NEET PG Medicine MCQs 65 – Gastrointestinal and Biliary System Disorders

  1. Best site of giving hepatitis B vaccine is
    1. Subcutaneous
    2. Intradermal
    3. Intramuscular deltoid
    4. Intramuscular gluteal
      1. Ans(3)
  2. Fulminant Hepatitis E is typically seen in:
    1. Pregnant women
    2. Infants
    3. Adolescents
    4. Malnourished Males
      1. Ans(1)
  3. Chronic liver disease is most commonly caused by
    1. Hepatitis B
    2. hepatitis A
    3. Hepatitis C
    4. hepatitis E
      1. Ans(3)
  4. Which hepatitis Is most dangerous in pregnancy
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C
    4. Hepatitis E
      1. Ans(4)
  5. Hepatitis C virus is Associated with
    1. Anti LKM antibody
    2. Scleroderma
    3. Cryoglobulinemia
    4. Polyarteritis nodosa
      1. Ans(1)
  6. Which hepatitis virus has worst prognosis in pregnancy
    1. HBV
    2. HCV
    3. HEV
    4. HAV
      1. Ans(3)
  7. Extrahepatic Manifestations of Hepatitis C include all of the following except:
    1. Lichen planus
    2. Celiac disease
    3. glomerulonephritis
    4. Cryoglobulinemia
    5. polyarthritis
      1. Ans(2)
  8. A most common type of hepatitis responsible for epidemics in India is:
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C
    4. Hepatitis E
      1. Ans(4)
  9. Hepatitis C is associated with all except:
    1. PAN
    2. Dermatomyositis like syndrome
    3. Lichen planus
    4. Psoriasis
      1. Ans(2)
  10. The most common cause of acute sporadic hepatitis in India is:
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C
    4. Hepatitis E
      1. Ans(4)
  11. A 30-year-old patient with H/O antibodies to HCV for 6 months duration and his AST/ALT is normal. There is no syndrome or stigmata of liver disease. The most appropriate approach:
    1. reassure the patient
    2. repeat titer every three years
    3. repeat enzymes every year
    4. Do liver biopsy & start antiviral drugs accordingly
      1. Ans(4)
  12. Characteristic autoantibodies of Autoimmune Hepatitis include all of the following. Except
    1. Antinucler Antibodies
    2. Anti SLA
    3. Anti LKM1
    4. Atypical p-ANCA
      1. Ans(4)
  13. A 30 years old patient with H/O persistent antibodies to HCV for 6 months duration his AST/ALT is normal. There is no syndrome or stigmata of liver disease. The most appropriate approach:
    1. reassure the patient
    2. repeat titer every three years
    3. Repeat enzymes every year
    4. do liver biopsy & start antiviral drugs accordingly
    5. Determine HCV RNA levels
      1. Ans(5)
  14. Type 2 Autoimmune hepatitis is most strongly associated with which antibodies:
    1. ANA
    2. Anti-SLA
    3. Anti-LKMI
    4. All of the above
      1. Ans(3)
  15. A 55 years old male patient was diagnosed to have chronic hepatitis C. He responded to treatment with interferon. However, after one year of follow up, he showed a replace of disease. which of the following would be the next most appropriate choice?
    1. ribavirin and interferon
    2. lamivudine and interferon
    3. nevirapine and lamivudine
    4. Indinavir and ribavirin
      1. Ans(1)
  16. Type 3 Autoimmune hepatitis is most strongly associated with which antibodies:
    1. ANA
    2. Anti-SLA
    3. Anti-LKMI
    4. All of the above
      1. Ans(2)
  17. A 55 years old male patient was diagnosed to have chronic hepatitis C. He responded to treatment with interferon. However, after one year of follow up, he showed a replace of disease. which of the following would be the next most appropriate choice?
    1. ribavirin and interferon
    2. lamivudine and interferon
    3. nevirapine and lamivudine
    4. Indinavir and ribavirin
      1. Ans(1)
  18. Mainstay of management in autoimmune hepatitis is
    1. Azathioprine
    2. Glucocorticoid
    3. Cyclosporine
    4. Mycophenolate mofetil
      1. Ans(2)
  19. Sustained response to  antiviral therapy in hepatitis C is indicated by:
    1. High HCV -RNA
    2. cirrhosis
    3. Age >40 years
    4. Genotype I
    5. Female sex
      1. Ans(5)
  20. Therapy for autoimmune hepatitis should continue for
    1. 3-6 months
    2. 6-12 months
    3. 12 – 18 months
    4. 18-24 months
      1. Ans(3)
  21. True regarding hepatitis E virus Is:
    1. Seen in post-transfusion cases
    2. Associated with increased mortality in pregnant female
    3. Associated with hepatitis B virus
    4. Acquired by feco-oral route
    5. Acquired by feco-oral route
      1. Ans(2)
  22. granulomatous hepatitis may be seen with
    1. carbamazepine
    2. allopurinol
    3. phenylbutazone
    4. all of the above
      1. Ans(4)
  23. The most common  route of spread in hepatitis E is:
    1. Blood transfusion
    2. Feco -oral
    3. Intercourse
    4. IV injection
      1. Ans(2)
  24. Features of Alcoholic hepatitis included all of the following except:
    1. elevated bilirubin
    2. prolonged prothrombin time
    3. elevated serum albumin
    4. anemia
      1. Ans(3)
  25. During an epidemic of hepatitis E, Fatality is maximum in
    1. Pregnant women
    2. Infants
    3. Malnourished male
    4. Adolescents
      1. Ans(1)

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Most of the questions are from previous papers of  leading universities in India

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