Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Protein electrophoresis B. USG of liver C. Bone scan D. Gamma-glutamyl transpeptidase (GGT) estimation 2 / 50 2. Characteristics of anorexia nervosa include all except: A. Carotenaemia B. Loss of axillary and pubic hair C. Hypothermia D. Amenorrhoea 3 / 50 3. The Zollinger-Ellison syndrome is reported in association with all of the following except: A. Medullary carcinoma of thyroid B. Hyperparathyroidism C. Pituitary adenomas D. Phaeochromocytoma 4 / 50 4. Mucosal immunity is mainly due to: A. IgM B. IgA C. IgG D. IgD 5 / 50 5. Primary biliary cirrhosis may be associated with all except: A. Renal tubular acidosis B. Wilson's disease C. Autoimmune thyroiditis D. CREST syndrome 6 / 50 6. The major immunoglobulin in primary biliary cirrhosis is: A. IgD B. IgM C. IgA D. IgG 7 / 50 7. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Sinus tachycardia C. Fever D. Bloody diarrhoea 8 / 50 8. Hepatic amoebiasis is associated with all except: A. Abscess commonly affects the right lobe B. May lead to the development of an amoebic liver abscess C. Right lower intercostal tenderness D. Jaundice is present in majority 9 / 50 9. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Three-quarter gastric resection C. Gastroenterostomy D. Vagotomy with pyloroplasty 10 / 50 10. Late dumping syndrome may be manifested by all except: A. Dizziness B. Confusion C. Postural hypertension D. Diaphoresis 11 / 50 11. Which of the following infections commonly produces hepatic granuloma? A. Pneumococcus B. LD body C. Brucella abortus D. Leptospira 12 / 50 12. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Congenital hepatic fibrosis B. Right atrial myxoma C. Antiphospholipid syndrome D. Oral contraceptive pills 13 / 50 13. Chronic afferent loop syndrome producing obstruction may lead to: A. Hypoglycaemia B. Recurrent ulceration C. Palpitation D. Steatorrhoea 14 / 50 14. Hepatic rub may be found in: A. Hemangioma of liver B. Acute viral hepatitis C. Hepatic neoplasm D. Pyogenic liver abscess 15 / 50 15. Diarrhoea may be associated with all except: A. Colchicine B. Clindamycin C. Digitalis D. Sucralfate 16 / 50 16. Regarding cimetidine, all of the following are true except: A. Tender gynecomastia may be a complication after prolonged use B. May produce benign intracranial hypertension C. May cause mild elevation of serum transaminases and creatinine levels D. Related structurally to histamine 17 / 50 17. All of the following are true in irritable bowel syndrome except: A. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough B. Usually have 3 clinical components: spastic, diarrhoeal and both C. Rectal ampulla is empty but tender sigmoid is full of faeces D. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities 18 / 50 18. Botulism may be associated with all of the following except: A. Diplopia B. Descending paralysis C. Increased salivation D. Constipation 19 / 50 19. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Calcium infusion test C. Histamine injection test D. Feeding of a standard mea 20 / 50 20. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Ca++ C. Folate D. Vitamin B12 21 / 50 21. Gastric diverticula are: A. Commonly seen B. A premalignant condition C. Need immediate upper GI endoscopy D. Clinically not significant 22 / 50 22. Which one of the following is false regarding type B hepatitis serology? A. Anti-HBs appear to reflect immunity B. HBeAg implies high infectivity C. Persistence of HBsAg>6 months implies carrier state D. IgG anti-HBc indicates acute hepatitis B virus infection 23 / 50 23. All of the following may be associated with diarrhoea except: A. Colchicine B. Amitriptyline C. Theophylline D. Sorbitol 24 / 50 24. Incidence of stress ulcers in acutely traumatised patients is: A. 70-80% B. 50-60% C. 90-100% D. 30-40% 25 / 50 25. Serum alkaline phosphatase is increased in alt except: A. Osteoporosis B. Osteomalacia C. Paget's disease of bone D. Sclerosing cholangitis 26 / 50 26. ‘Sago spleen’ is found in: A. Focal amyloidosis B. Chronic myeloid leukaemia C. Chronic active hepatitis D. Felty's syndrome 27 / 50 27. ‘Puddle sign’ detects a small amount of free fluid in peritoneal cavity which may be as low as: A. 120ml B. 270ml C. 200ml D. 70ml 28 / 50 28. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Suitable for patients with renal impairment B. 50% of magnesium is absorbed by the small intestine C. Produces loose stool D. Stronger than H2-receptor blockers 29 / 50 29. Which of the following is false regarding cholera? A. Offensive stool B. Onset with purging C. Absence of tenesmus D. Subnormal Surface temperature 30 / 50 30. Which is true regarding Vincent’s angina? A. Superficial ulcers in mouth B. Gum is the principal site of affection C. May be complicated by angina pectoris D. Hiatus hernia may be associated with 31 / 50 31. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Best visualisation of cystic duct B. Biliary manometry C. Bile or pancreatic cytology D. Endoscopic sphincterotomy and stone removal 32 / 50 32. Which of the following is not a disorder of intestinal motility? A. Ulcerative colitis B. Intestinal pseudo-obstruction C. Diverticulosis D. Irritable bowel syndrome 33 / 50 33. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Somatostatinoma D. Insulinoma 34 / 50 34. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Atrophic fundal gastritis D. Lansoprazole therapy 35 / 50 35. Pseudomembranous colitis is not produced by: A. Chloramphenicol B. Streptomycin C. Clindamycin D. Ampicillin 36 / 50 36. Which one of the following is not an ocular complication of ulcerative colitis? A. Episcleritis B. Scleromalacia perforans C. Uveitis D. Cataract 37 / 50 37. Giardia lamblia infestation produces a syndrome mimicking: A. Peptic ulcer disease B. Irritable bowel syndrome C. Biliary dyspepsia D. Tropical sprue 38 / 50 38. 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 39 / 50 39. The water content of adult stool is approximately: A. 40-50% B. 20-30% C. 50-60% D. More than 60% 40 / 50 40. Portal hypertension associated with soft liver suggests: A. Cirrhosis of liver B. Budd-Chiari syndrome C. Non-cirrhotic portal fibrosis D. Extrahepatic obstruction 41 / 50 41. Michaelis-Gutmann bodies are found in: A. Pneumatosis cystoides intestinalis B. Pseudomyxoma peritonei C. Malakoplakia of colon D. Diverticulosis of colon 42 / 50 42. Acute viral hepatitis may develop from all of the following except: A. Cytomegalovirus B. Infectious mononucleosis C. Yellow fever D. Herpes zoster virus 43 / 50 43. Minimal fluid required to have classical shifting dullness in ascites is: A. 250-500 ml B. 500-1000 ml C. 100-250 ml D. More than 1 litre 44 / 50 44. Chronic active hepatitis may have all the following features except: A. Amenorrhoea B. Jaundice C. Arthralgia D. Haematemesis 45 / 50 45. The commonest hepatic lesion in haemochromatosis is: A. Fatty liver B. Micronodular cirrhosis C. Haemosiderosis D. Macronodular cirrhosis 46 / 50 46. Serum-ascites albumin gradient (SAAG) is > 1.1 g/dl in all except: A. Congestive cardiac failure B. Budd-Chiari syndrome C. Tuberculous peritonitis D. Cirrhosis of liver 47 / 50 47. Leptospirosis can be diagnosed during the 1st week of illness by: A. Stool culture B. Urine analysis C. Dark-field examination D. Agglutination test 48 / 50 48. Achalasia cardia may lead to all except: A. Pneumonia B. Fibrosis of the lung C. Lung abscess D. Emphysema 49 / 50 49. Which is true with respect to irritable bowel syndrome? A. Easily treatable B. Most common GI disorder in practice C. Nocturnal diarrhoea is common D. Commonly affects middle-aged males 50 / 50 50. Which one of the following is not a space-occupying disease of liver? A. Amyloid B. Gummas C. Cyst D. Metastatic tumour LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology