GI

Question 1

What is the TIBC in anaemia of chronic disease? high or low

Answer 1

decreased

Question 2

which protein carries copper?

Answer 2

ceruloplasmin

Question 3

in wilsons, is ceruloplasmin high or low?

Answer 3

low

Question 4

what are used to induce remisison in crohns?

Answer 4

glucocorticoids

Question 5

investigation of choice for PSC?

Answer 5

MRCP

Question 6

what does an increased urea suggest? + how to investigate?

Answer 6

upper GI bleed + upper OGD within 24 hours

Question 7

which cancer is barretts associated with?

Answer 7

adenocarcinoma

Question 8

which cancer is achalasia associated with?

Answer 8

squamous

Question 9

how to treat mild / moderate UC?

Answer 9

masalazine + prednisolone

Question 10

order of replacing b12 and folate?

Answer 10

B12 B4 folate

Question 11

SE of PPIs ?

Answer 11

hyponatremia

Question 12

what is courvoisers law?

Answer 12

painless obstructive jaundice = probs pancreatic malignancy

Question 13

how to investigate small bowel overgrowth?

Answer 13

hydrogen breath testing

Question 14

how to treat oesophageal variceal bleeding?

Answer 14

band ligation

Question 15

SE of metoclopramide?

Answer 15

diarrhoea

Question 16

difficulty swalloing food + liquids with regurgitation?

Answer 16

pharyngeal pouch

Question 17

sympotms of Hep a?

Answer 17

flu like

Question 18

transmission of hep a?

Answer 18

faecal oral

Question 19

what is a sister mary joseph nodule?

Answer 19

periumbilical node from gastric carcinoma

Question 20

how to treat recurrent c diff within 12 weeks?

Answer 20

oral fidaxomicin

Question 21

palpation of RUQ = arrest of respiration diagnosis?

Answer 21

acute cholecystitis

Question 22

how does dysphagia affect solids and liquids?

Answer 22

equally from the start

Question 23

what is the total serum copper in wilsons?

Answer 23

reduced

Question 24

what is the lactate in acute mesenteric ischaemia?

Answer 24

high

Question 25

dysphagia, glossitis and iron deficiency anaemia diagnosis?

Answer 25

plummer vinson syndrome

Question 26

how to treat c diff?

Answer 26

oral vanc + IV met

Question 27

how to treat diarrhoea in IBS?

Answer 27

loperamide

Question 28

how to treat constipation in IBS?

Answer 28

lactulose

Question 29

causes of respiratory alkalosis?

Answer 29

hyperventilation panick attack salicylate poisoning PE CNS disorder eg stroke, SAH pregnancy altitude

Question 30

causes of metabolic alkalosis

Answer 30

severe vomiting loss of potassium

Question 31

causes of respiratory acidosis

Answer 31

severe asthma pneumonia hypoventilation COPD opiate overdose benzo overdose NMD disease

Question 32

causes of metabolic acidosis

Answer 32

DKA lactic acidosis alcohol salicylate toxicity diarrhoea addisons septic shock

Question 33

how to calculate anion gap

Answer 33

(Na+K) - (Cl + HCo3))

Question 34

prophylacitc treatment and abx for variceal haemorrhage?

Answer 34

propranolol + quinolones

Question 35

how to stage colorectal cancer

Answer 35

DUKES

Question 36

h pylori erradiaction?

Answer 36

3x therapy for 1 week PPI + met + gent / clarithromycin

Question 37

coffee bean sign?

Answer 37

volvulus

Question 38

serum transferrin iron in hereditary haemachromatosis?

Answer 38

increased

Question 39

TIBC in hereditary haemachromatosis?

Answer 39

decreased

Question 40

pancreatic cancer marker?

Answer 40

CA19-9

Question 41

surgery for pancreatic cancer?

Answer 41

whipples

Question 42

colonscopy findings for UC?

Answer 42

red, raw mucosa bleeds easily psuedo polyps no inflammation beyond submucosa crypt abscesses depletion of goblet cells