GI

Question 1

Gingival hypertrophy

Answer 1

Side effect of calcium channel blockers or phenytoin

Question 2

Bird beak appearance (and distended oesophagus)

Answer 2

Achalasia (if in lower GI imaging, is a sign on bowel obstruction)

Question 3

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness) positive

Answer 3

Acute pancreatitis

Question 4

Mnemonic for acute pancreatitis

Answer 4

Idiopathic
Gallstones
Ethanol (alcohol)
Trauma
Steroids
Mumps and Malignancy
Autoimmune
Scorpion bites
Hyperlipidaemia/hypercalcaemia 
ERCP
Drugs

Question 5

Murphy’s sign positive

Answer 5

Acute cholecystitis

Question 6

Pale stools, jaundice, abdominal pain

Answer 6

Biliary obstruction

Question 7

Abdominal distension, caput medusae, shifting dullness

Answer 7

Portal hypertension + ascites

Question 8

Erythema nodosum/polygangrenosum

Answer 8

Crohn’s/UC

Question 9

Tinkling bowel sounds

Answer 9

Bowel obstruction

Question 10

Vesicular rash + weight loss

Answer 10

Coeliac disease

Question 11

Virchow’s node positive

Answer 11

Gastric cancer

Question 12

Urea breath test

Answer 12

H pylori

Question 13

Glycocholic breath test

Answer 13

Bacterial overgrowth

Question 14

Rice water stools

Answer 14

Cholera

Question 15

Salmon pink rash

Answer 15

Typhoid

Question 16

AMA antibodies

Answer 16

Primary biliary cirrhosis

Question 17

ASMA antibodies

Answer 17

Autoimmune hepatitis

Question 18

Alpha feto protein assay

Answer 18

Hepatocellular carcinoma

Question 19

Anti-TTG

Answer 19

Coeliac disease

Question 20

ANCA antibodies

Answer 20

Primary sclerosing cholangitis

Question 21

Cobblestone mucosa

Answer 21

Crohn’s disease

Question 22

Corkscrew oesophagus

Answer 22

Oesophageal spasm

Question 23

Russell’s sign positive

Answer 23

Self induced vomiting

Question 24

Mallory’s hyline bodies

Answer 24

Alcoholic liver disease

Question 25

Crypt abscesses

Answer 25

Ulcerative colitis

Question 26

Onion skinning fibrosis/beading of bile ducts

Answer 26

Primary sclerosing cholangitis

Question 27

Thumb-printing on AXR at splenic flexure

Answer 27

Ischaemic colitis

Question 28

Signet ring cells on AXR

Answer 28

diffuse stomach cancer

Question 29

RUQ pain, fever, jaundice

Answer 29

Charcots triad (acute cholangitis)

Question 30

High urine 5- hydroxyindolaecetic acid

Answer 30

Carcinoid syndrome

Question 31

Traveler with chronic diarrhoea, weight loss, vitamin B12 deficiency

Answer 31

Tropical sprue

Question 32

Diarrhoea, vomiting + neurological problems after fish consumption

Answer 32

Ciguatera syndrome

Question 33

Diarrhoea, steatorrhoea, B12 deficiency

Answer 33

Bacterial overgrowth

Question 34

Dysphagia, iron deficiency anaemia, glossitis, oesophageal webs

Answer 34

Plummer-Vinson syndrome