1. Xylose absorption tests is good screening test for
A. Fat absorption
B. Pernicious anaemia
C. Carbohydrate absorption *
D. Amino acid absorption
E. Protein absorption
2. Abnormal schilling test which persists after intrinsic factor is given
suggests
A. Blind loop syndrome *
B. Pernicious anaemia
C. Defective marrow
D. Total gastrectomy
E. Sectoral gastrectomy
3. Specific test for malabsorption A. D-xylose test *
B. Schilling test
C. Fecal fatestimation
D. Hydrogen breath test
E. X-xylose test
4. Whipples disease is associated with A. Cerebellar ataxia
B. All *
C. Dementia
D. Supranuclear ophthalmoplegia
E. It is not associated with anything
5. Patient with congenital lactose deficiency will experience distension,
flatulence and diarhoea after ingestion ofA. Glucose
6.
7.
8.
9.
B. Sucrose
C. Milk *
D. Eggs
E. Cheese
Diarrhoea, flatulence and abdominal cramps aftersucrose ingestion is
probably due toA. Disacaharidase deficiency *
B. Insulinoma
C. Diabetes mellitus
D. Glucose-6 phosphate dehydrogenase deficiency
E. Violation of glucose tolerance
Rare complication of ulcerative colitis –
A. Pseudopolypi
B. Carcinoma *
C. Toxic dilatation
D. Massive hemorrhage
E. Perforation
Perecentages of small intestine which can be removed without
causing much digestive disabilitiesA. 10%
B. 0% *
C. 70%
D. 90%
E. 55%
Coeliac disease is associated with HLA.... A. A-3
B. DR-3
C. D&8
D. DR-4
E. None *
10. Extra intestinal complication which is more common in Ulcerative
Colitis than Crohns disease A. Uveitis
B. Pyoderma gangrenosum *
C. Cirrhosis
D. Cholangiocarcinoma
E. Pyoderma simplex
11. Which is not true about arthritis, which is associated with
inflammatory bowel disease A. Migratory arthritis
B. Knee joint most common
C. Deformations are common*
D. Correlates to severity of colitis
E. Deformations are local
12. Fibrosis around Brunner's glands is characteristic of A. Intestinal lymphoma
B. Radiation eneritis
C. Amyloidosis
D. Scleroderma *
E. Gastroineritis
13. Treatment for psuedomembranous enterocolitis including all
methods,except A. Retention enema of saline with faecal suspension
B. Azulfidine
C. ACTH
D. Sodium colistimethate
E. All *
14. All is true about short bowel syndrome except A. Intestinal transmit time is increased *
B. Nutritional deficiency present
C. Site atorrhea present
D. None
E. Decreased
15. Punctuated yellow exudate in colon, which was found during
endoscopic examiantion are indicative ofA. Balantidium coli
B. Ulcerative colitis
C. Antibiotic colitis *
D. Gluten induced enteropathy
E. Hemocolitis
16. After extensive small bowel resection, increased incidence of renal
stones is due to A. Increased absorption of Vit. D
B. Increased CA absorption from rectum
C. Increased acid loss duodenum
D. Increased oxalate absorption *
E. Decreased oxalate absorption
17. Loss of 90% of ileum & jejunum leads to all of following sings,except A. Anemia
B. Osteomalacia
C. Fluid loss
D. All *
E. General weakness
18. Jejunal biopsy is diagnostic in
A. Celiac Sprue
B. Tropical Sprue
C. Whipple's disease *
D. Radiation enteritis
E. In all cases
19. Regarding incidence of Ca during ulcerative colitis which is true forA. Arise from pseudopolyps
B. Increased incidence if age of ulcerative colitis is early *
C. Always associated with exraintestinal manifestation
D. decreased incidence with increase in age
E. Decreased incidence if age of ulcerative colitis is early
20.According to ERCP, what are found to have associations with chronic
pancreatitis?
* Biliary obstruction and Pancreatic duct abnormalities
Pancreatic duct abnormalities
Biliary obstruction
None of mentioned
Tumor of pancreas
21. Adversely affect survival include all of the following except
* anemia less than 70 g/l
age greater than 55 years,
leukocytosis greater than 16,000/µm,
LDH greater than 400 IU,
AST greater than 250 IU/L.
22.All are true about pseudopancreatic cyst except
Presents as an abdominal mass
Serum amylase is increased
Common after acute pancreatitis
Common after acute cholecystitis
* Most common site is in head of pancreas
23. All are true regarding Zollinger Ellison syndrome, except:
severe peptic ulceration
Hypergastrinemia
Diarrhoea
increased levels of the hormone gastrin
* Decreased ratio of BAO to MAO
24.All of following may be in acute pancreatitis except:
Hyperbilirubinemia
Serum alkaline phosphatase is elevated
Serum aspartate aminotransferase is elevated
Elevated serum lactic dehydrogenase
* Serum albumin is increased
25. All of the following have been used in management of Acute
Pancreatitis except
* Interleukin-10
Quamatel
Somatostatin
Peritoneal dialysis
None of the listed
26.All of the following statements about Pseudopancreatic cysts are true
except:
Cystojejunostomy is treatment of choice
Serum amylase levels are increased
Presents as an epigastric mass
Most common site is in body and tail of pancreas
* Percutaneous aspiration is treatment of choice
27. All the following are causes of Acute Pancreatitis except:
Alcohol
Gall stones
Hypercalcemia
Hyperlipidemia
* Hemochromatosis
28.An elderly man presents with severe epigastric pain radiating to the
right hypochondrium. The pain has been worsening over the past day
and a half and goes through to his back and shoulders. The patient
feels sick and has vomited several times. He is jaundiced.
Hepatitis A
Hepatitis B
Hepatitis C
* Gallstones
Pancreatitis
29.An elderly woman presents with painless jaundice and weight loss. On
physical examination you find the gallbladder to be enlarged. Choose
the single most likely diagnosis
Gallstones
Crohn's disease
Duodenal ulcer
Duodenitis
* Carcinoma head of pancreas
30. An elderly woman presents with painless jaundice and weight loss. On
physical examination you find the gallbladder to be enlarged. She
enjoys smoking and drinking. Choose the single most likely
investigation from the list of options above
* Carcinoma head of pancreas
Reflux oesophagitis
Acute pancreatitis
Chronic pancreatitis
Duodenal ulcer
31. Antimitochondrial antibody test is characteristic sign of
* Primary biliary cirrhosis
Sclerosing cholangitis
Anaerobic liver abscess
Hepatoma
Hepatitis C
32. Antimitochondrial antibody test is characteristic sign of
* Primary biliary cirrhosis
Sclerosing cholangitis
Anaerobic liver abscess
Hepatoma
Hemochromatosis
33. Antimitochondrial antibody test is characteristic sign of
* Primary biliary cirrhosis
Sclerosing cholangitis
Anaerobic liver abscess
Hepatitis D
Hemochromatosis
34. At present, gall stones are considered certainly as a cause of:
Chronic pancreatitis
* Acute pancreatitis
Both chronic and acute pancreatitis
None of above
Tumour of pancreas
35. Carcinoma of the gallbladder is a result of:
Hepatic disease
* Presence of cholelithiasis with chronic chole¬cystitis
Cholecystography
Ultrasound examination of the gallbladder
Constipation
36. Causes of Acute Pancreatitis are all of the following except:
Alcohol ingestion
Biliary tract disease (gallstones)
Postoperative state (after abdominal or nonabdominal operation)
* Gastritis
Trauma
37. Causes of Hyperamylasemia and Hyperamylasuria are all of the
following except:
Acute Pancreatitis
Chronic Pancreatitis
Pancreatic pseudocyst
Renal insufficiency
* Respiratory insufficiency
38. Causes of Hyperamylasemia and Hyperamylasuria are all of the
following except:
Biliary tract disease: cholecystitis, choledocholithiasis
Perforated or penetrating peptic ulcer
* Acute leukaemia
Acute Pancreatitis
Chronic Pancreatitis
39. Drug of choice in Zollinger Ellison syndrome is
B-blocker
Ranitidine
Antacids
Atropin
* Omeprazole
40.For Primary biliary cirrhosis select the circulating antibodies with
which it is most closely associated:
* antibodies to mitochondria
antibodies to native DNA;
antibodies to smooth muscle cells;
antibodies to acetylcholine receptors;
antibodies to parietal cells.
41. Gall bladder stone formation in caused by all except:
* Leucocytosis
Hyperalimentation
Primary biliary cirrhosis
Clofibrate therapy
None of mentioned
42.In acute pancreatitis, the pancreas:
* is characteristically enlarged
has scattered calcification
has ductal decompression
is replaced
no changes
43. In which one of the following situations would therapy with oral
chenodeoxycholic acid be most effective in dissolving gallstone(s)?
A 27-year-old Asian woman with thalassemia
A 49-year-old woman with two 2-cm stones
A 60-year-old man with gallstones visible on chest x-ray
* A 45-year-old woman with a history of gallstone pancreatitis and a residual
1-cm radiolucent gallstone
44.A 55-year-old man with a history of biliary colic, several small
gallstones seen on ultrasonography, and a poorly opacified gallbladder
after oral cholecystography
Increased amylase may be seen in all of the following except:
Pancreatic pseudocyst
Perforated peptic ulcer
Cancer of the pancreas
Acute pancreatitis
* Appendicitis
45. Ingestion of arsenic causes
* Non cirrhotic portal fibrosis
Hepatic adenoma
Hepatic carcinoma
Hepatic cirrhosis
Pancreatic carcinoma
46.It is supposed that gall stones can result in chronic pancreatitis
because they may induce:
* Inflammation and stenosis or obstruction of ampulla of Vater
Fever
Abdominal pain
None of mentioned
Peptic ulcer
47. likely explanation for these findings?
Bile duct tumor
Choledocholithiasis
Congenital polycystic liver
Primary biliary cirrhosis
* Primary sclerosing cholangitis
48.Marker of Cholestatic syndrome in hepatitis is
* ^Alkaline phosphatase
All of above
vfibrinogen
^AST
^ALT
49.Markers of Cholestatic syndrome in hepatitis are all of the following
except
* ^ALT
^cholesterol
^Bilirubin
^Alkaline phosphatase
^GGT
50.Markers of Cholestatic syndrome in hepatitis is
* All mentioned
^cholesterol
^Bilirubin
^Alkaline phosphatase
^GGT
51. Markers of Cholestatic syndrome in liver diseases are
* ^Bilirubin, ^Alkaline phosphatase, ^GGT, ^cholesterol
^AST, ^ALT, ^GGT, ^Bilirubin
vAlbumine, vprothrombin, vcholesterol, vfibrinogen
^ESR, ^ᵞ-globulins, ^timol test ^Le, ^C-react. protein
None of mentioned
52. Metabolic changes associated with excessive vomitting includes the
following:
Metabolic acidosis
Hyperchloremia
Decreases bicarbonates
Hypercalciemia
* Hypokalemia
53. Most Common Cause of death in early acute Pancreatitis is
* Respiratory Failure
Cardiac failure
Renal Failure
Uncontrolled Coagulopathy
None of the listed
54. Most common complication of acute pancreatitis is:
Phlegmon
Pancreatic abscess
Pleural effusion
Appendicitis
* Pseudocyst
55. Most common site of cholangiocarcinoma is
* Hepatic duct bifurcation
Intrahepatic
Lower End of CBD (Common Bile Duct)
Lower 1/3rd of CBD (Common Bile Duct)
None of mentioned
56. Most lesions of pancreas on CT are characterized by all of the
following except:
* the presence of ductal decompression
enlargement of the pancreatic outline,
distortion of the pancreatic contoura
a fluid filling that has a different attenuation coefficient than normal
pancreas
none of the listed
57. Nealon's classification is used for
Acute pancreatitis
chronic pancreatitis
* pseudocyst pancreas
alcoholic pancreatitis
None of above
58. Peptic ulcer should be differentiated with all of the following except
Cholecystitis
Gastritis
Myocardial infarction
Pancreatitis
* Pneumonia
59. Peptic ulcer should be differentiated with all of the following except
Stomach cancer
Gastritis
Gastroesophageal reflux disease
Pancreatitis
* Bronchial asthma
60.Peptic ulcer should not be differentiated with
* Ulcerative colitis
Cholecystitis
Gastritis
Miocardial infarction
Pancreatitis
61. Pruritus, elevation of alkaline phosphatase and positive
antimitochondrial antibody test are characteristic signs of
* Primary biliary cirrhosis
Sclerosing cholangitis
Anaerobic liver abscess
Hepatoma
Hepatitis C
62.Put preliminary diagnosis.
* Chronic cholecystitis, acute phase.
Chronic cholecystitis, subacute phase.
Chronic cholecystitis, phase of remission.
Dyskinezia of bile ducts.
Rotor’s syndrome.
63. Raised serum amylase levels are used to diagnose
Acute cholecystitis
Degenerative diseases
Autoimmune disease
Appendicitis
* Acute pancreatitis
64.
Cell present in large numbers in the
fluid of Tuberculous peritonitis areA.
Eosinophils
B.
Polymorphs
C.
Lymphocytes *
D.
Monocytes
E.
Neutrophils
65.
Treatment of drug induced gastritis –
peritont
A.
Mesoprostol
B.
H,receptorblock *
C.
Antacids
D.
Famotidine
E.
Ranitidine
66.Which of the following cations is presents gastric juice in a larger
concentration than in blood plasmaA.
Na+
B.
K+ *
C.
Mg+
D.
Ca+
E.
Lithium
67.
Progressive dysphagia is seen inA.
Carcinoma esophagus *
B.
Globus hystericus
C.
Presbyesophagus
D.
Achalasia
E.
Gastric carcinoma
68.Carcinoma stomach is associated with blood group –
A.
A*
B.
B
C.
AB
D.
0
E.
None
69.
Stress ulcers seen in burns are –
A.
Curling's ulcer *
B.
Cushing's ulcer
C.
Meleney's ulcer
D.
Rodent ulcer
E.
Intestinal ulcer
70.Most common cause of decrease in incidence of H.pylori in west is
d/t A.
Change in the style *
B.
Increased use of PP1
C.
Chemotherapy
D.
Mutation in organism
E.
Bad food
71.Treatment of H. pylori is required in all of the following expect?
A. Gastro esophageal reflex disease *
B. Gastric ulcers
C. Duodenal ulcers
D. Gastric lymphoma
E. Tumor of pancreas
72.True regarding GERD is all except A. Avoid coffee & Tea
B. Transient lower esophageal relaxation
C. Lower esophageal sphincter length and its pressure is important *
D. Proton pump inhibitor is the treatment of choice
E. Avoid meet and sugar
73.Eradication of helicobacter pylori has been proved to be beneficial
in which of the following disorders of the stomach
A. Low grade malt lymphoma *
B. Prosive gastritis
C. Carcinoma stomach
D. Gastroesophageal disease
E. Thyroid carcinoma
74..H. Pylori is known to cause all of the following exceptA.
Gastric ulcer
B.
Duodenal ulcer
C.
Gastric lymphoma
D.
Fundal gastritis *
E.
Tumor of large intestine
75.True about mucosa associated lymphoma A. H. Pylori predisposes *
B. Chemotherapy sensitive
C. Multiple lymphomas
D. Stromal polyp
E. Diffuse poliposis of large intestine
76.All are true regarding Helicobacter pylori except A. Less prevalent in developing countries *
B. Toxigenic strains usually causes ulcers
C. Urea breath is positive
D. Gram negative organism
E. Gram positive organism
77.Diagnostic tests for H. Pylori include all of the following exceptA. Urea-breath test
B. Rapid urease test
C. Gastric biopsy & Warthin-starry stain
D. SAFA test *
E. pHmetry
78.
Epidemiological studies of H. Pylori are done by using
A.
Urea-breath test
B.
Serological markers *
C.
Culture
D.
Gastric-biopsy urease test
E.
SAFA test
79.A patient with H. pylori infection is treated with drugs. The best
method to detect presence of residual H. pylori infection in this person is A. Rapid urease test
B. Urea breath test *
C. Endoscopy and biopsy
D. Serum anti H. pylori titre
E. Serological markers
80.
Which drug is not effective against H.pylori –
A. Colloidal Bismuth
B. Metronidazole
C. Amoxicillin
D. Erythromycin *
E. Clotrimazoli
81.
All are used in treatment of Helicobactor pylori, EXCEPTA. Colloid bismuth
B. Cisapride *
C.
Clarithromycin
D.
Metronidazole
E.
Amoxicillin
82.
All of the following drugs are commonly used in regimens
against H. pylori except –
A. Oxytetracycline *
B. Amoxicillin
C.
Bismuth subcitrate
D.
Omeprazole
E.
Tetracyclini
83.All of the following are true regarding a patient with acid peptic
disease except A. Misoprostol is the drug of choice in patients on NSA1DS
B. DU is preventable by the use of single night time H, blockers *
C. Omeprazole may help ulcers refractory to H2 blockers
D. Mesoprostol is DOC in pregnant patients
E. All above
84.
Stress ulcers seen in burns are –
A.
Curling' ulcer *
B.
Cushing's ulcer
C.
Meleney's ulcer
D.
Rodent ulcer
E.
Intestinal ulcer
85.Early gastric cancer generally indicates A. Gastric adencarcinoma detected early
B. Gastric adenocarcinoma confined to the mucosa
C. Gastric adenocarcinoma confined to the mucosa & submucosa *
D. Gastric adenocarcinoma less than 1 cm. In size
E. Gastric adenocarcinoma less than 2 cm in size
86.
Treatment of Heliobactor pylori are except –
A.
Clarithromycin
B.
Cisapride *
C.
Bismuth subsalicylate
D.
Metronidazole
E.
Tetracyclini
87.Histopathological findings in Whipple's disease include all of the
following except -
A. Marked increase in the number of macrophages in the mucosa.
B. Marked increased in the number of intraepethelial lymphocytes *
C. Dilatation of lymphatics in the mucosa
D. Lipid deposition in the mucosa
E. Protein deposition in the mucosa
88.Does not affect prognosis in acute pancreatitis A. Leucocytosis> 19000
B. Amylase > 8000IU *
C. Albumin < 3.2 gm/dl
D. Age > 60 yrs.
E. Age <70 yrs.
89.Best diagnosis of pancreatic cancer (head) is by –
A.
Ultrasound
B.
ERCP *
C.
CAT scan
D.
PTC
E.
Angiography
90.Ectopic ACTH syndrome is seen most common 1> withA. Renal cell carcinoma
B. Lymphoma
C. Bronchogenic carcinoma *
D. Pituitary adenoma
E. Acute pancreatitis
91.
Carcinoma pancrease attains largest size when it is sited inA.
Head
B.
Ampulla
C.
Body & tail *
D.
Periampullary
E.
Tail
92.
Increased C-peptide is seen in –
A.
Glucagoma
B.
Insulinoma *
C.
Gastrinoma
D.
Hepatoma
E.
Carcinoma
93.
Investigation of choice for pancreatic islet cell tumour is A.
CT scan
B.
MRI
C.
Nuclear scan *
D.
USG
E.
Capilaroscopy
94.Serum amylase level is raised in all except A. Acute pancreatitis
B. Perforation of stomach
C. Strangulated small intestine
D. Acute appendicitis *
E. Acute fase of myocardial infarction
95.Pentagastrin-fast achlorhydria in patient with gastric ulcer indicates A. Antral ulcer
B. Malignant ulcer *
C. Zollinger - Ellison syndrome
D. Gastric lymphoma
E. Intestinal ulcer
96.Surum smylase usually becomes elevated in acute pancreatitis after.
hrs
A.
1/-2 hrs.
B.
4-6 hrs.
C.
24-48 hrs. *
D.
48-72 hrs.
E.
72-96 hrs.
97.
Zollinger Ellison syndrome is cused by –
A.
Non Beta cells *
B.
Beta cells
C.
Alpha cells
D.
Non Alpha
E.
Non Beta 1 cells
98.
The medical treatment of Zollinger Ellison's syndormeisA.
Cimetidine
B.
Ranitidine
C.
Famotidine
D.
Omeprazole *
E.
Pansoprasole
99.Best progonosis in acute pancreatitis is seen with pancreatitis A.
Gall stones *
B.
Viral
C.
Post operative
D.
Alcoholic
E.
With dyscynesia
100.
Diarrhoea in Zollinger Ellison syndrome is due toA.
Pantagastrin
B.
Secretin
C.
Gastrin *
D.
Enterokinin
E.
Holecystokinin
101.
Carcinoma of pancreas attains greatest size when it is located
in A.
Head
B.
Body and tail *
C.
Ampullary region
D.
Ampula of vater
E.
Head and body
102.
.Which one of the following types of pancreatitis has the best
prognosis A. Gall stone pancreatitis *
B. Alcoholic pancreatitis
C. Idiopathic pancreatitis
D. Traumatic pancreatitis
E. Edeamatic pancreatitis
103.
Raised serum amylase is not seen in A. Appendicitis *
B. Pancreatitis
C. Blocked salivary duct
D. ectopic pregnancy ruptured
E. Hepatitis
104.
Which one of the following is best avoided in the
treatment of acute pancreatitis
A.
Antibiotics
B.
Nasogastric suction
C.
Anti cholinergics *
D.
Morphine
E.
Infusional therapy
105.
The following can be associated with acute pancreatitis
EXCEPTA.
Hyperparathyroidism
B.
Hyperthyroidism *
C.
Hypercalcemia
D.
Hypertriglceridemia
E.
Hypocalcemia
106.
The most common hormone other than gastrin,
contained in the
gastric
secreting islet
cell
tumour
is A. ACTH *
B. Glucagon
C. Melanocyte stimulating hormone
D. Growth hormone releasing factor
E. Insulin
107.
Most common tumor of pancreas isA.
Insulinoma *
B.
Gastrinoma
C.
APUD'somas
D.
VIPoma
E.
Carcinoma
108.
Complications of chronic pancreatitis include the following
except
A. Portal hypertension
B. Obstructive jaundice
C. Duodenal obstruction
D. Renal artery aneurysm *
E. Renal hypertension
109.
Most important screening test for acute pancreatitis is-
A.
Serum amylase *
B.
Serum lipase
C.
CT(Abdomen)
D.
ERCP
E.
Elastase
110.
Carcinoma pancrease attains largest size when it is sited in
A.
Head
B.
Ampulla
C.
Body & tail *
D.
Periampullary
E.
Whole gland
111.
All
are
complications
of
ulcerative
colitis
exceptA.
Haemorrhage
B.
Stricture
C.
Malignant change
D.
Polyposis
E.
Oesophageal varices *
112.
Post diarrhoeal paralytic ileus occurs in –
A.
Hypokalemia
B.
Hypomagnesemia *
C.
Hypocalcemia
D.
All of the above
E.
None
113.
Paralytic ileus is a feature of all exceptA. Retroperitoneal hematoma
B. Hypokalemia
C. Diabetes *
D. Porphyria
E. Hypertension
114.
Characteristic features of ischaemic colitis at the
onset of an attack include A. Steatorrhoea
B. Normal barium enema
C. Necessity of emergency surgery
D. Signs of generalized peritonitis
E. None *
115.
Fatal gastroenteritis is caused by
A.
Typhoid *
B.
Amoebiasis
C.
Anthrax
D.
Giardiasis
E.
Stafylococcus
116.
The normal fecal fat excretion is –
A.
Less than 5 gm/day *
B.
8 gm/day
C.
10 gm/day
D.
15 gm/day
E.
20 gm/day
117.
Coeliac disease is associated with HLA.... A.
A-3
B.
DR-3
C.
DE-8
D.
DR-4
E.
None *
118.
Which is not true of arthritis associated with
inflammatory bowel disease A. Migratory arthritis
B.
Knee joint most common
C.
Deformities are common *
D.
Correlates to severity of colitis
E.
Rheumatoid arthritis
119.
Earliest pathological change is X-ray in Ulcerative ColitisA. Loss of haustration
B. Aphthous ulcerations
C. Mucosal granularity *
D. Skip tensions
E. There no changes
120.
Celiac sprue causes malabsorption syndrome due toA. Coliform infection of small bowel
B. Lactase deficiency
C. Hypersensitivity to dietary gluten *
D. Ischaemia of celiac artery
E. Amilase defficiency
121.
The schilling test is performed to determine the cause ofA. Lactose malabsorption
B. Fatty acid malabsorption
C. Amino acid malabsorption
D. Cobalamin malabsorption *
E. Gluten malabsorption
122.
All are features of irritable bowel syndrome EXCEPTA.
Vomiting *
B.
pain abdomen
C.
Diarrhoea
D.
E.
123.
A.
B.
C.
D.
E.
124.
A.
B.
C.
D.
E.
Constipation
Nausea
Antigliadin antibodies are delectable in Tropical sprue
Whipple's disease
Celiac disease *
Intestinal lymphoma
Lactase malabsorption
Best test for Small intestine malabsorption of carbohydrates is
Lund meal test
Shilling test
D-Xylose test *
Follacin test
pH metry