1 Pages 17
Pre DM / MCh Entrance Exam
- 2014
D.M.Medical Gastroenterology
Q. No. 1
Circumferatial ulceration in esophagus by caustic injury, so endoscopic grade is
QCODE:0043001
Option 1 IIA
Option 2 IIB
Option 3 IIC
Option 4 III
Correct Option 2
Q. No. 2
Overall incidence of cancer development in Barret,s esophaus per year
QCODE:0043002
Option 1 0.25%
Option 2 0.5%
Option 3 0.7%
Option 4 0.8%
Correct Option 2
Q. No. 3
Rescue treatment for persistent Helicobacter pylori infection include all except
QCODE:0043003
Option 1 Amoxicillin
Option 2 Levofloxacin
Option 3 Clarithromycin
Option 4 Rifabutin
Correct Option 3
Q. No. 4
Autoimmune metaplastic atrophic gastritis is associated with
QCODE:0043004
Option 1 H. Pylori infection
Option 2 Autoimmune disease
Option 3 Proton pump inhibitor use
Option 4 Lymphoma
Correct Option 1
Q. No. 5 In peptic ulcer if there is nonbleeding visible vessel then according to Forrest
QCODE:0043005 classification ulcer is
Option 1 Type IIa
Option 2 Type IIb
Option 3 Type IIc
Option 4 Type III
Correct Option 1
Q. No. 6 Three basic neuromuscular activities of stomach during and after ingestion of
QCODE:0043006 food include all except
Option 1 Receptive relaxation of fundus
Option 2 Receptive relaxation of body
Option 3 Trituration
2 Pages 17
Option 4 Antral peristalasis
Correct Option 2
Q. No. 7
Alarm features in patients with suspected peptic ulcer disease are all except
QCODE:0043007
Option 1 Age older than 55 years with long duration of dyspepsia
Option 2 Jaundice
Option 3 Persistent vomiting
Option 4 Progressive dysphagia
Correct Option 1
Q. No. 8
The most common risk factor associated with gastric ulcer disease is
QCODE:0043008
Option 1 Smoking
Option 2 NSAID use
Option 3 Increase acid secretion
Option 4 H.pylori infection
Correct Option 4
Q. No. 9
G cell present in which area of stomach ?
QCODE:0043009
Option 1 Fundus
Option 2 Fundus and corpus
Option 3 Corpus
Option 4 Antrum
Correct Option 4
Q. No. 10
Delayed gastric emptying is defined by
QCODE:0043010
Option 1 Greater than 20% retention of test meal after 240 minutes
Option 2 Greater than 50% retention of test meal after 120 minutes
Option 3 Greater than 40% retention of test meal after 120 minutes
Option 4 Greater than 10% retention of test meal after 240 minutes
Correct Option 4
Q. No. 11
Regarding Dieulafoy's lesion which is true?
QCODE:0043011
Option 1 Large (5-10mm) submucosal artery protrudes through the mucosa
Option 2 Associated with peptic ulcer
Option 3 Usually cause intermittent bleeding
Option 4 Usually cause minor bleeding
Correct Option 3
Q. No. 12
Microfold cell(M cell) presents in
QCODE:0043012
Option 1 Oxyntic glands
Option 2 Gastric antral gland
Option 3 Pancreas
Option 4 Peyers patch
3 Pages 17
Correct Option 4
Q. No. 13
Regarding Visceral pain which is false ?
QCODE:0043013
Option 1 Transmitted by C fibers
Option 2 Dull precisely localized
Option 3 Secondary autonomic effect may present
Option 4 Perceived to be in midline
Correct Option 2
Q. No. 14
The following medication can cause diarrhoea
QCODE:0043014
Option 1 Quonidine
Option 2 Beta blocker
Option 3 5-aminosalicylates
Option 4 All of the above
Correct Option 4
Q. No. 15
The most common type of constipation is
QCODE:0043015
Option 1 Slow transit constipation
Option 2 Defecatory disorder
Option 3 Normal transit constipation
Option 4 Combination of defecatory disorder and slow transit constipation
Correct Option 3
Q. No. 16
Regarding lubiprostone all are true except
QCODE:0043016
Option 1 Increased intestinal fluid secretion
Option 2 Activates Chloride 2 channel
Option 3 Can alter serum electrolyte level
Option 4 Useful in constipation
Correct Option 3
Q. No. 17
Regarding angioectasia all are true except
QCODE:0043017
Option 1 Histopatholgy is characterized by ecstatic dilated submucosal arterioles
Option 2 Most angioectasia occur in patients older than 60 years
Option 3 Usually the lesions are multiple
Option 4 Hormonal therapy with estrogen may be helpful in controlling bleeding
Correct Option 1
Q. No. 18
Half-life of albumin is
QCODE:0043018
Option 1 15 to 33 days
Option 2 7-12 days
Option 3 30-40 days
Option 4 35-50days
Correct Option 1
4 Pages 17
Q. No. 19
Borchardt's triad includes all except
QCODE:0043019
Option 1 Pain
Option 2 Dysphagia
Option 3 Unproductive retching
Option 4 Inability to pass a nasogastric tube
Correct Option 2
Q. No. 20
In respect of Pancreas divisum which is false?
QCODE:0043020
Option 1 It has been observed in 5% to 10% of autopsy series
It has been observed 5% to 10% of patients undergoing endoscopic retrograde
Option 2
pancreatography (ERP).
The incidence increased to 25% in one series in patients with unexplained recurrent acute
Option 3
pancreatitis.
Option 4 Most patients with pancreas divisum are symptomatic
Correct Option 2
Q. No. 21
In respect of anomalous pancreaticobliary union which is false ?
QCODE:0043021
Option 1 Nearly 1 in 3 children with recurrent pancreatitis have this disorder
Option 2 Choledochal cysts are frequently associated with this abnormality
Option 3 Associated with gall bladder cancer
Option 4 Associated with cholangio carcinoma
Correct Option 1
Q. No. 22
Familial pancreatitis is associated with following mutation
QCODE:0043022
Option 1 PRSS1
Option 2 PRSS2
Option 3 CFTR
Option 4 PRSS1 R122H
Correct Option 3
Q. No. 23
Steatorrhea occurs when stimulated lipase output drops to
QCODE:0043023
Option 1 Less than 50%
Option 2 Less than 40%
Option 3 Less than 20%
Option 4 Less than 10%
Correct Option 4
Q. No. 24
The most common cause of acute pancreatitis
QCODE:0043024
Option 1 Alcohol
Option 2 Trauma
Option 3 Gall stone
Option 4 Drug
Correct Option 3
5 Pages 17
Q. No. 25
Factors that does not increase the chance of ERCP induced pancreatitis
QCODE:0043025
Option 1 Female gender
Option 2 Precut access of biliary duct
Option 3 High bilirubin
Option 4 Pancreatic sphingterotomy
Correct Option 3
Q. No. 26
Half life of amylase is
QCODE:0043026
Option 1 40 hour
Option 2 20 hour
Option 3 10 hour
Option 4 5 hour
Correct Option 3
Q. No. 27
Component of BISAP score are all except
QCODE:0043027
Option 1 Impaired mental status
Option 2 Body mass index
Option 3 Systemic inflammatory response
Option 4 Pleural effusion
Correct Option 2
Q. No. 28 The rate of intravenous hydration in acute pancreatitis in a 70 kg person at first
QCODE:0043028 48 hour should be
Option 1 250-300 ml/hour
Option 2 150-200 ml/hour
Option 3 100-150 ml/hour
Option 4 50-100 ml/hour
Correct Option 1
Q. No. 29
In respect of management of acute pancreatitis which is true ?
QCODE:0043029
Option 1 Prophylactic antibiotics has definitive role in acute necrotizing pancreatitis
Option 2 Total perenteral nutrition is the standard of care in severe acute pancreatitis
Option 3 Infected pancreatic necrosis requires prompt surgical debridement
Nasogastric or nasojejunal feeding has equivalent result in respect of hospital stay or
Option 4
complication.
Correct Option 4
Q. No. 30
The cause of pain in chronic pancreatitis may be due to
QCODE:0043030
Option 1 Pancreatic ischemia
Option 2 Alteration of central nociceptive nerve
Option 3 Common bile duct obstruction
Option 4 All of the above
Correct Option 4
6 Pages 17
Q. No. 31
Regarding autoimmune chronic pancreatitis which is true
QCODE:0043031
Option 1 Pain occurs in 90% patient
Option 2 Female are more commonly affected than male
Option 3 Jaundice is a common symptom
Option 4 IgG4 level greater than 35mg/dl has a sensivity of 90%
Correct Option 3
Q. No. 32
Tumors of periampullary region most commonly originates from
QCODE:0043032
Option 1 Pancreas
Option 2 Duodenum
Option 3 Ampulla
Option 4 Common bile duct
Correct Option 1
Q. No. 33
Arterial supply of bile ducts arise mainly from
QCODE:0043033
Option 1 Left hepatic artery
Option 2 Right hepatic artery
Option 3 Cystic artery
Option 4 Gastroduodenal artery
Correct Option 2
Q. No. 34
The most common presentation of choledochal cyst in children is
QCODE:0043034
Option 1 Palpable mass in right upper abdomen
Option 2 Abdominal pain
Option 3 Jaundice
Option 4 Vomiting
Correct Option 3
Q. No. 35
Which is true in respect of Allagille syndrome?
QCODE:0043035
Option 1 It is the most common form of familial intrahepatic cholestasis
Option 2 Jaundice appears after the age of 2 years
Option 3 Autosomal recessive mode of transmission
Option 4 Mutation of JAG1 gene is identified in 50% patient
Correct Option 1
Q. No. 36 Intrahepatic cholestasis of pregnancy is associated with following defective
QCODE:0043036 gene
Option 1 ATP8B1
Option 2 ABCB4
Option 3 ABCC2
Option 4 ABCG8
Correct Option 2
Q. No. 37
Benign recurrent intrahepatic cholestasis type 1 is associated with all except
QCODE:0043037
7 Pages 17
Option 1 Periodic attack of cholestasis
Option 2 Elevated serum bile acid
Option 3 Biliary cirrhosis
Option 4 Hearing loss
Correct Option 3
Q. No. 38
Pathophysiology of biliary pain is
QCODE:0043038
Option 1 Intermittent obstruction of common bile duct by stone
Option 2 Impacted obstruction of common bile duct by stone
Option 3 Impacted obstruction of cystic duct by stone
Option 4 Intermittent obstruction of cystic duct by stone
Correct Option 4
Q. No. 39
Which is true in acute cholecystitis ?
QCODE:0043039
Option 1 Serum bilirubin level is usually more than 4mg/dl
Option 2 50% cases resolves spontaneously within 7 days without surgery
Option 3 Rarely preceded by biliary pain
Option 4 Secondary bacterial infection is rare
Correct Option 2
Q. No. 40
Charcot's triad is present in
QCODE:0043040
Option 1 30% patients of cholangitis
Option 2 50% patients of cholangitis
Option 3 70% patients of cholangitis
Option 4 90% patients of cholangitis
Correct Option 3
Q. No. 41
Stones in common bile duct are seen ultrasonographically
QCODE:0043041
Option 1 50% patients
Option 2 75% patients
Option 3 80% patients
Option 4 90% patients
Correct Option 1
Q. No. 42
Risk factors for cholangiocarcinoma are all except
QCODE:0043042
Option 1 Cirrhosis
Option 2 Biliary enteric bypass surgery
Option 3 Hepatitis B
Option 4 Choledochal cyst
Correct Option 3
Q. No. 43
Risk factors for gall bladder carcinoma are all except
QCODE:0043043
Option 1 Anomolous union of pancreatobiliary ductal system
8 Pages 17
Option 2 Cholelithiasis
Option 3 Cholangiocarcinoma
Option 4 Primary biliary cirrhosis
Correct Option 4
Q. No. 44
The most common histological type of gall bladder polyp is
QCODE:0043044
Option 1 Cholesterol polyp
Option 2 Adenomyoma
Option 3 Adenoma
Option 4 Inflammatory polyp
Correct Option 1
Q. No. 45
All are true about recurrent pyogenic cholangitisexcept
QCODE:0043045
Option 1 Biliary tract infection with parasite may be cause
Option 2 Rural areas and lower socioeconomic status appear to be increased risk
Option 3 Rarely patients have intrahepatic stones
Option 4 Predominent involvement of left hepatic duct is seen
Correct Option 3
Q. No. 46
The sensitivity of endoscopic ultrasound in diagnosis of bile duct stone
QCODE:0043046
Option 1 75%
Option 2 85%
Option 3 90%
Option 4 95%
Correct Option 4
Q. No. 47
Multiple lymphomatous polyposis in intestine is seen in
QCODE:0043047
Option 1 Enteropathy associated T cell lymphoma
Option 2 Folliculer lymphoma
Option 3 Large B cell lymphoma
Option 4 Mantle cell lymphoma
Correct Option 4
Q. No. 48
The most frequent site of gastrointestinal carcinoids
QCODE:0043048
Option 1 Appendix
Option 2 Ileum
Option 3 Duodenum
Option 4 Colon
Correct Option 2
Q. No. 49
Necrolytic migratory erythema is seen in
QCODE:0043049
Option 1 Somatostatinoma
Option 2 VIPoma
9 Pages 17
Option 3 Glucagonoma
Option 4 Metastatic carcinoid
Correct Option 3
Q. No. 50
Gastrointestinal manifestation of hypothyroidism is/are
QCODE:0043050
Option 1 Diarrhea and steatorrhea
Option 2 Reflux esophagitis
Option 3 Bezoars
Option 4 All of the above
Correct Option 4
Q. No. 51
High output gastrointestinal fistula is defined by if fistula output is
QCODE:0043051
Option 1 More than 500 ml/day
Option 2 More than 750 ml/day
Option 3 More than 1000 ml/day
Option 4 More than 1500 ml/day
Correct Option 1
Q. No. 52 Components of simplified scoring system for diagnosis of autoimmune hepatitis
QCODE:0043052 are all except
Option 1 Anti nuclear antibody
Option 2 Immunoglobulin level
Option 3 Female gender
Option 4 Absence of viral hepatitis
Correct Option 3
Q. No. 53
Independent predictor of survival in patients with primary biliary cirrhosis
QCODE:0043053
Option 1 Age
Option 2 Ascites
Option 3 Hepatomegaly
Option 4 All of the above
Correct Option 4
Q. No. 54
Esophageal varices are present in
QCODE:0043054
Option 1 60% patients with cirrhosis and ascites
Option 2 75% patients with cirrhosis and ascites
Option 3 85% patients with cirrhosis and ascites
Option 4 95% patients with cirrhosis and ascites
Correct Option 1
Q. No. 55
Which is true regarding Hepatic vein pressure gradient (HVPG)?
QCODE:0043055
Option 1 It is used to assess the risk of hepatic resection in patients with cirrhosis
Option 2 It is direct method of measurement of portal venous pressure
Option 3 In prehepatic portal hypertension it is raised
10 Pages 17
Option 4 In post sinusoidal portal hypertension it is normal
Correct Option 1
Q. No. 56
Diagnostic criteria for hepatorenal syndrome are all except
QCODE:0043056
Option 1 Serum creatinine level more than or equal to 1.5mg/dl
No or insufficient improvement of creatinine with volume expansion with intravenous
Option 2
albumin
Option 3 Proteinuria > 500 mg/day
Option 4 Cirrhosis with ascites
Correct Option 3
Q. No. 57
The most common symptom of hepatocelluler carcinoma is
QCODE:0043057
Option 1 Abdominal swelling
Option 2 Abdominal pain
Option 3 Weight loss
Option 4 Jaundice
Correct Option 2
Q. No. 58 Resistance to lamivudine in chronic hepatitis B after 5 years of treatment is seen
QCODE:0043058 in about
Option 1 17% patients
Option 2 27% patients
Option 3 45% patients
Option 4 65% patients
Correct Option 4
Q. No. 59 Hepatitis B genome is composed of following number of open reading frames
QCODE:0043059 (ORFs)
Option 1 1
Option 2 2
Option 3 3
Option 4 4
Correct Option 4
Q. No. 60 Established factors associated with progression of hepatic fibrosis in patients
QCODE:0043060 with chronic hepatitis C are all except
Option 1 Obesity
Option 2 Immunosuppressed state
Option 3 High viral load
Option 4 Smoking
Correct Option 3
Q. No. 61
Normal directly acting fraction of bilirubin is less than
QCODE:0043061
Option 1 10% of total bilirubin
Option 2 15% of total bilirubin
Option 3 20% of total bilirubin
Option 4 25% of total bilirubin
11 Pages 17
Correct Option 2
Q. No. 62
Liver receive dual blood supply , which is true ?
QCODE:0043062
Option 1 15% from hepatic artery and 85% from portal vein
Option 2 20% from hepatic artery and 80% from portal vein
Option 3 25% from hepatic artery and 75% from portal vein
Option 4 30 % from hepatic artery and 70% from portal vein
Correct Option 2
Q. No. 63
Asparate aminotransferase is found in
QCODE:0043063
Option 1 Liver
Option 2 Pancreas
Option 3 Lung
Option 4 All of the above
Correct Option 4
Q. No. 64
Blood clotting factors made exclusively by hepatocyte are all except
QCODE:0043064
Option 1 Factor V
Option 2 Factor II
Option 3 Factor VIII
Option 4 Factor VII
Correct Option 3
Q. No. 65
Conjugated hyperbilirubinemia occurs in all except
QCODE:0043065
Option 1 Criggler-Najjar syndrome
Option 2 Dubin -Johnson syndrome
Option 3 Rotor syndrome
Option 4 Benign recurrent intrahepatic cholestasis (BRIC)
Correct Option 1
Q. No. 66
All are RNA virus except
QCODE:0043066
Option 1 Hepatitis A
Option 2 Hepatitis B
Option 3 Hepatitis C
Option 4 Hepatitis E
Correct Option 2
Q. No. 67
Which hepatic virus is directly cytopathic to hepatocyte ?
QCODE:0043067
Option 1 Hepatitis A virus
Option 2 Hepatitis B virus
Option 3 Hepatitis C virus
Option 4 None of the above
Correct Option 4
12 Pages 17
Q. No. 68
In alcoholic liver disease, discriminant function is measured by
QCODE:0043068
Option 1 Bilirubin and albumin
Option 2 Prothrombin time and albumin
Option 3 Prothrombin time and bilirubin
Option 4 Prthrombin time , bilirubin and albumin
Correct Option 3
Q. No. 69
Pancreas secrets 1500-3000 ml of
QCODE:0043069
Option 1 Isoosmotic alkaline juice
Option 2 Hyperosmotic alkaline juice
Option 3 Hypo osmotic alkaline juice
Option 4 Hyper osmotic acidic juice
Correct Option 1
Q. No. 70
Ulcerative jejunoileitis is seen in patients with
QCODE:0043070
Option 1 Crohn's disease
Option 2 Ulcerative colitis
Option 3 Celiac disease
Option 4 Intestinal tuberculosis
Correct Option 3
Q. No. 71
Pancreas does not secrete which of the hormone
QCODE:0043071
Option 1 Insulin
Option 2 Glucagon
Option 3 Substance P
Option 4 Somatostatin
Correct Option 3
Q. No. 72
Esophageal LES pressure is decreased by all except
QCODE:0043072
Option 1 Serotonin
Option 2 Nitrates
Option 3 Prostaglandin F2
Option 4 Diazepam
Correct Option 3
Q. No. 73
Levator ani muscles are comprised by all except
QCODE:0043073
Option 1 Internal anal sphincter
Option 2 Puborectalis
Option 3 Iliococcegeus
Option 4 Pubococcygeus
Correct Option 1
For sphincter of Oddi, which is not true
Q. No. 74
13 Pages 17
QCODE:0043074
Option 1 About 3 litres of secretions pass through it
Option 2 It facilitates emptying of gall-bladder
Option 3 Prevents retrograde movement of luminal content into CBD and PD
Option 4 All of the above
Correct Option 2
Q. No. 75
Folates are absorbed in
QCODE:0043075
Option 1 Duodenum and upper jejunum
Option 2 Lower jejunum and ileum
Option 3 Ileum
Option 4 All of the above
Correct Option 1
Q. No. 76
Tumor marker CA-125, site of tumor with serum elevation, best option is
QCODE:0043076
Option 1 Ovary
Option 2 Ovary and colorectum
Option 3 Ovary and pancreas
Option 4 All of the above
Correct Option 2
Q. No. 77
Gastrinomas (Zollinger Ellison Syndrome) which is not a feature
QCODE:0043077
Option 1 More than 80% are located in gastrinoma triangle
Option 2 Ulcer occur most commonly in D2
Option 3 Features of Cushing syndrome is sometimes associated
Option 4 More than 50% are malignant
Correct Option 2
Q. No. 78
For Menetrier disease which is not true
QCODE:0043078
Option 1 Affect men in 50 - 60 years of age
Option 2 Severe protein loss through gastric mucosa may occur
Option 3 Hyperchlorhydria occur frequently
Option 4 None of the above
Correct Option 3
Q. No. 79
For Meckel diverticulum which is not true
QCODE:0043079
Option 1 Prevalence of 2 - 3% in autopsy series
Option 2 Two -3 times more common in males
Option 3 Heterotropic tissue is present in 50% diverticulums
Option 4 In adults GI bleeding is most common complication
Correct Option 4
Q. No. 80
In celiac disease, there is
QCODE:0043080
14 Pages 17
Option 1 An increase of risk of intestinal adenocarcinoma
Option 2 An increase of intestinal NHL
Option 3 Lymphoma is of T-cell in origin
Option 4 All of the above
Correct Option 4
Q. No. 81
The specific histological feature of ulcerative colitis is
QCODE:0043081
Option 1 Cryptitis and crypt abscess
Option 2 Distorted glandular architecture
Option 3 Mucin depletion
Option 4 Inflammatory cell infiltrate into lamina propria
Correct Option 2
Q. No. 82
Tropical pancreatitis, etiology is related to
QCODE:0043082
Option 1 Deficiency of zinc, copper, selenium
Option 2 Increased production of cyanogens in stomach
Option 3 SPINK 1 mutation
Option 4 All of the above
Correct Option 4
Q. No. 83
In Recurrent pyogenic cholangitis, the stones are of
QCODE:0043083
Option 1 Brown pigment stone
Option 2 Black pigment stone
Option 3 Cholesterol stone
Option 4 Calcium carbonate stone
Correct Option 1
Q. No. 84
SAAG is low in all except one
QCODE:0043084
Option 1 Peritoneal malignancy
Option 2 Pancreatic ascites
Option 3 Veno-occlusive diaease
Option 4 Nephrotic syndrome
Correct Option 3
Q. No. 85
Contra-indications of transcutaneous liver biopsy are
QCODE:0043085
Option 1 Ascites
Option 2 Coagulopathy
Option 3 Obesity
Option 4 All of the above
Correct Option 4
Q. No. 86
Hepatic venous Pressure Gradient (HVPG) is
QCODE:0043086
Option 1 An excellent surrogate marker of fibrosis
15 Pages 17
Option 2 An excellent predictor of decompensation in cirrhosis
Option 3 Value > 10 mmHg has 70% chance of an event
Option 4 All are true
Correct Option 4
Q. No. 87
Gall bladder is anatomically related to liver
QCODE:0043087
Option 1 Segment III
Option 2 Segment IV
Option 3 Segment V
Option 4 Segment VI
Correct Option 3
Q. No. 88 Eternacept, a TNF agent when given to a moderate to severe alcoholic
QCODE:0043088 hepatitis, leads to ( select the most appropriate answer)
Option 1 Significant beneficial response
Option 2 No response
Option 3 Significantly higher death rate than placebo
Option 4 Not more beneficial than placebo
Correct Option 3
Q. No. 89
For Kupffer cells, which one is false ?
QCODE:0043089
Option 1 They are located in the periportal and perivenous areas
Option 2 They originate from the bone marrow
Option 3 They originate in the fetal liver
Option 4 They function as phagocytes
Correct Option 3
Q. No. 90
Alkaline phosphatase is elevated in all except
QCODE:0043090
Option 1 Tuberculosis
Option 2 Sarcoidosis
Option 3 Hepatic metastesis
Option 4 Alcoholic fatty liver disease
Correct Option 4
Q. No. 91
Contrast enhanced Ultrasound is very useful in
QCODE:0043091
Option 1 Hepatic hemangiomas
Option 2 Malignant portal vein thrombosis
Option 3 Focal nodular hyperplasia
Option 4 All of the above
Correct Option 4
Q. No. 92
Which one is not a feature of Hepato-pulmonary syndrome
QCODE:0043092
Option 1 Advanced chronic liver disease
Option 2 Degree of hypoxemia PaO2 > 80 mm Hg or less
16 Pages 17
Option 3 Hepatic hydrothorax
Option 4 All of the above
Correct Option 3
Q. No. 93
The clotting Factor has shortest half-life
QCODE:0043093
Option 1 Factor II
Option 2 Factor VII
Option 3 Factor IX
Option 4 Factor X
Correct Option 2
Q. No. 94
Vinyl Chloride occupational exposure leads to all except one
QCODE:0043094
Option 1 Hemangiosarcoma
Option 2 HCC
Option 3 Cholestasis
Option 4 Steato-hepatitis
Correct Option 3
Q. No. 95
Alcohol is metabolized in liver cells in pathways except one
QCODE:0043095
Option 1 Alcohol dehydrogenase pathway
Option 2 Microsomal Ethanol oxidizing system
Option 3 CYP2 E1
Option 4 Catalase pathway
Correct Option 3
Q. No. 96
For pylephlebitis which is not true
QCODE:0043096
Option 1 Infrequently associated with acute appendicitis
Option 2 Diverticulitis is the most common precipitating factor
Option 3 Most blood isolate is E coli
Option 4 Most common blood isolate is polymicrobial
Correct Option 3
Q. No. 97
Which is not a marker of autoimmune hepatitis
QCODE:0043097
Option 1 Anti-mitochondrial antibody
Option 2 Antinuclear antibody
Option 3 Anti-smooth muscle antibody
Option 4 Anti-LKM1
Correct Option 1
Q. No. 98
For Portal vein thrombosis which is not true
QCODE:0043098
Option 1 Idiopathic in 30% of cases
Option 2 Myelo-proliferative disorders are the most common etiologic factor
Option 3 Anti-thrombin deficiency is one of the most common cause
17 Pages 17
Option 4 None of the above
Correct Option 3
Q. No. 99 Which one is not a criterion for liver transplant with non-acetaminophen induced
QCODE:0043099 acute liver failure
Option 1 Serum bilirubin > 17.5 mg
Option 2 P-time > 3.5 INR
Option 3 Factor V level < 20% in younger than 30 years age
Option 4 Factor VII level < 30% in 30 years or older
Correct Option 4
Q. No. 100
Liver disease unique to pregnancy not associated with preeclampsia / eclampsia
QCODE:0043100
Option 1 Acute fatty liver of pregnancy
Option 2 HELLP syndrome
Option 3 Intrahepatic cholestasis of pregnancy
Option 4 None of the above
Correct Option 3
