Gastro

Question 1

what gets absorbed

in distal ileum

Answer 1

B12, Bile

Question 2

Folic acid gets absorbed

in

Answer 2

First part of intestine

Question 3

What gets aAbsorbed from proximal as well as distal si

Answer 3

GIucore
AA
Lipids

Question 4

Mined anemia may occur

due to malabsorption in

Answer 4

Proximal ?

Question 5

order of sequence absorption of fat

Answer 5

TG → Fat globules → ED → FA → micalle → enterocyte → FA → TG → chylomicrons → lymph → blood →

Question 6

Bacterial overgrowth synchome

Answer 6

conj bile→ un conj bile

Question 7

Causes of fat malabsorption

Answer 7

Decreased bile
Decreased lipase
 Mucosal disease of intestine
Decreased chylomicrons
lymphangiectasia

Question 8

Ix Fat malabsorption

Answer 8

72 hour sfool fat
Steatorrea > 7 g/ dy
spot test
Breath test

Question 9

Triglyceride used for breath test

Answer 9

tripalmitin
triolain
tri octaneon

Question 10

Monosacharides in
intestine alesorbed
by

Answer 10

SGLT -1(glucose and galactose )

Question 11

Fructose transporter

Answer 11

GLUT_ 5

Question 12

D- Xylose is a test of

Answer 12

mucosa of proximal SI
25g show wine
<4.5 g positive test

Question 13

False positive d- xylose test

Answer 13

Pyloric
stenosis
Renal failure
Third space shifting

Question 14

R- Binder

Answer 14

Transcobalamine
haptocorin
Vit B 12 alesorption
secreted by salivary glands

Question 15

Cubulin receptors

found in

Answer 15

Distal SI

IF receptors

Question 16

Role of pancreatic enzymes

in Vit B12 absorbtion

Answer 16

Breaks down

transcobalamin + vit B12

Question 17

C auses of malabsorption Vit B12

Answer 17

Pernicious Anemia
Pancreatic diseases
Diseases of distal
SI

Question 18

SCHILLING TEST

Answer 18

Vit B12 gold Std
ing of vit B12 IM
24 hour urine 
< 10%
add IF
add Pancreatic enzymes
CT contrast?

Question 19

coeliac spru e a/ w

Answer 19

Trype I DM
Ig A def
Dermatitis herpeteformis
Downs
Turners

Question 20

Coeliac spruce affects which part of SI

Answer 20

Proximal more

Question 21

. Anti tTg

Answer 21

most sensitive specific

antibody for coeliac sprue

Question 22

anti bodies coeliac sprue

Answer 22

Endomysial Ab
guinea pig tTG
human ttG
IGA IGG anti glia din

Question 23

Ix coeliac sprue

Answer 23

ab
biopsy
Reversal of changes *****

Question 24

Flat villi with crypt

hyperplasia

Answer 24

hallmark of coeliac sprue

Question 25

Indication for glucocorticoids in coeliac

Answer 25

Refractory | crisis

Question 26

Tropical sprue caused by

Answer 26

klebsiella pneumoniae Enter obacter cloacae E. coli

Question 27

Mononuclear cell infiltrate throughout the lamina | propria

Answer 27

Biopsy- tropical sprue

Question 28

Rx for tropical sprue

Answer 28

Doxycyclihe or tetra cycline (250 Qid) x 6 months Folic acid Vit B 12

Question 29

Whipple s disease associations

Answer 29

``` migratory poly arthritis pan card itis dementia supranuclear ophthalmoplegia seizures cerebellar ataxia polyserositis hepatos planomegaly ```

Question 30

PAs positive macrophages

Answer 30

whipple's disease

Question 31

Rx coeliac sprue

Answer 31

Inj ceftriaxone or Inj meropenam X2mweeks or? Trimethoprim + sulphamethOxazole

Question 32

which IL helps in inhibition of | Immune system against food

Answer 32

1L- 10

Question 33

Co mmon feature UC CD

Answer 33

``` Age se x - Turners Diarrhea Anorexia Nausea, vomiting fever, weight loss Euleaintes tinal manifestation ```

Question 34

gross blood in stool and mucous common in

Answer 34

UC

Question 35

smoking appendicectomy IBD

Answer 35

doubt?

Question 36

ocP and infection risk factor for which IBD

Answer 36

C D

Question 37

most commonly affected | site in uc

Answer 37

Rectum> sigmoid

Question 38

Rectal sparing IBD

Answer 38

CD

Question 39

Uc cannot affect

Answer 39

SI

Question 40

Trans mural 11BD

Answer 40

CD

Question 41

Collar button ulcer

Answer 41

uc

Question 42

Non caseating granuloma . IBD

Answer 42

CD

Question 43

strictures and skip lesion | which IBD

Answer 43

CD

Question 44

Pyoderma gangsinosun IBD

Answer 44

UC> CD

Question 45

Ocular manifestations of IBD

Answer 45

conjunctivitis Anterior uveitis episcleritis

Question 46

Ix IBD

Answer 46

ESR CRP Leucocytesis anemia hypoalbuminea PANCA* ,ASCA, OMP C ,I2 ,anti c - .... Fecal cal protectin, lactoferrin

Question 47

Classification criteria | for uc

Answer 47

MAYO | TRUELOVE and WITTS