NEET PG Medicine MCQs 66 – Gastrointestinal and Biliary System Disorders

  1. A man present with a history of hematemesis of about 500 ml of blood. on examination, the spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is:
    1. portal Hypertension
    2. Gastric ulcer
    3. drug induced
    4. Mallory Weiss Tear
      1. Ans(2)
  2. features of acute Fulminant Hepatic failure include of the following Except:
    1. Hyperglycemia
    2. Hypomagnesemia
    3. Hepatorenal syndrome
    4. Intracranial hemorrhage
    5. coagulopathy
      1. Ans(1)
  3. A 40 years old patient a known case of cirrhosis develops an acute episode of GI bleed. Initial therapy is given for 6 hours. Which of the following procedure is useful:
    1. Nasogastric aspiration
    2. Urgent endoscopy
    3.  sedation
    4. ultrasound
      1. Ans(1)
  4. In the child with acute liver failure the most important prognostic factor for death is:
    1. Increasing transaminase
    2. Increasing bilirubin
    3. increasing prothrombin time
    4. gram-negative sepsis
      1. Ans(3)
  5. For the treatment of which of the following is the Sengstaken – Blakemore tube used:
    1. Epistaxis
    2. Urethral Injury
    3. Urinary retention
    4. bleeding from esophageal varices
      1. Ans(1)
  6. In a patient with acute liver failure, the best prognostic indicator is:
    1. Serum albumin
    2. serum alpha feto protein
    3. serum bilirubin
    4. factor V estimation
      1. Ans(4)
  7. Sengstaken – Blakemore tubes:
    1. have three lumens – gastric balloon esophageal balloon and esophageal aspiration port
    2. control around 90% of cases of variceal bleeding
    3. When correctly sited should be attached to 5kg of traction
    4. usually, have the esophageal balloon inflated before the gastric balloon
      1. Ans(1)
  8. The first laboratory test that becomes abnormal in acute hepatocellular failure is:
    1. prothrombin time
    2. APTT
    3. decreased albumin
    4. increased arterial Ammonia
      1. Ans(1)
  9. Rockall score is used for prognosis of patients of:
    1. Upper GI bleeding
    2. Lower Gi bleeding
    3. Hepatic encephalopathy
    4. IBD
      1. Ans(4)
  10. Asymmetric high -voltage triphasic slow wave pattern is seen on EEG in the following
    1. hepatic encephalopathy
    2. uremic encephalopathy
    3. hypoxic encephalopathy
    4. hypercarbia encephalopathy
      1. Ans(1)
  11. forrest classification is used for evaluating:
    1.  upper GI bleeding
    2. liver transplantation
    3. lower GI bleeding
    4. familial adenomatous polyposis
      1. Ans(2)
  12. Flapping Tremors may be associated with all of the following except:
    1. Hepatic encephalopathy
    2. Uremia
    3. Co2 Narcosis
    4. Thyrotoxicosis
      1. Ans(4)
  13. A 45-year-old cirrhotic patient presented with severe haematemesis. The management of choice is:
    1. whole blood transfusion is teh best
    2. colloids are preferred over crystalloids
    3. hyperkalemia
    4. IV fluid with diuretics
      1. Ans(3)
  14. Alzheimer type II astrocyte is not seen in:
    1. Hepatic encephalopathy
    2. Alzheimer’s disease
    3. Wilson’s Disease
    4. Urea Cycle Disorders
      1. Ans(2)
  15. Teh most common cause of acute liver failure in India is:
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C
    4. hepatitis E
      1. Ans(3)
  16. Following live transplantation recurrence of primary disease in the liver most likely occurs in:
    1. Wilson disease
    2. Autoimmune hepatitis
    3. Alpha -1 antitrypsin deficiency
    4. primary biliary cirrhosis
      1. Ans(2)
  17. The most common viral cause of acute liver failure worldwide is:
    1. Hepatitis A
    2. Hepatitis B
    3. hepatitis C
    4. Hepatitis E
      1. Ans(4)
  18. features of Hepatorenal syndrome are
    1. Urine sodium <10 meq/l
    2. normal renal histology
    3. Renal function abnormal even after liver become normal
    4. proteinuria <500 mg/day
      1. Ans(1,2)
  19. hepatic – Encephalopathy may be precipitated by all of  the following except:
    1. Anemia
    2. Barbiturates
    3. hyperkalemia
    4. hypothyroidism
      1. Ans(4)
  20. Which of the following statements is incorrect with regards to Hepatorenal syndrome in a patient with cirrhosis
    1. Createnine clearance <40 ml/min
    2. urinary sodium <100 mq/L
    3. Urine osmolarity lower than plasma osmolality
    4. No sustained improvement in renal function after volume expansion
      1. Ans(3)
  21. Stigmata of chronic liver disease include all of the following except:
    1. Parmar Erythema
    2. spider naevi
    3. Testicular Atrophy
    4. Subcutaneous nodules
      1. Ans(4)
  22. Which of the following statement is incorrect with regards to the hepatorenal syndrome in a patient with cirrhosis
    1. The creatinine clearance is>40 ml/min
    2. the urinary sodium is less than 10 mmol/L
    3. the urine osmolality is lower than the plasma osmolality
    4. there is a poor response to volume expansion
      1. Ans(1)
  23. Which of the following is not a precipitating factor for hepatic encephalopathy inpatient with chronic liver disease?
    1. Hypokalemia
    2. Hyponatremia
    3. Hypoxia
    4. Metabolic acidosis
      1. Ans(4)
  24. All of the following are the risk factor for Hepatocellular carcinoma except:
    1. Hepatitis C infection
    2. Alcoholism
    3. Alfatoxins
    4. Animal fat in a diet
      1. Ans(4)
  25. Hepatic Encephalopathy is predisposed by all except:
    1. Hyperkalemia
    2. Dehydration
    3. Constipation
    4. GI bleeding
    5. SBP
      1. Ans(1)

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

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