LW4

Question 1

Barrets oesophagus definition

Answer 1

squamous to columnar metaplasia

Question 2

Causes of cirrhosis in kids

Answer 2

A1AT, CF, hepatitis, wilson’s

Question 3

Liver cancer marker

Answer 3

AFP

Question 4

Causes of pancreatitis (IGETSMASHED)

Answer 4

Idiopathic, gallstones, ethanol, steroids, trauma, malignancy, autoimmune, scorpion, ERCP

Question 5

Immediate Investigations for LGI Bleed

Answer 5

CXR, ECG, ABGs, NG

Question 6

Delayed investigations for LGI bleed

Answer 6

colonscopy, CT angio

Question 7

MGT of LGI bleed

Answer 7

colonoscopy plus adrenaline, coag, clips, embolisation and surgery

Question 8

LGI bleed of unknown source mgt

Answer 8

subtotal colectomy, exploration

Question 9

Caues of coffe ground vomit in kids

Answer 9

ulceration, GORD, MW tear, swallowed blood

Question 10

What happens to TIBC in preg

Answer 10

it increases

Question 11

Iron profile in thalassaemia and sideroblastic anaemia

Answer 11

Normal or raised ferritin, normal TIBC and normal/raised transferrin saturation

Question 12

Iron profile in anaemia of chronic diseases

Answer 12

normal or increased ferritin, reduced TIBC, normal or reduced transferrin

Question 13

How do you treat a non bleeding varices

Answer 13

beta blockers

Question 14

Varices specific treatment

Answer 14

Sengstaken, banding, TIPS

Question 15

Investigations for paracetamol overdose

Answer 15

FBC, U+Es, PCM level, ABGs, glucose, clotting, LFTs

Question 16

TCA overdose treatment

Answer 16

Correct Mg + K and give sodium bicarbonate

Question 17

Perinatal infections ex.

Answer 17

HIV, Hep, HSV, Chlamydia, Varicella

Question 18

What not to test for in pregnancy and why

Answer 18

CMV ant toxoplasma because no treatment

Question 19

Why don’t secondary herpes infections in the mother usually affect the fetus

Answer 19

Protective IgG crosses the placenta and prevents infection whereas in primary antibodies not made yet

Question 20

Chicken pox prophylaxis

Answer 20

VZIg

Question 21

Varicella syndrome in babies clinical features

Answer 21

eyes, FTT, skin loss, small head

Question 22

CMV Rx

Answer 22

Ganciclovir

Question 23

Parvovirus in fetus sx

Answer 23

hydrops fetalis, transfusion to treat

Question 24

CMV in children symptoms

Answer 24

petechia, jaundice, hepatosplenomegaly

Question 25

if maternal HSV at time of labour then...

Answer 25

do caesarian section

Question 26

Kehr's and Lloyd's sign

Answer 26

Pain referred to left shoulder from diaphragm due to splenic injury Pain on deep percussion of rib due to renal inflammation

Question 27

UC histology

Answer 27

Goblet cell depletion and crypt hyperplasia