Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Aluminium hydroxide as an antacid may have all characteristics except: A. May lead to Brunner's gland hyperplasia B. Phosphate depletion is a complication C. Produces constipation D. May contribute to osteomalacia 2 / 50 2. Mucosal immunity is mainly due to: A. IgD B. IgM C. IgA D. IgG 3 / 50 3. The best way to diagnose Gilbert’s syndrome is: A. Bromsulphalein (BSP) excretion test B. Testing for red blood cell survival C. 48 hours fasting with only 300 cal/ day D. Liver biopsy 4 / 50 4. All are absorbed maximally in the upper small intestine except: A. Fe++ B. Ca++ C. Folate D. Vitamin B12 5 / 50 5. Which of the following is not a cause of hyperamylasaemia? A. Acute intermittent porphyria B. Renal insufficiency C. Pseudopancreatic cyst D. Burns 6 / 50 6. All of the following are true regarding diverticulitis except: A. Perforation is a serious complication B. Males are affected more than females C. Massive rectal bleeding is very common D. Right side of colon is less affected than the left 7 / 50 7. Which one of the following is false in hepatorenal syndrome? A. Urine to plasma osmolality ratio >1.0 B. Urine to plasma creatinine ratio >30 C. Urine Na+ concentration >10 mEq/dl D. Slow-onset azotaemia in chronic liver disease 8 / 50 8. Minimal free fluid in the abdomen that can be picked up by ultrasonography is: A. 75 ml B. 100 ml C. 30 ml D. 15 ml 9 / 50 9. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Sense of complete evacuation C. Abdominal distension D. Colicky pain abdomen 10 / 50 10. Latent jaundice may be a feature of all except: A. Pernicious anaemia B. Tropical sprue C. Acute pulmonary thromboembolism D. Congestive cardiac failure 11 / 50 11. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Contrast-enhanced echocardiography B. Pulmonary angiography C. CT scan of liver D. MRI scan of liver 12 / 50 12. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Mycobacterium avium-intracellulare B. Microsporidia C. Isospora belli D. Cryptosporidium 13 / 50 13. Superficial venous flow in portal hypertension is: A. Below upwards B. Away from the umbilicus C. Above downwards D. Towards umbilicus 14 / 50 14. 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 15 / 50 15. Which of the following is false regarding Gaucher’s disease? A. Hepatosplenomegaly B. Elevated serum angiotensin-converting enzyme C. High serum acid phosphatase level D. Pre-malignant 16 / 50 16. Which of the following pancreatic islet cells synthesizes glucagon? A. Non-beta B. Delta C. Beta D. Alpha 17 / 50 17. Pyrosis is better known as: A. Singultus B. Retching C. Water brash D. Heartburn 18 / 50 18. Carbenoxolone sodium may be associated with all of the following features except: A. Development of potassium depletion B. Development of systemic hypertension C. May be associated with milk-alkali syndrome D. Complicated by oedema 19 / 50 19. Achalasia cardia may lead to all except: A. Pneumonia B. Emphysema C. Fibrosis of the lung D. Lung abscess 20 / 50 20. Pruritus associated with cholestasis is mostly seen: A. On the palms and soles B. At daytime C. In males D. After a cold bath 21 / 50 21. All of the following are true with respect to Zollinger-Ellison syndrome except: A. Solitary primary tumours are very common B. Majority of tumours are biologically malignant C. Duodenum, hilum of the spleen and rarely the stomach may have gastrinomas D. Pancreatic gastrinomas are most common in the head of the pancreas 22 / 50 22. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Feeding of a standard mea C. Histamine injection test D. Calcium infusion test 23 / 50 23. A ‘white patch’ in the throat may be due to all except: A. Streptococcal infection B. Ludwig's angina C. Infectious mononucleosis D. Diphtheria 24 / 50 24. Oral contraceptive pills may have a hepatic lesion in the form of all except: A. Budd-chiari syndrome B. Benign adenomas in liver C. Peliosis hepatis D. Hepatic granulomas 25 / 50 25. Cholangiocarcinoma may be associated with: A. Ulcerative colitis B. Tinea echinococcus infestation C. Biliary atresia D. Cholelithiasis 26 / 50 26. All of the following may be associated with hyposplenism except: A. Dermatitis herpetiformi B. Coeliac disease C. Haemolytic anaemia D. Sickle cell disease 27 / 50 27. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Atrophic fundal gastritis C. Lansoprazole therapy D. Zollinger-Ellison syndrome 28 / 50 28. 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 29 / 50 29. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Antrum B. Body C. Cardia D. Lesser curvature 30 / 50 30. Hepatitis-like features may be seen in therapy with all except: A. Ketoconazole B. Atorvastatin C. Zidovudine D. INH 31 / 50 31. Endopeptidases include all except: A. Chymotrypsin B. Trypsin C. Elastase D. Carboxypeptidase 32 / 50 32. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Colon B. Jejunum C. Ileum D. Stomach 33 / 50 33. Milk-alkali syndrome (Burnett’s syndrome) may lead to all except: A. Increased bicarbonate level in serum B. Hypophosphataemia C. Hypercalcaemia D. Elevated blood urea nitrogen 34 / 50 34. Features of Mallory-Weiss syndrome comprise all except: A. Usually involves the lower oesophageal mucosa but also may involve the gastric mucosa near the squamocolumnar junction B. In majority of patients, bleeding stops spontaneously C. Commonly precipitated by vomiting and retching D. May produce melaena 35 / 50 35. Predominant unconjugated hyperbilirubinaemia is seen in all except: A. Shunt hyperbilirubinaemia B. Dubin-Johnson syndrome C. Crigler-Najjar syndrome D. Gilbert's syndrome 36 / 50 36. The major site of bile salt absorption is: A. Stomach B. Distal small intestine C. Duodenum D. Proximal small intestine 37 / 50 37. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Bile or pancreatic cytology C. Best visualisation of cystic duct D. Endoscopic sphincterotomy and stone removal 38 / 50 38. The basic defect in coeliac sprue lies in: A. Carbohydrate metabolism B. Fat metabolism C. Protein metabolism D. Vitamins and minerals absorption 39 / 50 39. Chronic gastritis may be characterised by all except: A. Haematemesis B. Anorexia C. Gastric polyp D. Incessant vomiting 40 / 50 40. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Pancreatic insufficiency B. Whipple's disease C. Coeliac sprue D. Gastric retention 41 / 50 41. Congestive gastropathy in portal hypertension is best treated by: A. Somatostatin B. Terlipressin C. Nitroglycerines D. Propranolol 42 / 50 42. Melanosis coli indicates: A. Melanoma affecting colon B. Anthraquinone laxative abuse C. Hypereosinophilic enteritis D. Crohn's disease 43 / 50 43. Pseudomembranous colitis is best treated by: A. Tobramycin B. Erythromycin C. Clindamycin D. Vancomycin 44 / 50 44. Zieve’s syndrome in alcoholic cirrhosis includes pain abdomen and haemolytic anaemia; the other component is: A. Hypercalcaemia B. Hyperamylasaemia C. Hyperlipidaemia D. Hypergastrinaemia 45 / 50 45. Calcification of spleen is seen in: A. Hydatid cyst B. Thalassemia C. Malaria D. Tropical splenomegaly syndrome 46 / 50 46. Gluten-induced enteropathy is strongly associated with: A. HLA-B8 B. HLA-DQ1 C. HLA-DR4 D. HLA-DR3 47 / 50 47. Which is true in familial polyposis coli? A. Polyps are present since birth B. The patient may not have any symptoms until a carcinoma has developed C. X-linked recessive inheritance D. The rectum is spared 48 / 50 48. Pseudomembranous colitis is not produced by: A. Ampicillin B. Streptomycin C. Clindamycin D. Chloramphenicol 49 / 50 49. Acute pancreatitis may eventually lead to all of the following except: A. Fulminant hepatocellular failure B. Acute lung injury C. Disseminated intravascular coagulation D. Renal failure 50 / 50 50. Which of the following clotting factors retains its activity in hepatocellular disorder? A. IX B. II C. VII D. VIII LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology