GI 2

Question 1

UC, jaundice, abdominal pain, raised ALP, AMA negative

Answer 1

Primary sclerosing cholangitis

Question 2

80yo, thirst, pain tiredness, depression, bone pain and constipation

Answer 2

Hypercalcaemia

Question 3

Give some examples of symptoms of hypothyroidism

Answer 3

cold intolerance, weight gain, hoarse voice, menorrhagia, constipation and depression

Question 4

cold intolerance, weight gain,hoarse voice, menorrhagia, constipation and depression

Answer 4

Hypothyroidism

Question 5

When is barium emena contraindication and why?

Answer 5

In suspected diverticular disease, because of risk of perforation

Question 6

Name a side effect of Ferrous sulphate tablets which are used to treat anaemia

Answer 6

Constipation and black stools

Question 7

Air under diaphragm

Answer 7

Perforated viscus- eg colon

Question 8

Constipated patient with an “inverted U loop” of bowel

Answer 8

Sigmoid volvolus

Question 9

Haustral pattern and colonic dilatation of 8cm

Answer 9

toxic megacolon

Question 10

Severe epigastric pain and vomiting, abdominal film shows absent psoas shadow and “sentinel loop” of proximal jejunum

Answer 10

Acute pancreatitis

Question 11

Treatment for perforated gastric ulcer

Answer 11

Surgical emergency, requires laparotomy

Question 12

Treatment for severe oesphagitis confirmed on endoscopy

Answer 12

High dose proton pump inhibitor initially then low dose therapy continued when healed

Question 13

Treatment for Cirrhosis bleeding with haematemesis

Answer 13

Upper Gi endoscopy

Question 14

Upper GI bleeding in patient with known cirrhosis

Answer 14

Variceal bleeding

Question 15

Acute upper GI bleeding in patient in non cirrhotic patient

Answer 15

Peptic ulcer disease

Question 16

Treatment in severe UC with fever, tachycardia and abdominal distension

Answer 16

IV Hydrocortisone

Question 17

Treatment for suspected IBS with colicky abdominal pain and bloating

Answer 17

Mebeverine

Question 18

Sympathetic nervous system hyperactivity- sweating, tachycardia, hypertension, high glucocorticoid secretion

Answer 18

Features of alcohol withdrawal

Question 19

ALT>1000

Answer 19

Viral, drug reaction or ischaemic hepatitis

Question 20

Name some recognised causes of diarrhoea

Answer 20

Chronic pancreatitis, Thyroxicosis, Carcinoid syndrome, Diabetes mellitus

Question 21

How does aspirin damage the gastric mucosa?

Answer 21

Through reduced surface mucus secretion

Question 22

Distension of small and large bowel on AXR

Answer 22

Small bowel dilated >3cm

Large bowel dilated >5.5cm

Question 23

Patient with high risk GI bleed

Answer 23

Hypotensive, haemetemesis or malaena, postural hypotension and co-morbidity…urgent endoscopy

Question 24

Patient with low risk GI bleeding

Answer 24

coffee ground vomitus and CV parameters are normal

Question 25

Only condition with more dysphagia for liquids than solids as a result of uncoordinated peristalsis

Answer 25

Oesophageal dysmotility- likely to dismotility

Question 26

Child aged 2months-2 years, Sausage shaped abdominal mass, inconsolable crying and colicky pain, red current like jelly bleeding

Answer 26

Intussusception

Question 27

Drug treatment for Pseudomembranous Colitis

Answer 27

Metronidazole

Question 28

Non Caseating Granuloma- UC, Crohn's or both?

Answer 28

Crohns

Question 29

Dermatitis Herpetiformis

Answer 29

Rash found in coeliac disease

Question 30

What should be done promptly in the acute management for a patient presenting with ascites with spontaneous bacterial peritonitis?

Answer 30

Diagnostic Paracentesis Tap

Question 31

Most common peptic ulcer?

Answer 31

Duodenal

Question 32

What is the use of the PABA test?

Answer 32

Pancreatic Insufficiency