MCQSMCQSFINAL YEAR

QUESTIONSQUESTIONS

Water and electrolytes in intestine are absorbed by:

  

A.Osmotic gradient. B.Electrical gradient. C.Hydrostatic gradient. D.All of the above.

QUESTIONQUESTION

Severe acute lower GI bleed occurs in all except:

   A.Angiodysplasia. B.Mesenteric vascular

occlusion. C.IBD D.Diverticular disease. 

QUESTIONQUESTION

If a patient of constipation,does not improve with one month trial of dietary fiber and laxative next stage be:

A.Barium enema. B.Colonoscopy. C.Bowel transit time study. D.Defecating proctography. 

QUESTIONQUESTION

Drugs causing constipation include all except:  A.Opiates. B.Anticholinergics. C.Calcium channel blockers. D.Digoxin. E.Auminium antacids. 

QUESTIONQUESTION

Staging of oesophageal cancer is best done by:

  A.Barium study. B.Endoscopic ultrasound. C.Upper GI endoscopy. D.CT scan. 

QUESTIONQUESTION

Which form of gliadin is most toxic to intestine?

  A.Alpha. B.Beta. C.Gamma. D.Delta. 

QUESTIONQUESTION

Complications of Crohn's disease are all except:

  A.Carcinoma. B.Fistula formation. C.Intestinal obstruction. D.Sclerosing cholangitis. E.Intestinal polyposis. 

QUESTIONQUESTION

The initial investigation of choice to diagnose ulcerative colitis is:

  A.Sigmoidoscopy. B.Colonoscopy. C.barium enema. D.Barium Follow

through.

QUESTIONQUESTION

Abdominal angina refers to :  A.Acute intestinal ischemia. B.Chronic intestinal ischemia. C.Sudden intestinal obstruction. D.Gradual intestinal obstruction. E.None of the above. 

QUESTIONSQUESTIONS

Which of the following is secreted through GI tract:

  A.Secretin. B.Gastrin. C.Somatostatin. D.Motilin. 

QUESTIONSQUESTIONS

Chronic hepatitis B infection is diagnosed from

 A.positive HBsAgB.Anti HBcAgC.Anti HBeAgD.All of the above

QUESTIONQUESTION

12. The prothrombin time depends upon all except:

 A.Factor IB.Factor IIC.Factor VD.Factor VIIE.Factor IX

QUESTIONQUESTION

13. Ultrasound can diagnose, focal hepatic lesion when more than :

 A.0.5 cmB.1 cmC.2 cmD.4 cm

QUESTIONQUESTION

Which of the following autoantibodies is not important in liver disease?

A.Antinuclear antibodiesB.Anti smooth muscle antibodiesC.Anti sarcolemmal antibodiesD.Anti mitochondrial antibodies

QUESTIONQUESTION

Which of the following is not conjugated hyperbilirubinemia?

A.Rotor syndromeB.Dubin-johnson syndromeC.Criggler-najjar syndrome types 1 & 2D.None of the above

QUESTIONQUESTION

In a patient of cirrhosis with good liver function and minimal portal hypertension, ascites implies

A.Hepatocellular carcinomaB.Potal vein thrombosisC.None of the aboveD.All of the above

QUESTIONQUESTION

Exudative ascites occurs in:

A. TuberculosisB. MalignancyC. HypothyroidismD. Hepatic venous obstructionE. All of the above

QUESTIONQUESTION

In ascites of cirrhosis serum-ascitic fluid albumin gradient is usually:

A.Less than 0.5B.Less than 1C.Greater than 1.5D.Greater than 2.5

QUESTIONQUESTION

EEG findings of hepatic encephalopathy is

A.Fast alpha wavesB.Slow alpha wavesC.Fast delta wavesD.Short spikes and slow waves

QUESTIONQUESTION

Chronic hepatic encephalopathy manifests with

◦Cerebellar dysfunction◦Parkinsonian syndrome◦Spastic paraplegia◦Dementia◦All of the above

QUESTIONQUESTION

Features of hepatopulmonary syndrome are all except:

A.Resistant hypoxemiaB.Reduction in PaO2 on standing

C.Clubbing and cyanosisD.Pulmonary vasoconstriction

QUESTIONQUESTION

In Reye syndrome which of the following are absent

A.Hepatic encephalopathyB.JaundiceC.Renal failureD.None of the above

QUESTIONQUESTION

The commonest cause of fulminant hepatic failure is a

◦Viral hepatitis◦Paracetamol overdose◦Carbon tetrachloride◦Fatty liver of pregnancy

QUESTIONQUESTION

Cirrhosis is not a complication of a

A.Hepatitis AB.Hepatitis BC.Hepatitis CD.Hepatitis D

QUESTIONQUESTION

Which of the following is specific to alcoholic cirrhosis

A.Spider angiomaB.Gynecomastia C.Parotid enlargementD.All of the above

QUESTIONQUESTION

Which of the following hepatitis viruses does not spread by blood?

A.Hepatitis BB.Hepatitis CC.Hepatitis DD.Hepatitis E

QUESTIONQUESTION

Which of the following cirrhotic features has no diagnostic value?

A. HepatomegalyB. JaundiceC. AscitesD. Palmar erythema

QUESTIONQUESTION

Chronic infection is common with

A.Hepatitis AB.Hepatitis BC.Hepatitis CD.Hepatitis D

QUESTIONQUESTION

The total body iron store in adult is

A.15gB.10gC.7gD.4g

QUESTIONQUESTION

In Wilson’s disease copper accumulation is maximum in all the following organs except

A.LiverB.EyeC.HeartD.Basal ganglia

QUESTIONQUESTION

Laboratory diagnosis of Wilson’s disease includes all except

A.Low serum cerulosplasminB.High serum copperC.High urinary copper secretionD.High hepatic copper content

QUESTIONQUESTION

The non hemoglobin source of bilirubin are:

A.cytochrome B.myoglobinC.free haem in liverD.ineffective erythropoiesisE.all of the above

QUESTIONQUESTION

the endocrine changes in cirrhosis are all except:

A.loss of libidoB.gynocomastiaC.testicular atrophyD.menorrhagia

QUESTIONQUESTION

In hepatitis B the antigen indicating active viral replication is:

A.HBsAgB.HBcAgC.HBeAgD.All of the above

QUESTIONQUESTION

In haemachromatosis the important organs involved are all except:

A.liverB.heartC.kidneyD.pancreatic glands

QUESTIONQUESTION

In dysphagia the investigation of choice is

A.barium swallowB.barium mealC.CT scanD.Endoscopy

QUESTIONQUESTION

Gastroesophageal reflux is certainly made worse with all except:

A.ObesityB.CoffeeC.SmokingD.AlcoholE.Fatty food

QUESTIONQUESTION

Dysphagia worst for solids indicate: A.Motility disordersB.Stricture esophagusC.Both of the above

QUESTIONQUESTION

The most dependable test for diagnosis of GE reflux is:

 A.EndoscopyB.pH probeC.barium swallowD.symptoms complex

QUESTIONQUESTION

The causes of achalasia cardia is  A.lack of adrenergic innervationB.lack of cholinergic innervationC.abnormal nitric oxide synthesisD.all of the above

QUESTIONQUESTION

staging of esophageal cancer is best done by :

 A.barium studyB.Endoscopic ultrasoundC.Upper GI EndoscopyD.CT scan

QUESTIONQUESTION

Management of achalasia is by A.pneumatic dilatationsB.botulinum toxin injectionsC.myotomyD.any of the above

QUESTIONQUESTION

H pylori associations is strongest with: A.Gastric ulcerB.Gastric lymphomaC.Duodenal ulcerD.Gastric cancer

QUESTIONQUESTION

Best way of diagnosis for h pylori infection is:

 A.Urea breath testB.H pylori antibodyC.Antral biopsyD.All are equally sensitive and specific

QUESTIONQUESTION

Which of the drug is most rapid in healing peptic ulcer disease?

 A.OmeprazoleB.CimitidineC.FamotidineD.All are effective if prescribed in

recommended doses

QUESTIONQUESTION

Which of the following is used in treatment of nonulcer dyspepsia

 A.MetoclopramideB.DomperidoneC.CisaprideD.All of the above

QUESTIONQUESTION

Association of celiac disease are all except: A.Thyroid diseaseB.IDDMC.IBDD.Chronic pancreatitis

QUESTIONQUESTION

Complications of celiac disease include: A.Intestinal lymphomaB.Intestinal malignancyC.Ulcerative colitisD.All of the above

QUESTIONQUESTION

Laboratory investigations in inflammatory bowel disease show all except :

 A.AnemiaB.Raised ESRC.LeucocytosisD.Raised amylase

QUESTIONQUESTION

Acquired megacolon may be due to all except:

 A.HypothyroidismB.SclerodermaC.Laxative abuseD.Graves diseaseE.Spinal cord injury