Gastro

Question 1

Test of exocrine function in chronic pancreatits?

Answer 1

Faecal elastase

Question 2

Best test to detect pancreatic calcification in chronic pancreatitis?

Answer 2

CT abdomen

Question 3

Which clotting factor is increased in alcoholic liver disease?

Answer 3

Factor VIII is increased due to reduced clearance by liver.

Question 4

What is ‘double duct’ sign?

Answer 4

Simultaneous dilation of common bile duct and pancreatic ducts - A sign of pancreatic cancer

Question 5

Which features of haemochromatosis is reversible after treatment?

Answer 5

Cardiomyopathy and skin bronzing.

Question 6

What’s the treatment for Wilson’s disease?

Answer 6

Penicillamine - chelates copper
Trientine hydrochloride

Question 7

How is Dubin-Johnson syndrome inherited?

Answer 7

Autosomal recessive

Question 8

How to monitor treatment efficacy in Haemochromatosis?

Answer 8

Ferritin and Transferrin Saturation.

Question 9

What’s the treatment of eosinophilic oesophagitis?

Answer 9

Topical steroids (Fluticasone) and dietart modifications

Question 10

Treatment of spontaneous bacterial peritonitis?

Answer 10

Intravenous cefotaxime

Question 11

Diarrhoea + hypokalaemia = ?

Answer 11

Villous adenoma

Question 12

Metabolic acidosis + high ketones + euglycemia or hypoglycaemia = ?

Answer 12

Alcoholic ketoacidosis

Question 13

What is the most appropriate step in the management of upper GI bleed after Terlipressin and band ligation to reduce mortality?

Answer 13

Antibiotics - quinolones

Question 14

When to stop antibiotics and PPI before urea beath test?

Answer 14

4 weeks for antibiotics
2 weeks for PPI