22/02

Question 1

What are microscopic features of UC?

Answer 1

Inflammation confined to submucosa
Crypt abscesses
Continuous inflammation
Decreased mucin

Question 2

What are microscopic features of Crohns Disease?

Answer 2

Skip lesions
Inflammation all the way through to mucosa
Goblet cells
Granulomas

Question 3

What is the grading of hepatic encephalopathy?

Answer 3

1- Irritability
2- Confusion, inappropriate behaviour
3-Incoherent, restless
4- coma

Question 4

When is an urgent referral for endoscopy needed?

Answer 4

Any patient >55 with weight loss and any one of the following

• Upper abdo pain
• reflux
• dyspepsia

Question 5

What is the management for c diff infection?

Answer 5

Oral vancomycin for 10 days
2nd line oral fidaxomicin
3rd line- oral vancomycin +/- IV metronidazole

Question 6

What is a feature of oesophageal candidiasis?

Answer 6

Painful swallowing

History of steroid therapy

Question 7

What are symptoms of haematochromoatosis?

Answer 7

Reduced libido
Erectile dysfunction
Darkened skin
Fatigue

Question 8

What are associated factors of non alcoholic fatty liver disease?

Answer 8

Obesity
T2DM
Hyperlipidaemia
Jejunal bypass
Sudden weight loss/starvation

Question 9

What are the most common symptoms of Crohns in adults and children?

Answer 9

Children- abdo pain

Adults- diarrhoea