Gastroenterology Home Gastroenterology 0% 16 votes, 0 avg 38 Gastroenterology 1 / 50 1. The presenting feature of non-cirrhotic portal fibrosis is: A. Hepatocellular failure B. Upper GI bleeding C. Ascites D. Hepatomegaly 2 / 50 2. All are recognised complications of acute pancreatitis except: A. Pancreatic malignancy B. Pancreatic ascites C. Pancreatic phlegmon D. Pancreatic pseudocyst 3 / 50 3. Aerophagia is commonly found in all except: A. Pyloric stenosis B. Chronic anxiety states C. Rapid eating habit D. Hypochondriac personality 4 / 50 4. Major organ responsible for the removal of gastrin is: A. Lung B. Intestine C. Liver D. Kidney 5 / 50 5. Which one is true in relation to Barrett’s oesophagus? A. Risk of adenocarcinoma increases 10-fold B. Metaplasia of the normal oesophageal squamous epithelium to form columnar epithelium is known as Barrett's oesophagus C. A consequence of achalasia cardia D. Hiatal hernia may be present in 20% of patients 6 / 50 6. All of the following may be associated with diarrhoea except: A. Colchicine B. Theophylline C. Amitriptyline D. Sorbitol 7 / 50 7. Hyperdefaecation is found in all except: A. Diabetes mellitus B. Proctitis C. Irritable bowel syndrome D. Hyperthyroidism 8 / 50 8. Regarding cimetidine, all of the following are true except: A. May produce benign intracranial hypertension B. May cause mild elevation of serum transaminases and creatinine levels C. Related structurally to histamine D. Tender gynecomastia may be a complication after prolonged use 9 / 50 9. The most sensitive test which detects hepatic involvement in congestive cardiac failure is: A. Bromsulphalein (BSP) excretion test B. Serum albumin estimation C. Serum bilirubin assay D. Level of transaminases 10 / 50 10. Which of the following does not produce secretory diarrhoea? A. Medullary carcinoma of the thyroid gland B. Hyperparathyroidism C. Carcinoid syndrome D. Zollinger-Ellison syndrome 11 / 50 11. Malabsorption may produce all of the following except: A. Loss of libido B. Achlorhydria C. Cheilosis D. Peripheral neuropathy 12 / 50 12. Which one is false regarding irritable bowel syndrome? A. Mucous diarrhoea or pencil-like pasty stools B. Abdominal distension C. Colicky pain abdomen D. Sense of complete evacuation 13 / 50 13. Elevation in 5-HIAA (5 hydroxy-indole acetic acid) in urine is found in all except: A. Carcinoid syndrome B. Systemic mastocytosis C. Whipple's disease D. Coeliac sprue 14 / 50 14. Auto-vagotomy may be observed in: A. Parkinsonism B. Diabetes mellitus C. Amyloidosis D. Progressive systemic sclerosis 15 / 50 15. Regarding non-alcoholic steatohepatitis (NASH), all are true except: A. Typically occurs in overweight, diabetic, hyperlipidemic subjects B. Glucocorticoid helps cure C. Jejunoileal bypass may be an aetiology D. Occasionally progresses to cirrhosis and liver failure 16 / 50 16. Pseudomembranous colitis is best treated by: A. Erythromycin B. Tobramycin C. Clindamycin D. Vancomycin 17 / 50 17. The commonest cause of colonic obstruction is: A. Hernia B. Volvulus C. Neoplasm D. Adhesions 18 / 50 18. Which of the following is not effective to eradicate H. pylori? A. Tinidazole B. Cefixime C. Clarithromycin D. Pantoprazole 19 / 50 19. Which of the following primaries is uncommonly associated with bony metastasis? A. Breast B. Colon C. Thyroid D. Prostate 20 / 50 20. In gastroparesis, the following drugs are helpful except: A. Cisapride B. Tetracycline C. Domperidone D. Metoclopramide 21 / 50 21. Which is the most sensitive test to diagnose hepatopulmonary syndrome? A. Pulmonary angiography B. CT scan of liver C. Contrast-enhanced echocardiography D. MRI scan of liver 22 / 50 22. Chronic afferent loop syndrome producing obstruction may lead to: A. Palpitation B. Recurrent ulceration C. Steatorrhoea D. Hypoglycaemia 23 / 50 23. Serum alkaline phosphatase level may be increased in all except: A. Metastasis in liver B. Cholestasis C. Paget's disease D. Hypervitaminosis D 24 / 50 24. Congenital hepatic fibrosis may be associated with: A. Retroperitoneal fibrosis B. Atrial septal defect C. Medullary sponge kidney D. Endocardial fibroelastosis 25 / 50 25. Spider naevi: A. Correlates with the amount of urinary oestradiol excretion B. Are pathognomonic of portal hypertension C. Often seen in the first trimester of pregnancy D. May be seen in some healthy people 26 / 50 26. If an intestinal biopsy is not possible, the diagnosis of Whipple’s disease can be made by: A. Liver biopsy B. Rectal biopsy C. Stomach biopsy D. Lymph node biopsy 27 / 50 27. Pyloric stenosis may be complicated by: A. Hypochloraemic alkalosis B. Acidosis C. Hyperchloraemia D. Hyperkalaemia 28 / 50 28. Chronic gastritis may be characterised by all except: A. Haematemesis B. Gastric polyp C. Incessant vomiting D. Anorexia 29 / 50 29. Serum alkaline phosphatase is increased in alt except: A. Osteoporosis B. Paget's disease of bone C. Sclerosing cholangitis D. Osteomalacia 30 / 50 30. All of the following may be the aetiology of Budd-Chiari syndrome except: A. Oral contraceptive pills B. Congenital hepatic fibrosis C. Right atrial myxoma D. Antiphospholipid syndrome 31 / 50 31. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Burns C. Acute intermittent porphyria D. Renal insufficiency 32 / 50 32. Which of the following is not associated with leucocytosis? A. Amoebic liver abscess B. Weil's disease C. Acute viral hepatitis D. Toxic hepatitis 33 / 50 33. Which site of gastric carcinoma is easily overlooked. by barium meal study? A. Body B. Antrum C. Lesser curvature D. Cardia 34 / 50 34. Crohn’s disease may be complicated by all except: A. Amyloidosis B. Clubbing C. Chronic cholecystitis D. Hydroureter 35 / 50 35. Gluten-free diet is beneficial in: A. Atopic eczema B. Pemphigus C. Dermatitis herpetiformis D. Psoriasis 36 / 50 36. All of the following may produce intestinal pseudo-obstruction except: A. Diabetes mellitus B. Hyperthyroidism C. Imipramine D. Scleroderma 37 / 50 37. The weight of normal daily stool of a healthy adult is: A. 500-600 g B. 300-400 g C. 100-200 g D. 700-800 g 38 / 50 38. The commonest cause of anaemia after peptic ulcer surgery is: A. Folic acid deficiency B. Vitamin B12 deficiency C. Iron deficiency D. Hemolysis 39 / 50 39. Which one of the following is false in hepatorenal syndrome? A. Slow-onset azotaemia in chronic liver disease B. Urine Na+ concentration >10 mEq/dl C. Urine to plasma creatinine ratio >30 D. Urine to plasma osmolality ratio >1.0 40 / 50 40. Fatty liver may be produced by: A. Anabolic steroids B. Chloramphenicol C. Oral contraceptives D. Tetracycline 41 / 50 41. Predominant unconjugated bilirubin is seen in all except: A. Breakdown of myoglobin B. Ineffective erythropoiesis C. Rotor syndrome D. Breakdown of haemoglobin 42 / 50 42. Sialorrhoea is associated with all of the following except: A. Wilson's disease B. Post-encephalitic parkinsonism C. Carcinoma of the tongue D. Achalasia cardia 43 / 50 43. A desire for defaecation is initiated by: A. Contraction of the internal anal sphincter B. Distention of the rectum C. Distention of the sigmoid colon D. Contraction of the rectum 44 / 50 44. Which is true in familial polyposis coli? A. The patient may not have any symptoms until a carcinoma has developed B. X-linked recessive inheritance C. The rectum is spared D. Polyps are present since birth 45 / 50 45. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin A B. Folic acid C. Vitamin B12 D. Vitamin D 46 / 50 46. Intestinal lymphangiectasia is characterised by all except: A. Malabsorption B. Hypoproteinaemia and oedema C. Lymphocytosis D. Low level of transferrin and ceruloplasmin 47 / 50 47. Predominant unconjugated hyperbilirubinaemia is defined as when: A. > 70% of the total serum bilirubin is unconjugated B. > 60% of the total serum bilirubin is unconjugated C. > 85% of the total serum bilirubin is unconjugated D. > 50% of the total serum bilirubin is unconjugated 48 / 50 48. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Histamine injection test B. Secretin injection test C. Feeding of a standard mea D. Calcium infusion test 49 / 50 49. The maximum absorption of fluid in the gastrointestinal tract occurs in: A. Jejunum B. Ileum C. Stomach D. Colon 50 / 50 50. Which of the following is false regarding acute appendicitis? A. Meckel's diverticulitis is one of the close differential diagnosis B. The temperature is usually normal or slightly elevated C. Nausea and vomiting occur in 50-60% of cases D. Anorexia is rare LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Neurology Next Post Rheumatology