2.8.2013(specialty GC)

Question 0

Characteristic feature of Granulomatous hepatitis

Answer 0

No jaundice

Elevated ALP

Question 1

Diff btw drug induced and viral cholestasis?

Answer 1

Cholestasis appears early in drug induced hepatitis

Question 2

Regan isoenzyme

Answer 2

ALP

Tumor marker

Question 3

ALP raised but USG showing no obstruction

Answer 3

Intrahepatic cholestasis

Question 4

Painful dysphagia,causes

Answer 4

Bisphosphonates
NSAIDS
doxycycline 
Kcl
CMV
HSV
EBV
candida
Vigorous achalasia

Question 5

DD for achalasia cardia

Answer 5

Peptic stricture

Burning sensation disappears after stricture develops

Question 6

Secondary achalasia

Answer 6

Paraneoplastic syndrome

Question 7

Trachealisation of esophagus

Answer 7

Eosinophilic esophagitis

DES

Question 8

Malena

Answer 8

Tarry
Semisolid
Foul smelling

Question 9

Most powerful stimulator of peristalsis

Answer 9

Blood

Question 10

Malena mimic

Answer 10

Oral iron tablet

Question 11

Painless UGI bleed

Answer 11

Varices
NSAID gastritis
AV malformation

Question 12

Why no hematemesis in duodenal ulcer?

Answer 12

Slow bleed

Proximal scar

Question 13

Diff btw hemoptysis and hematemesis?

Answer 13

Bright color

Irritation of throat

Question 14

Obscure GI bleed

Answer 14

No cause detected by upper GI or lower GI endoscopy

Usually small intestinal cause

Question 15

Normal liver span

Answer 15

Less than12 cm

Question 16

Hepatomegaly

Answer 16

More than 15cm

Question 17

Confirmatory diagnosis of HCC is made by

Answer 17

Radiology
Triple phase CT angio
T2 weighted MRI

Question 18

Specific form of AFP

Answer 18

Fucosylated AFP

Question 19

Value of AFP in HCC

Answer 19

More than 400