GI Flashcards

1
Q

Where are diverticuli most commonly found

A

sigmoid

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2
Q

Anal fissure treatment

A

topical GTN

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3
Q

Haemorrhoids PR exam

A

usually unremarkable

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4
Q

Chronic constipation and straining

A

solitary rectal ulcers

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5
Q

Nocturnal diarrhoea and incontinence

A

IBD

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6
Q

Management of sigmoid volvulus

A

tube insertion

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7
Q

triple A repair can lead to what

A

ligation of IMA and therefore ischaemia colitis

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8
Q

crohn’s and UC which has low grade fever

A

both

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9
Q

temporary lucid period after car accident then death, haematoma

A

aortic transection

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10
Q

PTEn mutation

A

Cowden disease

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11
Q

right hypoglossal nerve damage does what to tongue

A

right deviation

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12
Q

High levels of what factor in SIRS

A

tumour necrosis alpha

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13
Q

Long or short history of dysphagia suggests maligancy

A

shorter

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14
Q

Soap bubble appearance

A

giant cell tumour

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15
Q

Low urinary calcium, hypocalcaemia and crush fractues

A

osteomalacia

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16
Q

right sided colon cancers at young age

A

Lynch syndrome

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17
Q

Most sensitive blood test for acute pancreatitis

A

lipase

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18
Q

Most common type of hiatus hernia

A

sliding

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19
Q

burning pain on anterior thigh worse on walking

A

lateral cutaneous nerve of thigh

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20
Q

dumping syndrome

A

vertigo and cramps after meals

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21
Q

middle eastern, liver cysts

A

hyatid cyst

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22
Q

fissure in ano teatment

A

topical diltiazem

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23
Q

Achalasia causes what cancer

A

squamous

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24
Q

tinkling bowel sounds

A

small bowel obstructin

25
Q

What type of feeding can cause deranged LFTs

A

TPN

26
Q

Psoas stretch sign

A

appendicitis

27
Q

bleeding at end of micturation and pus on urethral meatus

A

prostatis

28
Q

metastatic HCC and not fit for surgery

A

sorafenib

29
Q

ischaemic colitis affects where

A

splenic flexure

30
Q

drainpipe colon

A

UC

31
Q

beaded strictures on ERCP

A

PSC

32
Q

Metoclopramide works how

A

D2 antagonist

33
Q

Use what to monitor HCC

A

AFP

34
Q

C diff bacteria type

A

gram positive rod

35
Q

which is more common, HNPCC or FAP

A

HNPCC

36
Q

right sided tenderness on PR

A

appendicitis

37
Q

midline sinus in natal cleft of hirsute individuals

A

pilinoidal sinu

38
Q

enterovesical fistula

A

bubbly urine

colorectal cancer can cause this

39
Q

Aortic dissection

A

IV fluids

40
Q

2 feet proximal to ileocaecal valve

A

meckel’s

41
Q

rare mucinous tumour from appendix

A

pseudomyxoma peritonei

42
Q

thumbprint on X ray

A

ischaemic colitis

43
Q

Lack of sphincter relaxation

A

achalasia

44
Q

globus hystericus

A

anxiety

45
Q

ALP in pregnancy

A

raised

46
Q

liver failure triad

A

encephalopathy, jaundice and coagulopathy

47
Q

gold standard for coeliac

A

duodenal biopsy

48
Q

Zollinger Ellison is linked to

A

MEN 1

49
Q

commonest complication of liver cirrhosis

A

hepatic encephalopathy

50
Q

treatment of hepatic encephalopathy

A

oral lactulose or nifaximin if this doesn’t work

51
Q

HNPCC gene

A

dna mismatch, MSH2 gene

52
Q

if NAFLD found do what

A

enhanced liver fibrosis blood test

53
Q

commonest cause of liver disease

A

NAFLD

54
Q

Most common site affected in UC

A

rectum

55
Q

loss of haustral markings

A

UC

56
Q

Barrett’s tx

A

endoscopy surveillance and PPI

57
Q

prominent gas bubble on XR

A

GORD

58
Q

best investigation for anal fistula

A

MRI