GI Passtest

Question 1

How do you test for eradication of h pylori?

Answer 1

C urea breath test

Question 2

A relapsing patient with coeliac who is still abiding to gluten free diet think

Answer 2

T cell intestinal lymphoma

Question 3

Crohns patients usually have the antibodies against

Answer 3

Saccharomyces cerevisiae

Question 4

What is a non invasive way to demonstrate acid reflux.

Answer 4

Oesophageal pH monitoring (pH probe in distal oesphagus)

Question 5

Bacteria steatorehoea and macrocytic anaemia

Answer 5

Bacterial overgrowth syndrome

Question 6

Crypt abscesses in Crohns or UC

Answer 6

UC

Question 7

Which laxative should be prescribed with opiates

Answer 7

Senna

Question 8

HIV with white patch on tongue that won’t scrape away - treat with antivirals

Answer 8

Oral hairy leukoplakia (treat with antivirals)

Question 9

What is the reason for hypercalcaemia leading to gord

Answer 9

Hyperparathyroidism

Question 10

Kayser fleisher rings

Answer 10

Wilson’s disease

Question 11

Reduced secretion of what leads to the development of achalasia

Answer 11

Nitric oxide

Question 12

In melanosis coli what is the name of the pigment

Answer 12

Lipofuscin

Question 13

Flushing
Diarrhoea
Bronchispams
And new murmur

Answer 13

Carcinoid syndrome caused by serotonin

Diagnosed via high urine 5 hydroxyindoleacetic acid

Question 14

Travellers diarrhoea most commonly caused by

Answer 14

E Coli

Question 15

What are you most worried about in alcohol dependency? Phosphate sodium magnesium or potassium

Answer 15

Phosphate due to refeeding syndrome

Question 16

Diarrhoea wheezing and flushing

Answer 16

Carcinoid syndrome

?neuroendocrine tumour

Question 17

Investigate for carcinoid syndrome

Answer 17

Chromogranin A 
24 hour urinary 5 hydroxyindolaecetic acid (5HIAA)
Cros sectional imaging of the thorax 
Abdo pelvis
Upper GI and lower GI endoscopy

Question 18

What is a geographic tongue

Answer 18

Depappilation associated with pain on eating spicy or acidic foods

Question 19

Wernikes caused by which vitamin deficiency

Answer 19

B1

Question 20

What is the other name for hereditary haemorrhagic telangectasia

Answer 20

Osler Weber rendu syndrome

Question 21

Budd chiari is occlusion if what vein

Answer 21

Hepatic vein

Question 22

Name six causes of a chronically enlarged spleen

Answer 22

Malaria 
Schistosomiasis 
Hydatid disease
Kala azar 
Chronic leukaemia 
PCR
Sickle cell
Thalassaemia 
Hereditary spherocytosis 
Portal hypertension 
Lymphoma

Question 23

What is hypersplenism

Answer 23

Splenic enlargement with the sequestration and /or destruction of peripheral blood cells in the splenic circulation this results in anaemia leukoplenia and or thrombocytopenia

Question 24

UC and greater than 2 exacerbations in the past year

Answer 24

Oral azathioprine or oral mercaptopurine to maintain remission

Question 25

What makes a UCflare severe?

Answer 25

``` >6 stools per day And at least one of Temp >37.8 HR>90 Anaemia (Hb less than 105) ESR >30 ``` (In hospital as an emergency)

Question 26

Metoclopramide is contraindicated in

Answer 26

Parkinson’s

Question 27

What should you ensure before carrying out a urease breath test?

Answer 27

No abx in the last 4 weeks | No anti secretory drugs (eg PPI) in past 2 weeks

Question 28

What is the investigation of choice for detecting liver cirrhosis

Answer 28

Transient elastography

Question 29

What measurement of weight loss is diagnostic of malnutrition

Answer 29

>10% within the last 3-6 months

Question 30

What vaccine are coeliacs offered and why

Answer 30

Pneumococcal and influenza | Because of functional hyposplenism

Question 31

PPIs can cause what electrolyte abnormality

Answer 31

Hyponatraemia | Hypomagnasaemia (muscle aches)

Question 32

A combination of liver and neurological disease points towards

Answer 32

Wilson’s disease

Question 33

What is the risk of patients with PSC

Answer 33

Development of cholangiocarcinoma

Question 34

First line in UC

Answer 34

TOPICAL (ie rectal) mesalazine

Question 35

How long before an upper GI endoscopy should PPIs be stopped

Answer 35

2 weeks

Question 36

Duodenal ulcers relieved by

Answer 36

Eating

Question 37

What meds should be stopped in C diff infections

Answer 37

Oramorph PRN

Question 38

Which psychiartric drug causes peptic ulcers?

Answer 38

Sertraline

Question 39

What is the most common presentation of Crohns in kids

Answer 39

Abdo pain

Question 40

Treat Wilson’s

Answer 40

Penicillamine

Question 41

What is SAAG used for

Answer 41

To determine if the ascites has been caused by portal hypertension or not If >11g|l indicates portal hypertension

Question 42

What are the serological abnormalities in Wilson’s

Answer 42

Excess copper in tissues causing low serum copper and reduced caeruloplasmin

Question 43

What should be checked before prescribing azathioprine or mercaptopurine in Crohns?

Answer 43

TPMT activity

Question 44

Diagnose PSC

Answer 44

MRCP

Question 45

Bleeding gums think

Answer 45

Scurvy

Question 46

Patients with T1DM or autoimmune thyroid disease should be screened for

Answer 46

Coeliac disease on diagnosis

Question 47

jaundice itch arthralgia

Answer 47

pbc

Question 48

most common cause of acute hep

Answer 48

a

Question 49

jaundice hepatomegaly impotence diabetes arthritis hyperpigmentation small testes infertility

Answer 49

haemochromatosis

Question 50

fever ruq pain jaundice

Answer 50

ascending cholangits

Question 51

what is copes sign

Answer 51

pain from appendix worsens when flex and internally rotate right hip

Question 52

TIPS connects which two vessels

Answer 52

Hepatic vein and portal vein

Question 53

Treat severe alcoholic hepatitis

Answer 53

Corticosteroids

Question 54

Incision used in cholecystectomy

Answer 54

Kochers

Question 55

Whipple procedure incision

Answer 55

Rooftop

Question 56

What sign is this? Palpating under the right costal margin causes her to catch her breath

Answer 56

Murphy sign | In acute cholecystitis

Question 57

Carcinoid syndrome causes what effects on the heart

Answer 57

Pulmonary stenosis and tricuspid insufficiency (affects the right heart)

Question 58

How long do you isolate for with c diff

Answer 58

48 hours

Question 59

Dysphasia affecting both solids and liquids at the start

Answer 59

Achalasia

Question 60

There is an increase in goblet cells in

Answer 60

Crohns