1. Which is the most common cause of peptic ulcer disease?
(A) Stress
(B) H. pylori infection
(C) NSAID use
(D) Alcohol
2. Which condition presents with “skip lesions” in the intestine?
(A) Ulcerative colitis
(B) Crohn’s disease
(C) IBS
(D) Diverticulitis
3. Which vitamin deficiency occurs after gastrectomy?
(A) Vitamin A
(B) Vitamin B12
(C) Vitamin C
(D) Vitamin K
4. Which condition shows “string sign” on barium study?
(A) Crohn’s disease
(B) Ulcerative colitis
(C) Pyloric stenosis
(D) Achalasia
5. Which antibody is most specific for celiac disease?
(A) Anti-endomysial antibody
(B) Anti-gliadin antibody
(C) Anti-tTG antibody
(D) ANA
6. Which is the most common cause of acute pancreatitis?
(A) Trauma
(B) Alcohol
(C) Gallstones
(D) Hyperlipidemia
7. Which marker is elevated in hepatocellular carcinoma?
(A) CEA
(B) AFP
(C) CA 19-9
(D) CA 125
8. Which infection causes “rice-water stools”?
(A) E. coli
(B) Vibrio cholerae
(C) Shigella
(D) Salmonella
9. The most common site of gastric ulcer is:
(A) Fundus
(B) Lesser curvature
(C) Greater curvature
(D) Cardia
10. Which disease shows “lead-pipe” colon on barium enema?
(A) Crohn’s disease
(B) Ulcerative colitis
(C) IBS
(D) Ischemic colitis
11. Which is the gold standard test for GERD?
(A) Endoscopy
(B) Barium swallow
(C) 24-hour pH monitoring
(D) CT scan
12. Which hepatitis virus is DNA virus?
(A) HAV
(B) HBV
(C) HCV
(D) HEV
13. Which sign indicates pancreatitis when bruising around the umbilicus?
(A) Cullen’s sign
(B) Grey-Turner’s sign
(C) Murphy’s sign
(D) Courvoisier’s sign
14. Which enzyme is more specific for pancreatitis?
(A) Amylase
(B) Lipase
(C) Trypsin
(D) Chymotrypsin
15. Which is the most common cause of cirrhosis worldwide?
(A) Alcohol
(B) Viral hepatitis
(C) NAFLD
(D) Hemochromatosis
16. Which condition is associated with “apple core” lesion on barium enema?
(A) Crohn’s disease
(B) Colorectal carcinoma
(C) Ulcerative colitis
(D) Diverticulitis
17. Which sign is positive in cholecystitis?
(A) Cullen’s sign
(B) Murphy’s sign
(C) Rovsing’s sign
(D) Psoas sign
18. Which is the most common site for diverticulosis?
(A) Rectum
(B) Sigmoid colon
(C) Cecum
(D) Ascending colon
19. Which hepatitis virus is transmitted via fecal-oral route?
(A) HBV
(B) HCV
(C) HAV
(D) HDV
20. Which condition is associated with “bird-beak” appearance on barium swallow?
(A) Esophageal cancer
(B) Achalasia cardia
(C) GERD
(D) Hiatus hernia
21. Which liver condition is reversible with abstinence from alcohol?
(A) Cirrhosis
(B) Hepatocellular carcinoma
(C) Alcoholic hepatitis
(D) Fatty liver
22. Which disease is associated with “cobblestone appearance” of mucosa?
(A) Crohn’s disease
(B) Ulcerative colitis
(C) IBS
(D) Ischemic colitis
23. Which is the most common cause of chronic pancreatitis?
(A) Gallstones
(B) Alcohol abuse
(C) Trauma
(D) Hypercalcemia
24. Which condition presents with projectile non-bilious vomiting in infants?
(A) Intussusception
(B) Pyloric stenosis
(C) Duodenal atresia
(D) Hirschsprung’s disease
25. Which marker is associated with colorectal cancer?
(A) AFP
(B) CA 19-9
(C) CEA
(D) CA 125
26. Which hepatitis virus can cause fulminant hepatitis in pregnancy?
(A) HAV
(B) HBV
(C) HCV
(D) HEV
27. Which disease is associated with Kayser-Fleischer rings?
(A) Hemochromatosis
(B) Wilson’s disease
(C) Primary biliary cirrhosis
(D) Alpha-1 antitrypsin deficiency
28. Which is the most common cause of upper GI bleeding?
(A) Gastric carcinoma
(B) Esophageal varices
(C) Duodenal ulcer
(D) Gastritis
29. Which is the most common cause of lower GI bleeding in adults?
(A) Hemorrhoids
(B) Anal fissure
(C) Diverticulosis
(D) Colorectal cancer
30. Which test is diagnostic for celiac disease?
(A) Colonoscopy
(B) Duodenal biopsy
(C) Ultrasound
(D) MRI
31. Which condition is known as “spider angiomas” and palmar erythema?
(A) Cirrhosis
(B) Hepatitis A
(C) Gallstones
(D) Pancreatitis
32. Which structure prevents reflux at gastroesophageal junction?
(A) Pyloric sphincter
(B) Lower esophageal sphincter
(C) Upper esophageal sphincter
(D) Ileocecal valve
33. Which drug is contraindicated in hepatic encephalopathy?
(A) Lactulose
(B) Neomycin
(C) Benzodiazepines
(D) Rifaximin
34. Which disease shows “string sign of Kantor”?
(A) Crohn’s disease
(B) Ulcerative colitis
(C) IBS
(D) Pyloric stenosis
35. Which is the most common benign liver tumor?
(A) Hepatic adenoma
(B) Hemangioma
(C) FNH
(D) Lipoma
36. Which test is most sensitive for diagnosing acute cholecystitis?
(A) USG abdomen
(B) CT scan
(C) HIDA scan
(D) ERCP
37. Which is the most common type of gallstone?
(A) Pigment stone
(B) Cholesterol stone
(C) Mixed stone
(D) Calcium stone
38. Which complication is common in ulcerative colitis?
(A) Fistula
(B) Stricture
(C) Toxic megacolon
(D) Malabsorption
39. Which disease is associated with PSC (primary sclerosing cholangitis)?
(A) Crohn’s disease
(B) Ulcerative colitis
(C) IBS
(D) Diverticulitis
40. Which condition shows “double bubble” sign in neonates?
(A) Intussusception
(B) Duodenal atresia
(C) Pyloric stenosis
(D) Hirschsprung’s disease
41. Which liver enzyme is most specific for hepatocellular injury?
(A) AST
(B) ALT
(C) ALP
(D) GGT
42. Which condition shows “sausage-shaped” mass in right hypochondrium in children?
(A) Appendicitis
(B) Intussusception
(C) Pyloric stenosis
(D) Hepatomegaly
43. Which condition is associated with “currant jelly stools”?
(A) Pyloric stenosis
(B) Intussusception
(C) Hirschsprung’s disease
(D) Crohn’s disease
44. Which disease shows “onion-skin” fibrosis in bile ducts?
(A) PBC
(B) PSC
(C) Wilson’s disease
(D) Hemochromatosis
45. Which is the first-line drug for hepatic encephalopathy?
(A) Rifaximin
(B) Lactulose
(C) Neomycin
(D) Metronidazole
46. Which infection is linked with gastric cancer?
(A) Salmonella
(B) H. pylori
(C) Shigella
(D) Rotavirus
47. Which is the most common congenital anomaly of GI tract?
(A) Hirschsprung’s disease
(B) Meckel’s diverticulum
(C) Duodenal atresia
(D) Malrotation
48. Which disease shows “thumbprinting” sign on X-ray?
(A) Ischemic colitis
(B) Crohn’s disease
(C) Ulcerative colitis
(D) IBS
49. Which condition is associated with painless jaundice and palpable gallbladder?
(A) Cholecystitis
(B) Pancreatic cancer
(C) Gallstones
(D) Hepatitis
50. Which drug is used for variceal bleeding prophylaxis?
(A) Omeprazole
(B) Propranolol
(C) Spironolactone
(D) Octreotide