable diagnosis is: A. Yersinia B. Shigella C. Rota virus D. Campylobacter 22 / 50 22. Incidence of stress ulcers in acutely traumatised patients is: A. 70-80% B. 50-60% C. 90-100% D. 30-40% 23 / 50 23. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Produces loose stool B. 50% of magnesium is absorbed by the small intestine C. Suitable for patients with renal impairment D. Stronger than H2-receptor blockers 24 / 50 24. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 500-1000 ml C. 250-500 ml D. More than 1 litre 25 / 50 25. What percentage of Zollinger-Ellison syndrome are malignant? A. 40% B. 60% C. 30% D. 20% 26 / 50 26. Continued infectivity in HBV infection is diagnosed by: A. HBsAg B. IgM anti-HBc C. Anti-HBs D. HBV DNA 27 / 50 27. Commonest cause of antral gastritis is: A. H. pylori infection B. Alcohol C. Pernicious anaemia D. Herpes virus infection 28 / 50 28. All of the following may be associated with diarrhoea except: A. Colchicine B. Sorbitol C. Theophylline D. Amitriptyline 29 / 50 29. Mucosal immunity is mainly due to: A. IgD B. IgA C. IgM D. IgG 30 / 50 30. Which organ does not move at all with respiration? A. Pancreas B. Transverse colon C. Kidney D. Stomach 31 / 50 31. Lactose intolerance with lactase deficiency may be present in all except: A. Amoebiasis B. Giardiasis C. Crohn's s disease D. Cystic fibrosis 32 / 50 32. Normal faecal fat is defined as: A. < 15 g for 24 hr B. < 12 g for 24 hrs C. < 6 g for 24 hrs D. < 9 g for 24 hrs 33 / 50 33. Auto-vagotomy may be observed in: A. Parkinsonism B. Progressive systemic sclerosis C. Diabetes mellitus D. Amyloidosis 34 / 50 34. All of the following are true regarding acute mesenteric vascular occlusion except: A. Severe periumbilical pain at the onset B. Abdominal distension with normal peristaltic sound, even with severe infarction C. Young women are the main victims D. Barium study of the small intestine reveals 'thumbprinting' 35 / 50 35. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Gamma-glutamyl transpeptidase (GGT) estimation B. USG of liver C. Bone scan D. Protein electrophoresis 36 / 50 36. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Coarsening of mucosal folds B. Loss of mucosal pattern C. Segmentation and clumping D. Dilatation 37 / 50 37. Hyperdefaecation is found in all except: A. Proctitis B. Hyperthyroidism C. Irritable bowel syndrome D. Diabetes mellitus 38 / 50 38. 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. Intestinal lymphoma D. Cardnoid syndrome 39 / 50 39. Normal portal venous pressure is: A. 7-10 mmHg B. <5mmHg C. >12mmHg D. 5-7mmHg 40 / 50 40. Which of the following is false regarding cholera? A. Subnormal Surface temperature B. Absence of tenesmus C. Onset with purging D. Offensive stool 41 / 50 41. Which is true regarding rapidly shrinking liver in fulminant hepatic failure? A. A fluctuating clinical course B. A bad prognosis C. The disease process is improving D. Means nothing to clinical course 42 / 50 42. Which of the following may develop into intestinal lymphoma? A. Intestinal lymphangiectasia B. Coeliac disease C. Eosinophilic enteritis D. Ulcerative colitis 43 / 50 43. Indicators of spontaneous bacterial peritonitis in cirrhosis include all except: A. Ascitic pH < blood pH B. Paralytic ileus C. Worsening jaundice D. Worsening ascites 44 / 50 44. Pregnancy predisposes to all except: A. Chronic hepatitis B. Steatosis C. Acute hepatic failure D. Cholestasis 45 / 50 45. Which of the following bile acids is virtually absent in advanced cirrhosis of liver? A. Deoxycholic acid B. Cholic acid C. Lithocholic acid D. Chenodeoxycholic acid 46 / 50 46. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Congenital hepatic fibrosis B. Oral contraceptive pills C. Right atrial myxoma D. Antiphospholipid syndrome 47 / 50 47. All are causes of chylous ascites except: A. Filariasis B. Thrombosis of mesenteric artery C. Tuberculosis D. Intra-abdominal malignancy 48 / 50 48. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Biliary dyspepsia C. Tropical sprue D. Irritable bowel syndrome 49 / 50 49. Gum hypertrophy is not a feature of: A. Amlodipine therapy B. Acute monocytic leukaemia C. Scurvy D. Carbamazepine therapy 50 / 50 50. Weil’s disease is associated with: A. Severe muscle pain B. Jaundice in all C. Absence of renal involvement D. Leucopenia with lymphocytosis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology