Gi Formative Feedback Flashcards
What does jaundice with high prothrombin time indicate?
Liver cirrhosis because of failure of synthetic liver function.
How does fat necrosis present?
Il-defined
Firm
Skin tethering
What causes subareolar mass and bloody discharge?
Intraduct papilloma
What does tachycardia and hypotension indicate?
Hypovolemia
What is the most common cause of post op urinary retention in elderly man after hernia surgery?
Bladder outflow obstruction with normal renal
Does crohn’s have granuloma or non-caesating granuloma?
Non-Caesating granulomadif
What is the difference between caesating adn non-caesating granuloma?
Caesating is caused by infection like TB
Non-caesating is associated with inflammatory conditions
What hepatitis type is associated with meat?
Hepatitis E
What is used to visualise gallstones?
MRCP
What is Alagille syndrome?
Genetic disorder where there is too little bile ducts to drain the bile, and also affects the heart. It presents in children under 5.
What is the endocrine cause of pancreatitis?
Hyperparathyoridism
What is the cause of target cells:
Decreased enzymatic activity increases the cholesterol to phospholipid ratio, producing an absolute increase in surface area of the red blood cell membranes. In macrocytosis the etiology is commonly bone marrow dysplasia secondary to alcohol abuse and chronic alcoholism. Other causes include: Megaloblastosis (Vitamin B12 or folate deficiency; or DNA synthesis-inhibiting drugs); hypothyroidism; reticulocytosis
When is basophilic stopping found?
Erythrocytes have small dots at periphery, which may be. Abnormal finding
What is protective of Barrett’s oesophagus?
H.pylori infection
What is the protocol for national breast screening?
Letters of invitation from GP list
Sensitivity is inversely proportional to age
What causes cyclical breast pain?
Fibrocystic disease
Why is colonoscopy successful for detection of colorectal cancer?
Pre-existing polyps
What is blood group O associated with?
Duodenal ulcer
When is screening done for Barrett’s?
Regularly every 6 months IF there is dysplasia and exetensive change over 5cm in length
What is PICC risk?
Peripheral inserted central cannula can cause DVT commonly after insertion
When is D-dimmer unhelpful?
Active cancer
What are the side effects of PPIs?
Hypomagnesaemia that can cause tetany and polymorphic VT
