Gastroenterology Home Gastroenterology 0% 2 votes, 0 avg 18 Gastroenterology 1 / 50 1. Hepatic rub may be found in: A. Pyogenic liver abscess B. Hemangioma of liver C. Acute viral hepatitis D. Hepatic neoplasm 2 / 50 2. The most reliable method of measuring steatorrhoea is: A. Schilling test B. Fecal fat estimation C. Small intestinal mucosal biopsy D. D-xylose absorption test 3 / 50 3. Crohn’s disease may be complicated by all except: A. Amyloidosis B. Hydroureter C. Clubbing D. Chronic cholecystitis 4 / 50 4. All of the following may be associated with diarrhoea except: A. Amitriptyline B. Theophylline C. Sorbitol D. Colchicine 5 / 50 5. Tropical sprue may be associated with all except: A. Treatment is done satisfactorily by intestinal resection B. Malabsorption C. Partial villous atrophy is more common than subtotal villous atrophy D. Patchy lesion 6 / 50 6. Which vitamin deficiency is commonly seen in Crohn’s disease? A. Vitamin B12 B. Vitamin A C. Folic acid D. Vitamin D 7 / 50 7. The smallest absorbing unit of the small intestinal mucosa is: A. Crypts B. Villus C. Microvillus D. Columnar cells 8 / 50 8. Gardner’s syndrome may be associated with all except: A. Epidermoid cyst B. Osteomas C. Astrocytoma D. Fibromas 9 / 50 9. All are major components of intestinal gas except: A. CO2 B. H2S C. N2 D. Methane 10 / 50 10. Weil’s disease is associated with: A. Severe muscle pain B. Absence of renal involvement C. Leucopenia with lymphocytosis D. Jaundice in all 11 / 50 11. Which of the following is not a disorder of intestinal motility? A. Intestinal pseudo-obstruction B. Diverticulosis C. Irritable bowel syndrome D. Ulcerative colitis 12 / 50 12. All are examples of APUDomas except: A. Medullary carcinoma of thyroid gland B. Melanoma C. Phaeochromocytoma D. Hepatoma 13 / 50 13. Leptospirosis can be diagnosed during the 1st week of illness by: A. Stool culture B. Dark-field examination C. Urine analysis D. Agglutination test 14 / 50 14. Commonest organism causing pyogenic liver abscess is: A. Staphylococci B. E. coli C. Streptococcus faecalis D. Anaerobes 15 / 50 15. The commonest complaint by a patient with Ca rectum is: A. Haematochezia B. Constipation C. Pain abdomen D. Rectal pain 16 / 50 16. Endoscopic retrograde cholangiopancreatography (ERCP) has all the advantages except: A. Biliary manometry B. Endoscopic sphincterotomy and stone removal C. Bile or pancreatic cytology D. Best visualisation of cystic duct 17 / 50 17. All are absorbed maximally in the upper small intestine except: A. Vitamin B12 B. Fe++ C. Folate D. Ca++ 18 / 50 18. Congenital hepatic fibrosis may be associated with: A. Endocardial fibroelastosis B. Atrial septal defect C. Retroperitoneal fibrosis D. Medullary sponge kidney 19 / 50 19. The causative agent of tropical sprue is: A. Campylobacter B. Yersinia C. Unknown D. Shigella 20 / 50 20. The most valuable provocative test of Zollinger-Ellison syndrome is: A. Secretin injection test B. Calcium infusion test C. Histamine injection test D. Feeding of a standard mea 21 / 50 21. Which of the following is false regarding acute appendicitis? A. Meckel’s diverticulitis is one of the close differential diagnosis B. Anorexia is rare C. The temperature is usually normal or slightly elevated D. Nausea and vomiting occur in 50-60% of cases 22 / 50 22. The most helpful differentiating histological feature between ulcerative colitis and Crohn’s disease by rectal biopsy is: A. Granuloma B. Transmural involvement C. Crypt abscess D. Fibrosis 23 / 50 23. The commonest cause of post-transfusion hepatitis is: A. Hepatitis B B. Hepatitis E C. Hepatitis D D. Hepatitis C 24 / 50 24. 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 25 / 50 25. Diabetic diarrhoea may be encountered in the presence of: A. Neuropathy B. Macroangiopathy C. Nephropathy D. Retinopathy 26 / 50 26. The Kayser-Fleischer (KF) ring is: A. Broader laterally and medially B. The inferior pole of cornea is first affected C. Hampers vision D. Copper deposition in Descemet’s membrane 27 / 50 27. The commonest hepatic lesion in haemochromatosis is: A. Micronodular cirrhosis B. Fatty liver C. Haemosiderosis D. Macronodular cirrhosis 28 / 50 28. The commonest cause of chronic relapsing pancreatitis is: A. Infection B. Trauma C. Alcohol abuse D. Gallstones 29 / 50 29. The major site of bile salt absorption is: A. Distal small intestine B. Stomach C. Duodenum D. Proximal small intestine 30 / 50 30. Treatment of choice in correcting anaemia of ‘blind loop syndrome’ is: A. Broad-spectrum antibiotics B. Iron C. Vitamin D. Folic acid 31 / 50 31. Which organ does not move at all with respiration? A. Stomach B. Kidney C. Pancreas D. Transverse colon 32 / 50 32. The weight of normal daily stool of a healthy adult is: A. 700-800 g B. 300-400 g C. 100-200 g D. 500-600 g 33 / 50 33. The most specific treatment in coeliac sprue is: A. Antibiotics B. Folic acid C. Corticosteroids D. Gluten-free diet 34 / 50 34. Minimal fluid required to have classical shifting dullness in ascites is: A. 100-250 ml B. 250-500 ml C. 500-1000 ml D. More than 1 litre 35 / 50 35. 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 36 / 50 36. Congestive gastropathy in portal hypertension is best treated by: A. Terlipressin B. Somatostatin C. Nitroglycerines D. Propranolol 37 / 50 37. Which of the following is not a cause of hyperamylasaemia? A. Pseudopancreatic cyst B. Acute intermittent porphyria C. Renal insufficiency D. Burns 38 / 50 38. Faecal assay of alpha1-antitrypsin clinches the diagnosis of: A. Chronic pancreatitis B. Irritable bowel syndrome C. Cirrhosis of liver D. Protein-losing enteropathy 39 / 50 39. Whipple’s triad is found in: A. Carcinoid syndrome B. Glucagonoma C. Somatostatinoma D. Insulinoma 40 / 50 40. Carcinoid syndrome is commonly produced, when the site of primary tumour is present in: A. Stomach B. Midgut C. Bronchus D. Hindgut 41 / 50 41. Secretory diarrhoea has no association with: A. Medullary carcinoma of thyroid B. Villous adenoma of rectum C. Pancreatic insufficiency D. Zollinger-Ellison syndrome 42 / 50 42. Which of the following is false regarding Gaucher’s disease? A. Hepatosplenomegaly B. Elevated serum angiotensin-converting enzyme C. Pre-malignant D. High serum acid phosphatase level 43 / 50 43. Crohn’s disease is caused by: A. Toxin elaborated by infectious microorganisms B. Not known C. Nutritional deficiency D. Autoimmunity 44 / 50 44. Pyrosis is better known as: A. Water brash B. Retching C. Heartburn D. Singultus 45 / 50 45. Which of the following is false regarding pernicious anaemia? A. It is a common cause of haemolytic anaemia in the West B. 90% have anti-parietal cell antibody C. Gastric polyp is common D. 60% have anti-intrinsic factor antibody 46 / 50 46. A patient with severe malabsorption having fever, hepatosplenomegaly, lymphadenopathy, sacroiliitis and increased skin pigmentation is probably suffering from: A. Cardnoid syndrome B. Intestinal lymphoma C. Whipple’s disease D. Intestinal lymphangiectasia 47 / 50 47. Botulism may be associated with all of the following except: A. Descending paralysis B. Increased salivation C. Constipation D. Diplopia 48 / 50 48. Which one of the following originates from non-beta islet cell tumour of the pancreas? A. Glucagonoma B. Somatostatinoma C. Insulinoma D. Gastrinoma 49 / 50 49. The presence of diverticulosis is most commonly seen in: A. Sigmoid colon B. Caecum C. Descending colon D. Transverse colon 50 / 50 50. Extraintestinal amoebiasis may involve all except: A. Heart B. Meninges with encephalon C. Skin D. Vulva LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Dr Abu-Ahmed Dr Abu Ahmed, an Internist & Graphic Designer, has brought this website to help Medical Students in the subject of Internal Medicine. Articles: 25 Previous Post Neurology Next Post Rheumatology