GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Which of the following is not included in the classical triad of chronic pancreatitis? A. Diabetes mellitus B. Pancreatic calcification C. Steatorrhoea D. Abdominal pain 2 / 50 2. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Irritable bowel syndrome B. Villous adenoma of the colon C. Zollinger-Ellison syndrome D. Carcinoid syndrome 3 / 50 3. Which is true in familial polyposis coli? A. The patient may not have any symptoms until a carcinoma has developed B. The rectum is spared C. X-linked recessive inheritance D. Polyps are present since birth 4 / 50 4. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Crigler-Najjar syndrome B. Gilbert's syndrome C. Dubin-Johnson syndrome D. Shunt hyperbilirubinaemia 5 / 50 5. Chronic active hepatitis may have all the following features except: A. Arthralgia B. Jaundice C. Amenorrhoea D. Haematemesis 6 / 50 6. Lactose intolerance with lactase deficiency may be present in all except: A. Crohn's s disease B. Cystic fibrosis C. Amoebiasis D. Giardiasis 7 / 50 7. The best single diagnostic test for cystic fibrosis is: A. Quantitative faecal fat estimation B. Quantitative pilocarpine iontophoresis test C. Serum lipase D. Serum amylase 8 / 50 8. Hyperdefaecation is found in all except: A. Proctitis B. Diabetes mellitus C. Irritable bowel syndrome D. Hyperthyroidism 9 / 50 9. Which of the following surgical procedures in peptic ulcers most commonly give rise to recurrent ulceration? A. Vagotomy with gastroenterostomy B. Gastroenterostomy C. Three-quarter gastric resection D. Vagotomy with pyloroplasty 10 / 50 10. The commonest cause of pancreatic calcification is: A. Pancreatic carcinoma B. Hyperthyroidism C. Alcohol abuse D. Protein-energy malnutrition 11 / 50 11. A desire for defaecation is initiated by: A. Contraction of the rectum B. Distention of the sigmoid colon C. Distention of the rectum D. Contraction of the internal anal sphincter 12 / 50 12. Granulomatous hepatitis is not a feature of: A. Blastomycosis B. Tuberculosis C. Sarcoidosis D. Metastatic carcinoma 13 / 50 13. Carcinoid syndrome: A. More common in women B. Increases BP C. Is multiple in 1/5th cases D. Produces jaundice 14 / 50 14. Acute pancreatitis may eventually lead to all of the following except: A. Renal failure B. Fulminant hepatocellular failure C. Acute lung injury D. Disseminated intravascular coagulation 15 / 50 15. Which of the following is not responsible for food poisoning? A. Bacillus cereus B. Streptococcus (Group A) C. Clostridium botulinum D. Clostridium perfringens 16 / 50 16. All of the following are true regarding Whipple’s disease except: A. Gram-negative bacilli Clostridium whippeli is responsible B. Commonly manifested by diarrhoea, weight loss with hepatosplenomegaly C. Cranial nerve palsy may occur D. Coronary arteritis may be a feature 17 / 50 17. Macroglossia is not found in: A. Myxoedema B. Bulbar palsy C. Primary amyloidosis D. Hurler syndrome 18 / 50 18. The water content of adult stool is approximately: A. More than 60% B. 20-30% C. 40-50% D. 50-60% 19 / 50 19. Hepatic amoebiasis is associated with all except: A. May lead to the development of an amoebic liver abscess B. Right lower intercostal tenderness C. Abscess commonly affects the right lobe D. Jaundice is present in majority 20 / 50 20. A patient is having an isolated elevation of serum alkaline phosphatase. The next test to be performed is: A. Bone scan B. Gamma-glutamyl transpeptidase (GGT) estimation C. Protein electrophoresis D. USG of liver 21 / 50 21. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Haemosiderosis C. Macronodular cirrhosis D. Fatty liver 22 / 50 22. ‘String sign’ in Crohn’s disease is due to: A. Spasm B. Pseudopolyps C. Small ulceration D. Fistula 23 / 50 23. Characteristics of anorexia nervosa include all except: A. Hypothermia B. Loss of axillary and pubic hair C. Carotenaemia D. Amenorrhoea 24 / 50 24. Passage of a bolus of food through the oesophagus is the function of: A. Secondary peristaltic wave B. Voluntary phase of deglutition C. Primary peristaltic wave D. Tertiary peristaltic wave 25 / 50 25. The smallest absorbing unit of the small intestinal mucosa is: A. Villus B. Crypts C. Columnar cells D. Microvillus 26 / 50 26. Which is not a member of familial non-haemolytic hyperbilirubinaemia? A. Rotor syndrome B. Reye's syndrome C. Dubin-Johnson syndrome D. Gilbert's syndrome 27 / 50 27. Peritonitis may be complicated by all except: A. Haemorrhagic pancreatitis B. Acute lung injury C. Renal failure D. Pelvic abscess 28 / 50 28. All are examples of APUDomas except: A. Hepatoma B. Melanoma C. Medullary carcinoma of thyroid gland D. Phaeochromocytoma 29 / 50 29. Among all of the following, which is the most characteristic feature regarding intestinal ischaemia? A. Discordance between subjective symptoms and objective findings B. Bloody diarrhoea C. Sinus tachycardia D. Fever 30 / 50 30. Gastric diverticula are: A. A premalignant condition B. Commonly seen C. Need immediate upper GI endoscopy D. Clinically not significant 31 / 50 31. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Glucagonoma B. Gastrinoma C. Somatostatinoma D. Insulinoma 32 / 50 32. The commonest cause of upper GI bleeding in an alcoholic is: A. Ruptured oesophageal varices B. Acute gastritis C. Mallory-Weiss syndrome D. Duodenal ulcer 33 / 50 33. Features of Mallory-Weiss syndrome comprise all except: A. May produce melaena B. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction C. In majority of patients, bleeding stops spontaneously D. Commonly precipitated by vomiting and retching 34 / 50 34. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Calcium infusion test B. Histamine injection test C. Feeding of a standard mea D. Secretin injection test 35 / 50 35. Malignant potential is least in: A. Familial colonic polyposis B. Peutz-Jeghers syndrome C. Ulcerative colitis D. Villous adenoma of colon 36 / 50 36. The commonest cause of metastasis to the wall of the stomach is: A. Melanoma B. Carcinoma of thyroid C. Hepatoma D. Carcinoma of breast 37 / 50 37. Which of the following is false according to Ranson/Imrie criteria in acute pancreatitis for adversely affecting survival on admission? A. Hyperglycaemia > 200 mg/ dl B. Serum AST> 400 ID /L C. Serum LDH > 400 ID /L D. Leucocytosis > 16000/mm3 38 / 50 38. The commonest cause of colonic obstruction is: A. Volvulus B. Hernia C. Neoplasm D. Adhesions 39 / 50 39. Octreotide can be used in all except: A. Ulcerative colitis B. Oesophageal variceal bleeding C. Pancreatic ascites D. Short bowel syndrome 40 / 50 40. Chronic gastritis may be characterised by all except: A. Haematemesis B. Gastric polyp C. Anorexia D. Incessant vomiting 41 / 50 41. Necrolytic migratory erythema is a feature of: A. Hepatoblastoma B. Carcinoid syndrome C. Insulinoma D. Glucagonoma 42 / 50 42. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Hindgut C. Midgut D. Bronchus 43 / 50 43. All are major components of intestinal gas except: A. N2 B. Methane C. H2S D. CO2 44 / 50 44. One of the earliest manifestations of cystic fibrosis is: A. Gram-negative sepsis B. Meconium ileus C. Malabsorption D. Tetany 45 / 50 45. All of the following may produce intestinal pseudo-obstruction except: A. Imipramine B. Scleroderma C. Diabetes mellitus D. Hyperthyroidism 46 / 50 46. The most common and most specific radiological feature in barium meal follow-through in a patient with malabsorption is: A. Loss of mucosal pattern B. Dilatation C. Coarsening of mucosal folds D. Segmentation and clumping 47 / 50 47. All are recognised complications of acute viral hepatitis except: A. Myocarditis B. Polyarteritis nodosa C. Meningitis D. Aplastic anaemia 48 / 50 48. Amino acids malabsorption is seen in: A. Alkaptonuria B. Homocystinuria C. Phenylketonuria D. Cystinuria 49 / 50 49. Acute pancreatitis is not associated with: A. Pancreatic islet cell tumour B. Biliary tract disease C. Hyperparathyroidism D. Pancreatic carcinoma 50 / 50 50. Carcinoma of the large intestine is mostly found in: A. Transverse colon B. Ascending colon C. Sigmoid colon D. Caecum LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology