GI Flashcards
(119 cards)
1
Q
What medication can be given for achalasia?
A
Calcium channel blockers
2
Q
Treatment of oesophageal cancer
A
surgery and radiotherapy
3
Q
Dyspepsia treatment
A
4 weeks high dose PPI then step down
4
Q
Sliding or rolling which is more common?
A
sliding
5
Q
Red velvety mucosa
A
Barretts
6
Q
Where is the metaplasia in Barrett’s
A
lower third
7
Q
Which are more common, duodenal or gastric ulcers?
A
duodenal
8
Q
When are duodenal ulcers worse?
A
night
9
Q
H Pylori therapy
A
PPI, Amox and Met
10
Q
Pernicious anaemia can cause what cancer
A
gastric
11
Q
Proximal third of stomach cancer treatment?
A
total gastrectomy
12
Q
Distal 2/3 of stomach cancer treatment
A
partial gastrectomy
13
Q
explosive foul smelling Diarrhoea, can cause steatorrhea
A
giardiasis, give metronidazole
14
Q
Liver abscess and bloody diarrhoea
A
amoeba
15
Q
Bakery then food poisoning
A
staph aureus
16
Q
rice water
A
cholera
17
Q
gram positive: endo or exotoxin
A
exotoxin
18
Q
4 Cs that cause C diff
A
clindamycin, co-amox, ciprofloxacin and cephalosporins
19
Q
What kind of laxative is senna
A
stimulant
20
Q
laxatives do what to potassium
A
hypokalaemia
21
Q
Reduced goblet cells
A
UC
22
Q
What induced remission in Crohn’s
A
methosalazine
23
Q
what will maintain remission in Crohn’s
A
asathioprine or methotrexate
24
Q
Rose thorn ulcers and string sign
A
Crohn’s
25
Treatment of toxic megacolon
laparotomy
26
lactose intolerance can be tested for how
hydrogen breath test
27
Macrophagse and saggy mucosa
Whipple's disease
28
colicky pain relieved by flatulence
diverticular disease
29
constant pain LIF and blood
diverticulitis
30
Treatment of diverticulitis
IV Amox, Met, Gent and fluids
| If perforation do Hartmans
31
Painless occult bleeding in elderly
angiodysplasia
32
Pain out of proportion, raised lactate
Mesenteric ischaemia
33
What should be done for mesenteric ischaemia
angiogram, surgery, angioplasty
34
Thumbprint sign
ischaemic colitis
35
fear of eating, Cardio disease, worse post prandial
chronic mesenteric ischaemia
36
What gene is affected in FAP
APC
37
What causes HNPCC
DNA mismatch
38
Colorectal cancer screening
50-74 every 2 years
39
What is needed if AP resection
end colostomy
40
Treatment for rectal prolapse
rectal pinning, or if frail "Derlome's"
41
Absent bowel sounds
ileus
42
Commonest cause of obstruction
adhesions
43
Whirl sign
volvulus
44
Treatment of sigmoid volvulus
flatus tube
45
Treatment of ileus
IV neostigamine and metoclopramide
46
Press of LIF and get RIF pain
Rosvings sign in appendicitis
47
Which LFT is V specific to liver
ALT
48
Which LFT is v specific to alcohol
AST (s for steaming)
49
increased conjugated bilirubin
obstructive cause
50
increased unconjugated bilirubin
haemolysis
51
Pale stool and dark urine
post hepatic
52
Chronic hep B treatment
interferon alpha
53
Budd Chiari occurs in who
post partum women
54
Who gets PBC
middle aged women
55
What does PSC lead to
cholangiocarcinoma
56
What does PBC lead to
HCC
57
What marker for HCC
AFP
58
What scan for HCC
4 phase CT
59
piecemeal necrosis
autoimmune hepatitis
60
persistant raised amylase after acute pancreatitis
cyst
61
chain of lake
chronic pancreatitis
62
What supplements given for chronic pancreatitis
criol
63
most common type of gallstone
cholesterol
64
Investigation for cholecystitis
US, then do Lap choly within week
65
Direct hernias
medial
66
Which hernias are often strangulated
femoral
67
Beri Beri
thymine deficiency
68
Which anti-Emetics are centrally acting
Metoclopramide and Prochlorperazine
69
Which anti-Emetics are peripherally acting
Domperidone
70
Cyclizine/loratidin work on??
H1
71
Ranitidine works on
H2
72
Foregut supplied by
coeliac trunk
73
midgut supplied by
SMA
74
hindgut supplied by
IMA
75
Watershed area
splenic flexure, marginal artery of drummond
76
Sphincter of oddi enters into where?
ampulla of vater
77
Treatment fo metastatis HCC not fit for surgery
sorafenib
78
Abdo pain,blood and leucocytes?
CT for stones
79
drainpipe colon
uc
80
ischaemic colitis commonly affects where
splenic flexure
81
PSC antibody
pANCA
82
beaded strictures on ERCP
PSC
83
Metoclopramide works how
D2 antagonist
84
Crohn's must stop what
smoking
85
What can sudden weight loss do to liver
cause non alcoholic fatty liver
86
C diff isolation time
at least 48 hrs
87
c diff bacteria type
gram positive rod
88
What is more common HNPCC or FAP
HNPCC
89
right sided tenderness on PR
appendicitis
90
Achalasia causes
SCC
91
children with tracheoesophageal fistulas may get what
strictures
92
liver abscess treatment
IV Antibiotics and image guided drainage
93
When should PPI be stopped before endoscopy
2 week
94
Grey rash, impotence
haemochromatosis
95
loperamide acts on what
opiod receptors
96
what can distinguish between IBS and IBD
faecal calproctectin
97
villous atrophy, raised lymphocytes and crypt hyperplasia
coeliac disease
98
Blockage of where with gallstone won't cause jaundice
gallbladder itself or cystic duct
99
Pigmented gall stones
sickle cell
100
commonest cause of ascending cholangitis
e.coli
101
pancreatic pseudocyst treatment?
conservative
102
MALT lymphoma treatment
h pylori eradication therapy
103
gastrectomy causes what potensh
b12 deficiency, subacute combined degen of cord
104
Ulcers and diarrhoea?
check serum gastrin levels could be gastrinoma
105
What is mebeverin
antispasmodic, can teat colicky pain in IBS
106
Gastrointestinal neuroendocrine tumour
carcinoid syndrome - diarrhea, wheeze, flushing
107
what LFTs represent parenchymal function
ALT and AST
108
what LFTs represent synthetic function
prothrombin and albumin
109
intermittent dysphagia
dysmotility problem
110
salmon pink spots and diarrhoea
typhoid
111
Which is more common Crohn's or UC
UC
112
most common congenital GI tract abnormality
Meckel's
113
When is biliary colic common and what should be done
pregnancy, just conservative
114
LA classification is for
Oesophagitis
115
Hep A, can it progress to cirrhosis?
no
116
Prolonged laxative use can cause what
melanosis coli and blood in stool, macrophages contain LIPOFUSCIN
117
Marsh criteria for??
coeliac disease
118
What is v sensitive for liver cirrhosis
thrombocytopenia
119
What anti Epileptic can cause pancreatitis
valproate
