NEET PG Medicine MCQs 68 – Gastrointestinal and Biliary System Disorders

1. An internal fistula is most common between the gall bladder and

  1. Colon
  2. Duodenum 1st part
  3. Jejunum
  4. Transverse colon

Ans (2)

2. An internal fistula is most common between the gall bladder and

  1. Colon
  2. Duodenum 1st part
  3. Jejunum
  4. Transverse colon

Ans (2)

3. Medical treatment for gall bladder stone is amendable for

  1. Stones less than 15 mm in size
  2. Radioopaque stone
  3. Calcium bilirubinate oxalate stone
  4. Nonfunctioning stones associated with gall bladder

Ans (1)

4. All are component of saint’s triad except

  1. Renal stones
  2. A hiatus hernia
  3. Diverticulosis coli
  4. Gall stones

Ans (1)

5. Incorrect about Mirrizi syndrome

  1. Jaundice
  2. Cystic duct obstruction
  3. Cholecystocholedochal fistula
  4. Hemobilia

Ans (4)

6. All of the following are known predisposing factors of cholangiocarcinoma except

  1. CBD stones
  2. Clonorchis sinensis
  3. Ulcerative colitis
  4. Primary sclerosing cholangitis

Ans (1)

7. Risk factor for malignant change in an asymptomatic patient with a gall bladder polyp on ultrasound include all of the following, except

  1. Age > 60 years
  2. The rapid increase in the size of the polyp
  3. Size of polyp > 5 mm
  4. Associated Gall stones

Ans (3)

8. Wilson’s disease, features are all except

  1. Sunflower Catauract
  2. Tremors
  3. Prenounced sensory changes
  4. Renal calculi may be seen

Ans (3)

9. Which of the following statements about Wilson’s disease is true

  1. Low serum ceruloplasmin and low urinary copper
  2. Low serum ceruloplasmin and high urinary copper
  3. High serum ceruloplasmin and low urinary copper
  4. High serum ceerulopalsmin and high urinary copper

Ans (2)

10. All of the following are features of wilson’s disease, except

  1. Hemolytic anemia
  2. Testicular atrophy
  3. Chorea
  4. Chronic active hepatitis

Ans (2)

11. All of the following statements about Wilson’s disease are ture, except

  1. It is an autosomal recessive disorder
  2. Serum ceruloplasmin level is < 20 mg/dl
  3. Urinary copper excretion is <100 ug/dl
  4. Zinc acetate is effective as maintenance therapy

Ans (3)

12. Low serum copper due to ATP 7A gene is due to?

  1. Dubin-Johnson’s syndrome
  2. Wilson disease
  3. Menke disease
  4. Gilbert’s disease

Ans (3)

13. Which of the following is least commonly involved organ system in Hemochromatosis

  1. Liver
  2. Skin
  3. Joints
  4. Eye

Ans (4)

14. Earliest phenotypic manifestation of Idiopathic hereditary hemochromatosis is:

  1. Postprandial increase in serum iron concentration
  2. Elevated serum ferritin level
  3. State grey pigmentation of the skin
  4. Increased transferrin saturation

Ans (4)

15. Lallo, aged 54 years, who is a known diabetic patient develops cirrhosis. There is associated skin hyperpigmentation and restrictive cardiomyopathy which of the following is the best initial test to diagnose this case

  1. Iron binding capacity
  2. Serum ferritin
  3. Serum copper
  4. Serum ceruloplasmin

Ans (1)

16. All are seen in hemochromatosis except

  1. Hypogonadism
  2. Arthropathy
  3. Bronze diabetes
  4. Desferrioxamine is the treatment of choice

Ans (4)

17. What is the most common intercostals space used for hepatic biopsy

  1. 5th
  2. 6th
  3. 7th
  4. 8th

and (4)

18. Which of the following statements regarding liver enzymes is true

  1. ALT is a less specific indicator of liver injury than AST
  2. Absolute levels of aminotransferase correlate with outcome
  3. Glutathione-S-Transferase is used as a hepatic prognostic marker after surgery
  4. None of the above

Ans (3)

19. Significant weight loss is defined as

  1. 5% weight loss in 1-2 months
  2. 5% weight loss in 2-3 months
  3. 10% weight loss in 1-2 months
  4. 10% weight loss in 2-3 months

Ans (1)

20. M. E.L.D score includes all except

  1. Bilirubin
  2. INR
  3. Serum creatinine
  4. Serum albumin

Ans (4)

21. Indications for Liver Transplantation include:

  1. Hemochromatosis
  2. Primary Biliary Cirrhosis
  3. Sclerosing cholangitis with ulcerative colitis
  4. Sclerosing cholangitis without ulcerative colitis
  5. Biliary


22. Hepatomegaly is a feature of all of the following except:

  1. Von Gierke’s Disease
  2. Hurler’s Disease
  3. Nieman Pick Disease
  4. Hepatic porphyrias


23. Air in the biliary tract is seen in all except:

  1. Gall stone ileus
  2. Sclerosing cholangitis
  3. Carcinoma gall bladder
  4. Endoscopic papillotomy


24. Bland cholestasis is caused by all of the following drugs, except:

  1. Androgen
  2. OCP
  3. Cyclosporine
  4. Estrogen
  5. Chlorpromazine


25. Treatment of choice for Echinococcus granulosus is:

  1. Albendazole
  2. Mebendazole
  3. Thiabendazole
  4. Praziquantel


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