1. Patients with persistent diarrhea and hypotension. Diagnosis-
2. Prognostic factor in acute liver failure:
3. Investigation of choice for G.E.R.D.
4. Causes of diarrhea includes: 1. Hyperparathyroidism 2. Hypothyroidism 3. Hyperthyroidism 4. Carcinoid Syndrome 5. Diabetes mellitus
5. A 19 year old man has a long hstory of weight loss, abdominal distension, bloating and diarrhea. Investigation reveals steatorrhoea, and a small bowel biopsy reveals blunting and flattening of the villi diagnosis is:
6. True about Mallory-Weis tear: 1. Forceful vomiting is predisposing factor 2. >90% above GE junction 3. Surgery is the main stay treatment 4. Presents with hematemesis 5. Longitudina tear near GE junction
7. A 43 year old man presents to the clinic for evaluation of feeling unwell. His symptoms are vague and non-specific. Physical examination is unremarkable except for evidence of scleral icterus, but no hepatomegaly or ascites. The skin appears normal. Which of the following is the most likely explanation for why early jaundice is visible in the eyes but not on the skin?
8. All are metabolic causes of liver disease except
9. All are true regarding Crohn’s disease except?
10. A person is having HBsAg negative, Anti-HBs positive. Most probable diagnosis is?
11.All are true about familial adenomatous polyposis except?
12. A 56 year old woman presents with weightloss and watery diarrhea. She also notices periumbillical pain and bloating after eating. A small bowel x-ray reveals an area of narrowing and the lesion is surgically resected. The pathology report shows this to be most common endocrine tumour of GI tract. Most likely the diagnosis is:
13. All are seen in cirrhosis of liver except:
14. An 18 year old womean was diagnosed 7 years earlier with precocious puberty psedopuberty sceonday to ovarian tumour. Physical examination reveals oral and lingual dark pigmentation Which of the following is diagnosis?
15. Most common organism for ascending cholangitis is:
16. Which of the following is produced by Argentaffi-noma of ileum
17. All of the following simulate chronic hepatitis except?
18. Which of the following does not occur in a patient with gastrinoma?
19. Genito-urinary complication of ulcerative colitis:
20. Anti-endomysial antibody is seen in?
21. Most significant risk factor for development of gastric carcinoma
22. Budd-chiari syndrome occurs in 1. Anti-thrombin deficiency 2. Protein C deficiency 3. OCP use
23. Enlarged liver with hepatocellular dysfunction is seen in 1. Wilson’s disease 2. Budd chiari syndrome 3. NASH 4. Alcoholic hepatitis 5. Post necrotic cirrhosis
24.Which of the following differentiated between IBS and organic GI disease (IBD)
25. Gilbert’s syndrome all is true except?
26. Excellent predictor of mortality and morbidity in patients after hepatectomy is?
27. Earliest manifestation of hepatitis B is?
28. Most common hormone hormone other than gastrin contained in the gastric secreting islet cell tumour is?
29. Features of liver damage are all except?
30. Two hours after ingesting potato salad at a picnic, a 50 year old white woman develops severe nausea and vomiting. She has no diarhhea, fever or chills. On examination she appears hypovolemic. Likely diagnosis
31. A 45 year old man is evaluated for new onset of jaundice. Investigations reveal an extra hepatic biliary obstruction. Which of the following is most likely correct concerning his jaundice?
32. A 40 year old obese female presents with fullness right upper quadrant of abdomen. Her medical history is significant for Type-II DM and hyerlipidaemia. Liver biopsy is most likely suggestive of?
33.A child presents with massive haematemesis and systemic hypotension. He has no fever or other significant history. Examination reveals massive splenomegaly but no hepatomegaly. Most likely diagnosis is?
34.A patient with gluten hypersensitivity can consume 1. RICE 2. Barley 3. Oat 4. Corn 5. Rye
35. A 27 year old man with HIV complains of pain everytime he swallows (odynophagia) He has not on any retroviral therapy and otherwisw feel well. Examination of the mouth and pharynx are normal. Most likely diagnosis
36. Which is not a feature of irritable bowel syndrome
37. Non invasive test for H.pylori1. Rapit urease test 2. Urea breath test 3. Stool antigen assay 4. Biposy 5. Stomach aspiration culture
38. All are true regarding typhoid ulcer except
39. All are true about Zollinger-Ellsion syndrome except?
40. Diarrhoea, flatulence and abdominal cramps after sucrose ingestion is probably due to:
41. Spider naevi are due to action of
42. Following is used for testing absorption in intestine
43. Fulminant hepatitis seen in
44.Smoking is protective in
45. Which of the following has worst prognosis
46. Partient with jaundice and white stool which enzyme is not raised
47. Saw tooth appearance on barium enema found in
48. In a patient of jaundice absence of urobilinogen in urine indicates
49. Which cereal not given in celiac sprue
50. palmer erythema seen in
