24/02 Flashcards

1
Q

What vaccine should be given to all coeliac disease sufferers?

A

Pnuemococcal vaccine

Booster given every 5 years

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2
Q

What factors increase the risk of gastric cancer?

A
H.pylori infection
Pernicious anaemia
Atrophic gastritis
Salty foods
Smoking
Blood group
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3
Q

What is the imaging modality of choice in primary sclerosing cholangitis?

A

MRCP or ERCP

p-ANCA may be positive

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4
Q

What is Lynch Syndrome (HNPCC)?

A

Genetic condition that predisposes patient to colon cancer
Often affects proximal colon and commonly poorly differentiated

Common metastasis site is the endometrium

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5
Q

How is malnutrition diagnosed?

A

> 10% weight loss in the past 3-6 months

BMI <18.5

Weight loss of >5% within last 3-6months and BMI <20

All weight loss should be unintentional

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6
Q

What are features of Wilsons disease?

A
Hepatitis or Cirrhosis
Speech/behavioural/psychiatric problems
Kayser-Fleischer rings- green brown rings surrounding the iris
Haemolysis
Acute tubular necrosis
Blue nails
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7
Q

What is the management of hepatorenal syndrome?

A

Vasopressers such as terlipressin
Volume expansion with 20% albumin
TIPS procedure

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8
Q

What is the management of primary biliary cirrhosis?

A

1st line Ursodeoxycholic acid
Cholestyramine for itching
Fat soluble Vitamin replacement
Liver transplant

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