GI

Question 1

Gingival hypertrophy

Answer 1

Side effect of CCB or phenytoin (anti-epileptic)

Question 2

Bird beak appearance (with dilated oesophagus)

Answer 2

Achalasia

In lower GI imaging is a sign of bowel obstruction

Question 3

Grey Turner’s sign

Answer 3

Bruising of the flank

Acute pancreatitis

Question 4

Bruising of the flank and umbilicus

Answer 4

Grey Turner’s and Cullen’s sign

Acute pancreatitis

Question 5

Cullen’s sign

Answer 5

Bruising of the umbilicus

Acute pancreatitis

Question 6

Murphy’s sign

Answer 6

Pain on expiration on hypocondral region

Positive in cholecystitis

Question 7

Pale stools, jaundice and abdo pain

Answer 7

Biliary obstruction

Question 8

Abdo distention, caput medusae, shifting dullness

Answer 8

Ascites secondary to portal hypertension

Question 9

Pyoderma gangrenosum, erythema nodusum

Answer 9

Crohn’s or UC

Question 10

Tinkling bowel sounds

Answer 10

Bowel obstruction

Question 11

Vesicular rash + Weight loss

Answer 11

Crohn’s

Question 12

Virchow’s node (left supra-clavicular)

Answer 12

Gastric cancer

Question 13

Urea breath test

Answer 13

H.pylori

Question 14

Carbon-14 breath test

Answer 14

Bacterial overgrowth

Question 15

Rice water stools

Answer 15

Vibrio cholera

Question 16

Positive AMA

Answer 16

Primary biliary cirrhosis

Question 17

Positive ASMA

Answer 17

Autoimmune hepatitis

Question 18

Alpha feto protein assay

Answer 18

Hepatocellular carcinoma

Question 19

Cobblestone mucosa

Answer 19

Crohn’s disease

Question 20

Diuretic given in ascites secondary to cirrhosis

Answer 20

Spironolactone

Question 21

Corkscrew oesophagus on barium swallow

Answer 21

Diffuse oesophageal spasm

Question 22

Severe abdo pain

Diarrhea and vomiting after consuming raw milk

Answer 22

Campylobacter

Question 23

Russell’s sign

Answer 23

Self induced vomiting

Question 24

Mallory’s hyaline bodies

Answer 24

Alcoholic liver disease (Acute hepatitis) & chronic active hepatitis

Question 25

Crypt abscess/cryptitis

Answer 25

Inflammatory bowel

Crohn’s

Question 26

Onion skinning fibrosis, beading of bile ducts

Answer 26

Primary sclerosing cholangitis

Question 27

“Signet Ring” cells seen on biopsy

Answer 27

Linitis plastica, diffuse stomach cancer

Question 28

Thumb-printing on X-ray

Commonly at splenic flexure

Answer 28

Ischaemic colitis

Question 29

Charcot’s triad

Answer 29

The signs on acute cholangitis
- Fever
- Jaundice
- Abdominal pain
Secondary to cholelithiasis

Question 30

Causes of abdominal mass

A CHEMICAL

Answer 30

A CHEMICAL

• AAA
• Crohn’s
• Hernia
• Enlarged organ
• Malignancy
• Intersusception
• Cyst/abcess
• Appendicitis
• Lymphadenopathy

Question 31

Causes for bowel obstruction

BATH VIPS

Answer 31

BATH VIPS

• Bolus
• Adhesions
• Tumours
• Hernia
• Volvulus
• Intersussception
• Pseudo-obstruction
• Stricture

Question 32

Side effect of spironlactone

Answer 32

Gynaecomastia

Question 33

What is the mouth disease associated with Crohn’s disease

Answer 33

Stomatitis gangrenosum

Question 34

Replacement of oesophageal stratified squamous epithelium by simple columnar epithelium with goblet cells

Answer 34

Barretts oesophagus

Question 35

Which liver enzyme is increased in alcoholic liver disease

Answer 35

AST

“wASTed”

Question 36

The six F’s of abdominal distention

Answer 36

Fat
Foetus
Flatus
Faeces
Fluid
Fucking giant tumour