gastro

Question 1

What are features of Severe Child Pugh classfication

Answer 1

1) Encephalopathy grade 3 or 4
2) Bilirubin >50
3) Albumin <28
4) PT time > 6 s above noraml range

Question 2

What type of infection did you get when you got diarrhea

Answer 2

YOu got staph A. Preformed toxin multiply rapidly in dairy/ cold meats etc that causes n+v, diarrhoea withn 1-6 hours

Question 3

What is hypomagnesaemia associated with

Answer 3

Associated with hypocalcameia as magnesium helps in producing PTH
Associated wiht hypokalaemia as normal magnesium reduces potassium excretion. Henc ein refractory hypokalaemia you must ensure you treat the hypomagnesaemia

Question 4

Scoring system for severe pancreatitis

Answer 4

APACHE score

Looks at pa 02 <8.0kpa
ang lots of other factors

Question 5

Prognosis of hepatorenal syndrome

Answer 5

Poor. Mortality of 80%

Question 6

Which type of ulcer is more associated with H pylori, duodenal or gastric

Answer 6

Acc duodenal (90%) vs Gastric (80%)

Question 7

Symptoms of pharyngeal pouch

Answer 7

Dysphagia in general
Fullness in neck
Halitosis.
Regurg of food

Question 8

Which is smoking better for UC or Crohns

Answer 8

UC

Question 9

ix for gastrunomas

Answer 9

octreotide study

Question 10

if you have terminal ileum colectomy and then diarrhoea, y ?

Answer 10

bile acids arent reabsorbed so they stat ib the ds=ance flooer and then they irritate the bowel
can measure via SEHAT test

Question 11

is psc also associated with crohns

Answer 11

yup. Not just UC> more common with UC though

Question 12

With sevre colitis what is hte first in investigation you want

Answer 12

CT Colon

looking for any evidence of toxic megacolon

Question 13

the higher the hbv dna e titre

Answer 13

higher rsk of developing cirrohsus

Question 14

Hodgkins lymphoma is asx with which type of nephrotic syndrome

Answer 14

associated with minimal change disease

Question 15

Tacrolimus can cause which electrolyte abnormality

Answer 15

Hyper K