20 cards

Question 1

Radiation proctitis definition

Answer 1

Months to years after radiation exposure to rectum

Question 2

Clin F/ presentation of diabetic amyotrophy

Answer 2

Asymmetric unilateral leg pain -> progressive weakness and autonomic dysfunction

Question 3

What is the investigation of choice to investigate red flags for spinal pathology

Answer 3

MRI

Question 4

Clin F of cardiac tamponade

Answer 4

Beck’s triad - muffled HS, raised JVP, hypotension

Question 5

Next step if mild to moderate flare of UC doesn’t respond to PR/PO amniosalicylates

Answer 5

Add PO CS

Question 6

Which substance contributes to hepatic encephalopathy

Answer 6

Ammonia crossing BB contributes to hepatic encephalopathy
May be precipated by constipation

Question 7

Grading of hepatic encephalopathy

Answer 7

Stages of a night out
Grade 1- irritability
Grade 2- confusion, inappropriate behavior
Grade 3- incoherent, restless
Grade 4- coma

Question 8

Best measure of acute liver failure and why

Answer 8

Prothrombin has a shorter 1/2 life than albumin because it is a better meaure of acute liver failuree

Question 9

What is used first line to maintain remission in L sided or extensive UC

Answer 9

PO aminosalicylate

Question 10

Which ABx is common cause of drug induced liver injury

Answer 10

Amoxicillin clauvulante

Question 11

What should be prescribed in hepatic encephalopathy ?

Answer 11

Lactulose every 2 hours

Question 12

Investigation findings in ischemic hepatitis

Answer 12

Dramatic rise in aminotransferases greater than 10 UNL following hypotension -> shows a rapid rise and fall within days

Question 13

Variceal bleeding/ hemorrhage management

Answer 13

Terlipressin
Ppx ABx
Avoid over- transfusion of blood products to prevent increase portal pressure

Question 14

MC benign liver lesion

Answer 14

Haemangiomas

Question 15

What complication in IBD is associated with poor outcomes and increased rate of CS failure

Answer 15

Toxic megacolon