GI

Question 1

What is the investigation of choice for PSC?

Answer 1

MRCP

Question 2

anti-HBc (IgG) suggests…

Answer 2

Previous Hep B infection

Question 3

Ischaemic colitis is most likely to occur in which area?

Answer 3

Splenic flexure

Question 4

PSC is associated with…

Answer 4

UC

Question 5

Which auto-antibody may suggest PSC?

Answer 5

pANCA

Question 6

Which auto-antibodies may be raised in pernicious anaemia?

Answer 6

Intrinsic factor antibodies

Question 7

What is the first-line treatment for autoimmune hepatitis?

Answer 7

Steroids

Question 8

What is the investigation of choice in suspected UC?

Answer 8

Flexible sigmoidoscopy

Question 9

What is the eradication therapy for H Pylori?

Answer 9

PPI + Amoxicillin + Clarithromycin

Question 10

What is the treatment for Wilson’s disease?

Answer 10

Penicillamine

Question 11

Give causes of a change in bowel habit.

Answer 11

Colorectal cancer, IBD, IBS and Coeliac disease

Question 12

What is the initial test for coeliac disease?

Answer 12

IgA Anti-TTG

Question 13

Which type of IBD is worsened by smoking?

Answer 13

Crohn’s disease

Question 14

Which vessels are connected in a TIPSS shunt?

Answer 14

Hepatic vein and portal vein

Question 15

Which vaccination should people with coeliac disease receive every 5 years?

Answer 15

Pneumococcal (due to hyposplenism)

Question 16

‘Cobblestone appearance’ suggests…

Answer 16

Crohn’s disease

Question 17

‘Crypt abscesses’ suggests…

Answer 17

UC

Question 18

Transmural inflammation in IBD suggests…

Answer 18

Crohn’s disease

Question 19

Which types of IBD may be worsened by smoking?

Answer 19

Crohn’s disease

Question 20

How are flares of IBD usually managed?

Answer 20

Oral steroids

Question 21

What are the first-line maintenance agents for UC?

Answer 21

Mesalazine or sulfasalazine

Question 22

What are the first-line agents for maintenance of Crohn’s disease?

Answer 22

Immunosuppression - azathioprine, methotrexate

Question 23

Melanosis coli is associated with…

Answer 23

Laxative abuse

Question 24

Which types of hepatitis can be vaccinated against?

Answer 24

A, B and D

Question 25

Which Hep B serological marker suggests current infection?

Answer 25

HBsAg

Question 26

Which serological marker is used to check for Hep B vaccine response?

Answer 26

Anti-HBsAg

Question 27

Which markers are used in haemochromatosis monitoring?

Answer 27

Ferritin and Transferrin saturation

Question 28

What is the first-line prophylactic agent in variceal bleeding?

Answer 28

Propanolol

Question 29

What is the surgical management for Achalasia?

Answer 29

Heller cardiomyotomy

Question 30

What is the test for H Pylori?

Answer 30

Urea breath test

Question 31

What is the most common cause of gastroenteritis?

Answer 31

Campylobacter

Question 32

Gastroenteritis few days after BBQ suggests...

Answer 32

E Coli

Question 33

Sudden-onset gastroenteritis suggests...

Answer 33

Staph aureus

Question 34

Sudden-onset gastroenteritis suggests...

Answer 34

Staph aureus

Question 35

Prolonged vomiting leads to which ABG abrnomality?

Answer 35

Metabolic alkalosis with hypokalaemia

Question 36

Prolonged diarrhoea may lead to which ABG abnormality?

Answer 36

Metabolic acidosis with hypokalaemia