1MBChB Gastroenterology

Question 1

Oral manifestation of calcium channel blockers

Answer 1

Gingival hypertrophy/hyperplasia

Question 2

Bird-beak oesophagus

Answer 2

Achalasia

Question 3

Grey Turner’s (lumbar redness) and Cullen’s (umbilical redness) signs

Answer 3

Acute pancreatitis

Question 4

Murphy’s sign +ve

Answer 4

Cholecystitis

Question 5

Tinkling bowel sounds

Answer 5

Bowel obstruction

Question 6

Vesicular rash with weight loss

Answer 6

Coeliac disease

Question 7

Virchow’s node +ve

Answer 7

Gastric cancer

Question 8

Rice-water stools

Answer 8

Cholera

Question 9

AMA antibodies

Answer 9

Primary biliary cirrhosis

Question 10

ASMA antibodies

Answer 10

Autoimmune hepatitis

Question 11

Alpha-feto protein (AFP) elevation

Answer 11

Hepatocellular carcinoma

Question 12

Cobblestone mucosa

Answer 12

Crohn’s disease

Question 13

Corkscrew oesophagus on barium swallow

Answer 13

Oesophageal spasm

Question 14

Calluses on fingers with a background of self-induced vomiting

Answer 14

Russell’s sign (anorexia/bulimia nervosa)

Question 15

Mallory’s hyaline bodies

Answer 15

Alcoholic liver disease

Question 16

Crypt abscesses

Answer 16

Crohn’s disease

Question 17

Onion-skin fibrosis, beading of bile ducts

Answer 17

Primary sclerosing cholangitis

Question 18

Signet ring cells on gastric biopsy

Answer 18

Adenocarcinoma

Question 19

Fever + jaundice + RUQ pain

Answer 19

Charcot’s triad