Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. Mucosal immunity is mainly due to: A. IgM B. IgG C. IgD D. IgA 2 / 50 2. In HBV infection, which serological maker is present in the ‘window period’ as evidence of recent HBV infection: A. HBeAg B. IgG anti-HBc C. HBV DNA D. IgM anti-HBc 3 / 50 3. Gardner’s syndrome may be associated with all except: A. Astrocytoma B. Fibromas C. Osteomas D. Epidermoid cyst 4 / 50 4. One of the earliest manifestations of cystic fibrosis is: A. Tetany B. Meconium ileus C. Gram-negative sepsis D. Malabsorption 5 / 50 5. Peritonitis may be complicated by all except: A. Acute lung injury B. Pelvic abscess C. Renal failure D. Haemorrhagic pancreatitis 6 / 50 6. Secretory diarrhoea has no association with: A. Pancreatic insufficiency B. Medullary carcinoma of thyroid C. Zollinger-Ellison syndrome D. Villous adenoma of rectum 7 / 50 7. Which of the following may develop into intestinal lymphoma? A. Ulcerative colitis B. Eosinophilic enteritis C. Intestinal lymphangiectasia D. Coeliac disease 8 / 50 8. 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 9 / 50 9. Saint’s triad is the presence of gallstones, hiatal hernia and? A. Gastro-esophageal reflux disease B. Pancreatitis C. Diverticulosis D. Haemorrhoids 10 / 50 10. Auto-vagotomy may be observed in: A. Diabetes mellitus B. Progressive systemic sclerosis C. Parkinsonism D. Amyloidosis 11 / 50 11. The presence of hepatic bruit over the liver suggests: A. Portal hypertension B. Hepatoma C. Recent liver biopsy D. Perihepatitis 12 / 50 12. Which is true in halothane-induced. hepatitis? A. Splenomegaly B. Males are commonly susceptible C. Marked cholestasis D. Peripheral eosinophilia 13 / 50 13. NSAID-induced ulcers are best treated by: A. Proton pump inhibitors B. Coating agents like sucralfate C. H2-receptor antagonists D. Prostaglandins like misoprostol 14 / 50 14. Which is true regarding Vincent’s angina? A. May be complicated by angina pectoris B. Hiatus hernia may be associated with C. Superficial ulcers in mouth D. Gum is the principal site of affection 15 / 50 15. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Blocked hepatic vein B. Congenital hepatic fibrosis is an example C. Raised wedged hepatic venous pressure D. Commonest cause of portal hypertension 16 / 50 16. Among the undermentioned liver function tests, which one is least likely to be impaired during normal pregnancy? A. Serum cholesterol B. Serum bilirubin C. Serum albumin D. Serum transaminases 17 / 50 17. Aluminium hydroxide as an antacid may have all characteristics except: A. May contribute to osteomalacia B. May lead to Brunner's gland hyperplasia C. Phosphate depletion is a complication D. Produces constipation 18 / 50 18. All of the following may be associated with hypoglobulinaemia except: A. Chronic lymphatic leukaemia B. Severe combined immunodeficiency C. Multiple myeloma D. AIDS 19 / 50 19. All of the following endocrine disorders are associated with malabsorption except: A. Diabetes mellitus B. Carcinoid syndrome C. Hyperparathyroidism D. Adrenal insufficiency 20 / 50 20. All of the following produce hypergastrinemia except: A. Duodenal ulcer B. Zollinger-Ellison syndrome C. Lansoprazole therapy D. Atrophic fundal gastritis 21 / 50 21. Necrolytic migratory erythema is a feature of: A. Glucagonoma B. Insulinoma C. Hepatoblastoma D. Carcinoid syndrome 22 / 50 22. Extraintestinal amoebiasis may involve all except: A. Vulva B. Skin C. Heart D. Meninges with encephalon 23 / 50 23. All of the following are true in irritable bowel syndrome except: A. Usually have 3 clinical components: spastic, diarrhoeal and both B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough 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 24 / 50 24. Minimal hepatic encephalopathy is classically diagnosed by: A. Evoked potential study B. Psychometric study C. MRI of brain D. EEG 25 / 50 25. Which indicates chronicity in hepatitis B virus infection? A. Anti-HBs B. HBeAg C. IgG anti-HBc D. DNA polymerase 26 / 50 26. The water content of adult stool is approximately: A. 40-50% B. 50-60% C. More than 60% D. 20-30% 27 / 50 27. Which of the following is not associated with leucocytosis? A. Weil's disease B. Toxic hepatitis C. Acute viral hepatitis D. Amoebic liver abscess 28 / 50 28. Serum alkaline phosphatase level may be increased in all except: A. Cholestasis B. Hypervitaminosis D C. Metastasis in liver D. Paget's disease 29 / 50 29. Latent jaundice may be a feature of all except: A. Acute pulmonary thromboembolism B. Congestive cardiac failure C. Pernicious anaemia D. Tropical sprue 30 / 50 30. Gum hypertrophy is not a feature of: A. Acute monocytic leukaemia B. Carbamazepine therapy C. Scurvy D. Amlodipine therapy 31 / 50 31. Which of the following immunoglobulins may be depressed in Giardia lamblia infestation? A. IgG B. IgM C. IgD D. IgA 32 / 50 32. The commonest cause of metastasis to the wall of the stomach is: A. Carcinoma of breast B. Melanoma C. Hepatoma D. Carcinoma of thyroid 33 / 50 33. All are recognised complications of acute viral hepatitis except: A. Aplastic anaemia B. Meningitis C. Myocarditis D. Polyarteritis nodosa 34 / 50 34. Which of the following primaries is uncommonly associated with bony metastasis? A. Prostate B. Thyroid C. Breast D. Colon 35 / 50 35. Which of the following is not a recognized complication of ulcerative colitis? A. Sacroiliitis B. Pyoderma gangrenosum C. Autoimmune haemolytic anaemia D. Bronchiectasis 36 / 50 36. The presence of diverticulosis is most commonly seen in: A. Caecum B. Transverse colon C. Descending colon D. Sigmoid colon 37 / 50 37. All are recognised complications of inflammatory bowel disease except: A. Erythema marginatum B. Aphthous stomatitis C. Gallstone formation D. Pyoderma gangrenosum 38 / 50 38. The most specific treatment in coeliac sprue is: A. Corticosteroids B. Gluten-free diet C. Folic acid D. Antibiotics 39 / 50 39. Regarding H. pylori, which statement is false? A. Gram-negative bacillus B. Often resides in the dental plaques of the patient C. It penetrates within the epithelial cells of the stomach D. Multiflagellated 40 / 50 40. All are examples of APUDomas except: A. Medullary carcinoma of thyroid gland B. Phaeochromocytoma C. Melanoma D. Hepatoma 41 / 50 41. Treatment of peptic ulcers with magnesium hydroxide is characterised by: A. Stronger than H2-receptor blockers B. Suitable for patients with renal impairment C. Produces loose stool D. 50% of magnesium is absorbed by the small intestine 42 / 50 42. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Contraction of the rectum C. Distention of the sigmoid colon D. Distention of the rectum 43 / 50 43. Pregnancy predisposes to all except: A. Steatosis B. Acute hepatic failure C. Chronic hepatitis D. Cholestasis 44 / 50 44. Late dumping syndrome may be manifested by all except: A. Dizziness B. Postural hypertension C. Diaphoresis D. Confusion 45 / 50 45. The ideal time to give antacids in peptic ulcer disease is: A. One hour after meals and at bedtime B. With the meals C. Just before meals D. Immediately after meals 46 / 50 46. Which of the following pancreatic islet cells synthesizes glucagon? A. Alpha B. Beta C. Delta D. Non-beta 47 / 50 47. Which of the following is false regarding acute appendicitis? A. Anorexia is rare B. The temperature is usually normal or slightly elevated C. Meckel's diverticulitis is one of the close differential diagnosis D. Nausea and vomiting occur in 50-60% of cases 48 / 50 48. All of the following are true regarding right-sided colonic carcinoma except: A. Pain abdomen B. Alteration of bowel habit C. Anaemia D. Cachexia 49 / 50 49. Which of the following infections may produce features like cardiospasm? A. Trichinosis B. Leishmaniasis C. Trypanosomiasis D. Schistosomiasis 50 / 50 50. ‘Sago spleen’ is found in: A. Felty's syndrome B. Focal amyloidosis C. Chronic myeloid leukaemia D. Chronic active hepatitis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology
