Gastro 3

Question 1

H Pylori diagnosis

Answer 1

Urea breath tests or serologic testing

Question 2

RLQ pain and inflammatory mass

Segmental inflammation

Thickening of gut wall

Answer 2

Crohn disease

Question 3

AST to platelet ratio index in liver cirrhosis (APPRI)

Answer 3

More than 1

Question 4

Suspected small bowel obstruction investigation

Answer 4

Abdominal x-ray

Question 5

Most common cause of small bowel obstruction in adults

Answer 5

Adhesion

Question 6

Most specific lab value for pancreatitis

Answer 6

Lipase

Question 7

Gallstones causing episodes of pain

Answer 7

Symptomatic cholelithiasis

Question 8

GORD first investigation

Answer 8

Trial of PPI

Then endoscopy

Question 9

Charcot triad

Answer 9

Indicates cholangitis:

Fever
Jaundice
Pain in right upper quadrant

Question 10

Meckel diverticulum Inv

Answer 10

Technetium-99m pertechnetate scintigraphic study

Question 11

Anemia in patient on aspirin and Nurofen

Answer 11

Withhold the drugs until haemoglobin is stable

Question 12

Chronic Pancreatitis secondary to alcohol abuse investigation

Answer 12

CT scan
Ultrasound if CT not available

Avoid ERCP if you can as it’s invasive

Question 13

Alcoholic with oesophageal bleeding - for prophylaxis

Answer 13

Start antibiotics to prevent spontaneous bacterial peritonitis

Question 14

Symptom of the pyloric stenosis due to duodenal ulcer

Answer 14

Vomiting within 1 hour

Question 15

The best indicator of chronic liver disease

Answer 15

Albumin

Question 16

Antibiotic prophylaxis after splenectomy

Answer 16

Penicillin for 2 years

Question 17

Ascites with malignant cells - expect lymphadenopathy in

Answer 17

Left supra clavicular lymph node- abdominal cancer

Question 18

Hydatid hepatic cyst on abdominal ultrasound

Next step

Answer 18

Triphasic abdominal CT scan

to differentiate between abscess and cyst

Question 19

Patient with multiple rape fractures can’t breathe

Answer 19

Give morphine so they can move their ribs more