Assistant Professor in Medical Gastroenterology 420/2016 Answer Key 31/2018

doctor

Post: Assistant Professor in Medical Gastroenterology
Department: Medical Education
Category Code: 420/16
Qualification: DM Medical Gastroenterology/ DNB (Medical Gastroenterology) + Three years Teaching Experience + Permanent Registration under State Medical Council
Question Paper Code: 31/18
Date of Test: 23-02-2018



  1. The gastrointestinal peptide which increase food intake :
    • CCK
    • Ghrelin
    • Glucagon like peptide
    • Apo lipoprotein A-IV

  2. Refeeding syndrome is associated with all except :
    • Hypokalemia
    • Hypomagnesemia
    • Hypocalcemia
    • Hypophosphatemia

  3. Intestinal failure occurs with all except :
    • Intestinal trauma
    • Crohn’s disease
    • Ulcerative colitis
    • Intestinal infarction

  4. Drugs used for weight loss are all except :
    • Fluoxetine
    • Pranlintide
    • Exenatide
    • Imipramine

  5. Kudos classification of pit pattern used in :
    • Endocytoscopy
    • NBI
    • Chromoendoscopy
    • Capsule endoscopy

  6. Optical coherence tomography is useful in :
    • Early carcinoma stomach
    • Barrett’s esophagus
    • Crohn’s disease
    • Colonic neoplasm

  7. Spy glass endoscopy is used for :
    • Small bowel visualization
    • Colonic visualization
    • CBD visualization
    • Ampulla visualization

  8. Hereditary pancreatitis is :
    • Autosomal recessive
    • Autosomal dominant
    • Sex linked
    • Mixed inheritance

  9. CT scan in acute pancreatitis is best done at :
    • As early as possible
    • First hour of admission
    • 2-3 days of admission
    • Five days after admission

  10. Emergency ERCP is indicated in all patients except :
    • Acute biliary pancreatitis with obstruction
    • Cholangitis
    • With organ failure
    • Dilated CBD

  11. Genetic alteration in CCP include all except :
    • SPINK-1
    • PRSS 1
    • Polymorphism of IL-2 receptor gene
    • CFTR mutation

  12. Treatment options of proven benefit in CCP with pain include all except :
    • Alcohol cessation
    • Smoking cessation
    • Pancreatic enzyme supplementation
    • Steroids for autoimmune pancreatitis

  13. HISORT criteria is for diagnosis of :
    • Acute pancreatitis
    • Chronic pancreatitis
    • Autoimmune Pancreatitis
    • Pseudocyst of pancreas

  14. Fish mouth appearance of ampulla is seen :
    • Intraductal papillary mucinous neoplasm
    • Serous cystadenoma
    • Serous cystadeno carcinoma
    • Mucinous cystic neoplasm

  15. Ligament of Trietz is attached to :
    • D1
    • D2 near ampulla
    • D3-D4 junction
    • DJ flexure

  16. Rockall scoring for risk assessment in UGI bleed include all of the following except :
    • Age
    • Shock
    • Co Morbidity
    • Hb/PCV

  17. Forrest classification is for :
    • Variceal bleed
    • Ulcer bleed
    • Mallory weis tear
    • Dieulafoy’s lesion

  18. Stool Guaiac test can detect about :
    • 5-10 ml/day
    • 0.5-1.5 ml/day
    • 2-3 ml/day
    • 10-15 ml/day

  19. Tagged RBC scan can detect about __________ml of blood loss.
    • 0.5-1.5
    • 0.1-0.5
    • 0.5-1
    • 5-10

  20. Charcot’s triad include all except :
    • Jaundice
    • Fever
    • Right upper quadrant pain
    • CBD stone

  21. Rendezuous procedure is for :
    • Sphincterotomy
    • Stone extraction
    • Pancreatic endotherapy
    • GB Calculi

  22. Bergman classification is for :
    • Post ERCP pancreatitis
    • Bile duct injuries
    • Pancreatic duct injuries
    • Cholangitis

  23. Patency capsule endoscopy is used for :
    • Small bowel ulcers
    • Strictures
    • Small bowel tumors
    • Small bowel bleed

  24. Mirizzi’s Syndrome refers to :
    • Type of choledochal cyst
    • Double obstruction of CBD and PD
    • Stone in cystic duct obstructing CBD
    • Post surgical biliary strictures

  25. Fluorescence in situ hybridization (FISH) is used with :
    • ERCP
    • EUS
    • Con focal endoscopy
    • Chromo endoscopy

  26. Which is the major mutation in HFE gene leading to hemochromatosis?
    • H63D
    • C282Y
    • H64D
    • C283Y

  27. Madrey’s index is used in :
    • Autoimmune hepatitis
    • Alcoholic hepatitis
    • Acute on chronic liver disease
    • Biliary cirrhosis

  28. Lille score is used for :
    • Acute hepatitis
    • Chronic hepatitis
    • Alcoholic hepatitis
    • Autoimmune hepatitis

  29. Which drug is not used in Alcoholic hepatitis?
    • Steroids
    • Anti TNF antibodies
    • Vitamin E
    • Disulfiram
    Question error

  30. Which drug is best in a patient of NASH with Diabetes?
    • Metformin
    • Sulfonyl urea
    • Insulin
    • Pioglitazone

  31. Minimal listing threshold of MELD score for transplantation :
    • 32
    • 20
    • 15
    • 10

  32. Antibody commonly seen in Primary biliary cirrhosis :
    • SMA
    • AMA
    • ANA
    • SLA

  33. Onion skin appearance on liver biopsy seen with :
    • PBC
    • PSC
    • Autoimmune hepatitis
    • Congenital Hepatic fibrosis

  34. Size of gall stone for which you recommend cholecystectomy :
    • 10-15 mm
    • 15-20 mm
    • 25-30 mm
    • 20-25 mm
    Question error

  35. Primary prophylaxis for large varix in CLD is :
    • Beta blocker alone
    • Beta blocker+EVL
    • Beta blocker+Nitrates
    • Beta blocker+ARB

  36. Genes not associated with Crohn’s disease :
    • NOD 2
    • CARD 15
    • XBP1
    • IL2R

  37. Leipzig criteria is used for :
    • Autoimmune hepatitis
    • Hemochromatosis
    • Wilson’s disease
    • NASH

  38. Acute liver failure of Wilsons disease the SAP to Bilirubin ratio will be :
    • < 1 : 2
    • < 1 : 3
    • < 1 : 4
    • < 1 : 5

  39. Which of the following cannot be used to differentiate between IBD and IBS?
    • Fecal Calprotectin
    • Fecal Lactoferrin
    • Stool routine
    • Leucocytosis

  40. Which of the following is not seen in Ulcerative colitis?
    • Crypt abscess
    • Granuloma
    • Crypt Architectural distortion
    • Chronic inflammation

  41. Which of the following is not released in small bowel?
    • Balsalazide
    • Pentasa
    • Lialda
    • Asacol

  42. Which of the following is not a surgical procedure for ulcerative colitis?
    • IPAA
    • Continent illeostomy
    • Diversion colostomy
    • Total colectomy with illeostomy

  43. Normal fluid load to the intestine over 24 hrs :
    • 9L
    • 10L
    • 8L
    • 7L
    Question error

  44. Mesalamine given to pregnant IBD patients comes under :
    • Category A
    • Category B
    • Category C
    • Category D

  45. Hamptons line seen in :
    • Malignant Gastric ulcer
    • Duodenal ulcer
    • Menetrier’s disease
    • Benign Gastric ulcer

  46. Accordion sign is seen in :
    • Ulcerative colitis
    • Crohn’s colitis
    • Pseuomembranous colitis
    • Microscopic colitis

  47. Pseudocirrhosis sign is seen in :
    • Autoimmune hepatitis
    • Metastasis
    • HCC
    • Chronic HBV infection

  48. Bush tea disease is :
    • Buddchiary syndrome
    • Veno occlusive disease
    • Drug induced liver disease
    • Biliary cirrhosis

  49. Los Angeles classification is for :
    • Gastritis
    • Esophagitis
    • Duoenitis
    • Severity of pancreatitis

  50. For differentiating antegrade and retrograde transit of liquid an gas in esophagus which is useful :
    • pH monitoring
    • EUS
    • Impedance manometry
    • Bravo wireless capsule

  51. Birds beak appearance of distal esophagus in barium is seen in :
    • Neoplasm esophagus
    • Stricture esophagus
    • Achalasia cardia
    • Barrett’s esophagus

  52. Cork screw esophagus seen with :
    • Hypertensive esophageal disorder
    • Diffuse esophageal spasm
    • Scleroderma
    • Esophageal stricture

  53. Nut cracker esophagus seen in :
    • Diffuse esophageal spasm
    • Hypertensive peristalsis
    • Achalasia cardia
    • Stricture esophagus

  54. Criteria for number of eosinophils per HPF in eosinophilic esophagitis :
    • >25
    • >15
    • >20
    • >10

  55. Which investigation is useful to demonstrate live H-Pylori infection :
    • Stool antigen
    • RUT
    • IgG antibody
    • Urea breath test
    Question error

  56. Which of the following antibiotic is not used in H-Pylori infection?
    • Levofloxacin
    • Rifaximin
    • Rifabutin
    • Furazolidone

  57. Which is the pacemaker cell?
    • Myenteric plexus
    • Meiseners plexus
    • Interstitial cells of Kajal
    • Auerbacks plexus

  58. Antibody useful in Celiac disease :
    • IgA TTG
    • IgM TTG
    • IgG TTG
    • IgE TTG

  59. Hincheys classification used in :
    • Crohn’s disease
    • Ulcerative colitis
    • Pseudomembranous colitis
    • Diverticulitis

  60. Revised Bethesda guidelines are for :
    • Lynch syndrome
    • FAP
    • Juvenile polyposis
    • Cowdens syndrome

  61. Kehr’s sign occurs with :
    • Splenic rupture
    • Diaphragmatic hernia
    • Pleural effusion
    • Liver rupture

  62. Extra esophageal symptoms of GERD are the following except :
    • Pulmonary fibrosis
    • Sorethroat
    • Excess mucus
    • Frequent upper respiratory tract infection

  63. Which drug is used in functional dyspepsia?
    • Nitrates
    • Sumatryptan
    • Sildenafil
    • Acotiamide

  64. Wilkie’s syndrome is :
    • SMA syndrome
    • Wind sock deformity of duodenum
    • Duodenal diverticulum compressing CBD
    • Lads band obstruction

  65. Large volume diarrhea does not occur with :
    • Small bowel disease
    • Right colon disease
    • Illeo cecal disease
    • Recto sigmoid disease

  66. Migratory neckrotising erythema seen in :
    • Insulinoma
    • Zollinger Ellison syndrome
    • Carcinoid syndrome
    • Glucagonoma

  67. Dermititis Herpetiformis seen with :
    • Celiac disease
    • Insulinoma
    • Glucagonoma
    • Mastocytosis

  68. Normal Osmolality of stool is :
    • 280 mosm/kg
    • 285 mosm/kg
    • 290 mosm/kg
    • 270 mosm/kg

  69. Microscopic colitis include :
    • Collagenous colitis
    • Ulcerative colitis
    • Crohn’s colitis
    • Diversion colitis

  70. All indicate inflammatory diarrhea except :
    • Stool lactoferrin
    • Mucus in stools
    • Stool RBC and pus cells
    • Stool calprotectin

  71. Encopresis means :
    • Constipation an overflow incontinence
    • Fecal incontinence
    • Nocturnal incontinence
    • Stercoral ulceration

  72. Williams Syndrome is :
    • Multiple Diverticulosis
    • Multiple lipoma of colon
    • Multiple AVM
    • Multiple telangiectasia and aortic stenosis

  73. Normal fecal blood loss is :
    • No blood loss
    • 0.1-0.5 ml/day
    • 0.5-1 ml/day
    • 0.5-1.5 ml/day

  74. If SOB positive which is next first investigation?
    • OGD
    • Enteroscopy
    • Capsule endoscopy
    • Colonoscopy

  75. The following are used to provocate bleed except :
    • Fluid
    • Vasodilators
    • Anticoagulants
    • Thrombolytics

  76. Conjugated hyperbilirubinemia occurs with all except :
    • Crigler Najar
    • Rotor
    • Dubin Johnson
    • CBD stone

  77. Stauffer’s syndrome is :
    • Lymphoma with cholestasis
    • Renal cell carcinoma with cholestasis
    • Bronchogenic carcinoma with cholestasis
    • BRIC

  78. Keshans disease is due to deficiency of :
    • Magnesium
    • Manganese
    • Molybdenum
    • Selenium

  79. In refractory hypocalcemia suspect :
    • Hypomagnesemia
    • Hypokalemia
    • Hypophosphatemia
    • Hyponatremia

  80. Metastatic Crohn’s disease occurs at all sites except :
    • Infra mammary area
    • Retro auricular area
    • Inter triginous area
    • Pretibial area

  81. The United Nations World Press Freedom Day is observed on which Date?
    • April 13
    • May 3
    • March 21
    • May 20

  82. The Preamble of Indian Constitution prepared by __________.
    • Dr. Rajendra Prasad
    • Dr. B.R. Ambedkar
    • Vallabhbhai Patel
    • Jawaharlal Nehru

  83. The eradication of unemployment programme of Kudumbasree known as :
    • Jana sree
    • Ahwasakiran
    • Kerala sree
    • Kerala vilasam

  84. Which is the land of ‘thousand lakes’?
    • Finland
    • Indonesia
    • Rauwda
    • Greenland

  85. Who is known as Kerala Subhash Chandra Bose?
    • Abdul Aslam
    • Muhammed Abdul Rehman
    • Maulavi
    • Muhammed Thangal

  86. Which is the first currencyless island in India?
    • Carnong island
    • Nicobar island
    • Lakshadweep
    • Maudro island
    Question error

  87. How many schedules are there in the Right to Information Act?
    • 4 schedules
    • 6 schedules
    • 2 schedules
    • 3 schedules

  88. The Pradhan Manthri Adarsh Grameen Yojana was initially implemented in :
    • Kerala
    • Rajasthan
    • Maharashtra
    • Goa

  89. Who was the Father of Punched card processing?
    • Dr. Herman Hollerith
    • J. Presper Eekert
    • Pascal
    • John Napier

  90. Which Cricketer became the First player in the World to score a hundred in all the eleven nations that have hosted test?
    • Sachin
    • Younis Khan
    • M.S. Dhoni
    • Kapil Dev

  91. The protection of woman from domestic violence act was passed in the year :
    • 2009
    • 2005
    • 2003
    • 2001

  92. Section which provide punishment for sending offensive messages through communication services :
    • Section 66 A
    • Section 66 B
    • Section 65 A
    • Section 65 B

  93. Find out which Legislation is enforce in India to prevent terrorist activities.
    • POTA
    • TADA
    • POCSO
    • UAPA

  94. International Date line is located along :
    • Standard Meridian
    • Equator
    • Greenwich Meridian
    • 180° longitude

  95. Which Country is known as Junior America?
    • Austria
    • Canada
    • Spain
    • Russia

  96. Mention the lady who received Nobel Prize in economics.
    • Elinoor Ostram
    • Nadhin Gor
    • Ada Egnoth
    • Maria Esabella

  97. Which among the following is a Employment generation programme for rural people in India?
    • TRYEM
    • NREGS
    • NSEO
    • NRY

  98. Who is Author ‘Development as Freedom’?
    • Amartya Sen
    • Jacoqueline
    • John Reed
    • Micoln Bruno

  99. Which country outside India has Indians as the majority of its population?
    • Fiji
    • South Africa
    • Mauritius
    • Indonesia

  100. The idea of constitution for India was first expressed by whom?
    • Nehru
    • Gandhiji
    • Ambedkar
    • M.N. Roy

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