GastroenterologyHome Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. All of the following may give rise to flat oral GTT and a normal IV GTT except: A. Gastric retention B. Pancreatic insufficiency C. Coeliac sprue D. Whipple's disease 2 / 50 2. Pseudomembranous colitis is not produced by: A. Ampicillin B. Streptomycin C. Chloramphenicol D. Clindamycin 3 / 50 3. Serum alkaline phosphatase level may be increased in all except: A. Hypervitaminosis D B. Metastasis in liver C. Paget's disease D. Cholestasis 4 / 50 4. The commonest site of carcinoma of the stomach is: A. Lesser curvature B. Body of the stomach C. Prepyloric D. Greater curvature 5 / 50 5. Oral mucous membrane may be affected in all except: A. Lichen planus B. Stevens-Johnson syndrome C. Dermatitis herpetiformis D. Pemphigus Vulgaris 6 / 50 6. Whipple’s triad is found in: A. Glucagonoma B. Carcinoid syndrome C. Insulinoma D. Somatostatinoma 7 / 50 7. Acute pancreatitis may be caused by: A. Thiazides B. Propranolol C. Legionella pneumoniae D. Measles 8 / 50 8. Constipation may develop from all except: A. Clonidine B. Colchicine C. Calcium-channel blocker D. Cholestyramine 9 / 50 9. Regarding ulcerative colitis, which is true? A. Crypt abscesses are typical B. Granuloma and fistula formation are characteristic C. Segmental involvement is common D. Malignancy never follows even in long-standing disease 10 / 50 10. Raspberry tongue is found in: A. Rheumatic fever B. Yellow fever C. Glandular fever D. Scarlet fever 11 / 50 11. All of the following protozoa! infections produce diarrhoea in a patient of AIDS except: A. Cryptosporidium B. Isospora belli C. Mycobacterium avium-intracellulare D. Microsporidia 12 / 50 12. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Bronchus B. Hindgut C. Stomach D. Midgut 13 / 50 13. Major organ responsible for the removal of gastrin is: A. Liver B. Intestine C. Lung D. Kidney 14 / 50 14. Continued infectivity in HBV infection is diagnosed by: A. Anti-HBs B. HBsAg C. IgM anti-HBc D. HBV DNA 15 / 50 15. Chronic afferent loop syndrome producing obstruction may lead to: A. Steatorrhoea B. Palpitation C. Recurrent ulceration D. Hypoglycaemia 16 / 50 16. Which one of the following is false regarding type B hepatitis serology? A. Persistence of HBsAg>6 months implies carrier state B. HBeAg implies high infectivity C. IgG anti-HBc indicates acute hepatitis B virus infection D. Anti-HBs appear to reflect immunity 17 / 50 17. 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. Leucocytosis > 16000/mm3 C. Serum AST> 400 ID /L D. Serum LDH > 400 ID /L 18 / 50 18. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Intestinal lymphoma B. Cardnoid syndrome C. Whipple's disease D. Intestinal lymphangiectasia 19 / 50 19. The commonest manifestation of radiation proctitis is: A. Diarrhoea B. Bleeding per rectum C. Mucous discharge D. Pruritus ani 20 / 50 20. The major site of bile salt absorption is: A. Distal small intestine B. Duodenum C. Stomach D. Proximal small intestine 21 / 50 21. Aluminium hydroxide as an antacid may have all characteristics except: A. Produces constipation B. May contribute to osteomalacia C. Phosphate depletion is a complication D. May lead to Brunner's gland hyperplasia 22 / 50 22. Severe mucoid diarrhoea which is rich in electrolytes should arouse suspicion of: A. Carcinoid syndrome B. Zollinger-Ellison syndrome C. Irritable bowel syndrome D. Villous adenoma of the colon 23 / 50 23. All of the following are true in irritable bowel syndrome except: A. Rectal ampulla is empty but tender sigmoid is full of faeces B. Sigmoidoscopy shows multiple small discrete ulcers often covered with slough C. Altered intestinal motility and increased visceral perception are the main pathophysiologic abnormalities D. Usually have 3 clinical components: spastic, diarrhoeal and both 24 / 50 24. All of the following are true regarding diverticulitis except: A. Massive rectal bleeding is very common B. Right side of colon is less affected than the left C. Perforation is a serious complication D. Males are affected more than females 25 / 50 25. The water content of adult stool is approximately: A. 50-60% B. More than 60% C. 40-50% D. 20-30% 26 / 50 26. Which one is false regarding irritable bowel syndrome? A. Abdominal distension B. Colicky pain abdomen C. Sense of complete evacuation D. Mucous diarrhoea or pencil-like pasty stools 27 / 50 27. Diarrhoea may be associated with all except: A. Digitalis B. Colchicine C. Sucralfate D. Clindamycin 28 / 50 28. What is true about Weil’s disease? A. Leucopenia B. Myocarditis may be a complication C. Liver biopsy is diagnostic D. Low glucose in CSF 29 / 50 29. Treatment modalities of Wilson’s disease include all except: A. Tetrathiomolybdate B. Elemental zinc C. Penicillamine D. Colchicine 30 / 50 30. Commonest organism causing pyogenic liver abscess is: A. Streptococcus faecalis B. E. coli C. Staphylococci D. Anaerobes 31 / 50 31. Lactose intolerance with lactase deficiency may be present in all except: A. Giardiasis B. Amoebiasis C. Cystic fibrosis D. Crohn's s disease 32 / 50 32. Commonest cause of duodenal haematoma is: A. Acute leukaemia B. Trauma C. Anticoagulant therapy D. Haemophilia 33 / 50 33. The most reliable screening test for patients suffering from malabsorption is: A. Small intestinal X-rays B. Quantitative determination of faecal fat C. Radioactive triolein absorption (breath) test D. D-xylose absorption test 34 / 50 34. Serum alkaline phosphatase is increased in alt except: A. Paget's disease of bone B. Osteoporosis C. Sclerosing cholangitis D. Osteomalacia 35 / 50 35. The presence of diverticulosis is most commonly seen in: A. Sigmoid colon B. Transverse colon C. Descending colon D. Caecum 36 / 50 36. Which one of the following is false regarding primary biliary cirrhosis? A. Clubbing B. Starts with pruritus C. Female preponderance D. Moderate to severe jaundice 37 / 50 37. Anti-LKM1 antibodies (liver-kidney microsomes) are seen in infection with: A. Hepatitis C B. Hepatitis B C. Cytomegalovirus D. Hepatitis D 38 / 50 38. Which one is false in granulomatous hepatitis? A. Sarcoidosis may be an aetiology B. Mild, firm hepatomegaly C. Jaundice D. Liver biopsy is diagnostic 39 / 50 39. Regarding melena, which statement is false? A. At least 60 ml of blood is required B. Offensive in odour C. Blood should remain at least 4 hours within the gut D. Black tarry semisolid stool 40 / 50 40. All of the following may cause traveller’s diarrhoea except: A. Enterotoxigenic E. coli B. Campylobacter jejuni C. Clostridium difficile D. Rota and Norwalk viruses 41 / 50 41. Which one of the following is true regarding pre-sinusoidal portal hypertension: A. Raised wedged hepatic venous pressure B. Commonest cause of portal hypertension C. Congenital hepatic fibrosis is an example D. Blocked hepatic vein 42 / 50 42. The valvular heart disease common in carcinoid syndrome is: A. Pulmonary incompetence B. Mitral stenosis C. Aortic incompetence D. Tricuspid incompetence 43 / 50 43. Gluten-free diet is beneficial in: A. Pemphigus B. Dermatitis herpetiformis C. Atopic eczema D. Psoriasis 44 / 50 44. Halitosis is present in all except: A. Gastrocolic fistula B. Amoebic liver abscess C. Atrophic rhinitis D. Hepatic failure 45 / 50 45. Geographic tongue is ideally treated by: A. Vitamin B-complex B. None of the above C. Folic acid D. Iron 46 / 50 46. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic ascites C. Pancreatic phlegmon D. Pancreatic pseudocyst 47 / 50 47. High transaminase levels may be found in all except: A. Right-sided heart failure B. Acute myocardial infarction C. Chronic pancreatitis D. Acute viral hepatitis 48 / 50 48. Giardiasis is characterised by all except: A. Infection usually occurs by ingesting contaminated water containing the flagellate form B. Inflammation of duodenal and jejunal mucosa C. Malabsorption D. Lactose intolerance 49 / 50 49. Congestive gastropathy in portal hypertension is best treated by: A. Somatostatin B. Nitroglycerines C. Propranolol D. Terlipressin 50 / 50 50. All of the following can be associated with obstructive jaundice except: A. Pregnancy B. Oral contraceptives C. Secondary carcinoma of liver D. Crigler-Najjar type II LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology