1) Malabsorption due to a mucosal intestinal defect occurs in:

a) Chronic pancreatitis
b)Cystic fibrosis
c) Coeliac disease
d)Ulcerative colitis
2)In ulcerative colitis the diagnosis is confirmed by:
a) Ileal involvement
b) Crypt abscesses
c) Skip lesion
d) Granulomas
3) Gastric atony can occur in:
a)
Motor neuron disease.
b)
Marfans syndrome.
c)
Diabetes mellitus.
d)
Diabetes insipid us
4) Osmotic diarrhea may be caused by:
a)
Zollinger Ellison syndrome.
b)
Lactase deficiency.
c)
Motility disorders.
d)
Hyperthyroidism.
5) A patient with lower abdominal pain,no weight loss and normal colonoscopy. The most likely diagnosis is:
a)
Colonic carcinoma.
b)
Crohns colitis.
c)
Ulcerative colitis.
d)
Irritable bowel syndrome.
6) Malabsorption syndrome with normal D-Xylose test :
a) Celiac disease
b) Chronic pancreatitis
c) Blind loop syndrome
d) Chronic renal failure
7) In coeliac disease:
a) Is associated with increased risk of gastrointestinal lymphoma
b) Patients benefit from a diet high in complex carbohydrates such as bread
c) CT abdomen is diagnostic
d) Bleeding per rectum is always present
8) A 60 year old man presents with fever watery diarrhea and crampy abdominal pain since one week.He has just
completed treatment for osteomyelitis.Proctosigmoidoscopy reveals erythematous ulcerations and yellowish white
plaques.The most likely diagnosis is:
a) Crohns disease
b) Pseudomembranous colitis
c) Viral gastroenteritis
d) Clostridium perfringens enterocolitis
9) Dysphagia with frequent chocking and nasal regurgitation occurs in:
a) Achalasia
b)Shatzkis ring.
c) Pharyngeal paralysis.
d)Diffuse esophageal spasm.
10) Mouth ulcers are caused by the following EXCEPT:
a)
Crohns disease
b)
Behcets disease
c)
Coeliac disease.
d)
Rheumatic fever.
:In ACHALASIA the most appropriate long term therapy is (11
a)
Nifedipine
b)
Domperidone
c)
metoclopropamide.
d)
Balloon dilatation.
12) In ACHALASIA there is :
a)
High resting pressure of the lower oesophageal sphincter.
b)
Marked loss of weigh.
c)
Haematemesis.
d)
Increased peristalsis in the body of the oesophagus.
:The most effective treatment of GERD is (13
a) Proton pump inhibitors.
b) H2 blocker.

c) Anticholinergic drug
d) Proton pump inhibitors+Prokinetic drug
14) Which drug can aggravate GERD symptoms
A) Ranitidine.
B) Domperidone
C) Omeprazole
D) Nifedipine
15) Dysphagia with loss of weight and occasional meleana:
A) Barium study is indicated
B) Peptic ulcer disease is the cause
C) Achalasia is the cause.
D) Cancer colon is the cause
16) In a patient with long standing GERD who starts to complaints of intermittent dysphagia for solids
weight loss. The most appropriate test would be
a) Manometry
b) Endoscopy
c) Barium meal
d) pH metry
17) In Achalasia the most appropriate long term therapy is:
a) Nifedipine
b) Domperidone
c) Metoclopramide
d) Balloon dilatation

and

18) In 32 y old female with dysphagia for both solid & liquids with no loss of weight or anemia the diagnosis is:
a) Adenocarcinoma of esophagus
b) Squamous carcinoma of esophagus
c) Achalasia
d) Schatzki ring
19) Chronic duodenal ulcer may be complicated by the following conditions EXCEPT:
a) Hemorrhage
b) Perforation
c) Malignancy
d) Pyloric obstruction
20) All of the following are causes of upper gastrointestinal hemorrhage EXCEPT:
a) Bleeding chronic duodenal ulcer
b) Bleeding oesophageal varices
c) Acute hemorrhagic pancreatitis
d) Gastric erosions
21) A 59 year old man presents with abdominal pain,anorexia and nausea .He has lost weight and started to
develop pedal edema.Endoscopy reveals large gastric mucosal folds.This may be due to:
.a) hypoproteinemia due to malnutrition
b) hypoproteinemia due to protein loss
.c) Impaired hepatic synthesis of albumin
.d) Congestive heart failure
A 54 year old man suffering from chronic duodenal ulcer which of the following is true (21
.a) The condition occurs in older people than gastric ulcers
.b) Gastric ulcers are more common than duodenal ulcers
.c) Duodenal ulcers can frequently be malignant
d)Infection can cause both types of ulcers
22) The most useful test in a patient with recurrent duodenal ulcer with diarrhea
a) Colonoscopy.
b) Gastroscopy
c) Serum Gastrin level
d) Serum gastrin & CT of abdomen
23) A 45 female with long standing history of peptic ulcer complain of repeated bouts of projectile vomiting. The
most likely the cause of her symptoms
a) Psychogenic
b) Gastric outlet obstruction
c) Pregnancy
d) Intestinal Obstruction