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FRCR 2A (Crack the 2A High Yield) > 3. Gastro-Intestinal High Yield > Flashcards

3. Gastro-Intestinal High Yield Flashcards

1
Q
A
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2
Q

Narrowed B ring

A

Schatzki

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3
Q

Oesophageal concentric rings

A

Eosinophilic oesophagitis

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4
Q

Shaggy or plaque like oesophagus

A

Candidiasis

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5
Q

Looks like candida, asymptomatic old lady

A

Glycogen acanthosis

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6
Q

Reticular mucosal pattern

A

Barretts

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7
Q

High stricture with associated hiatus hernia

A

Barretts

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8
Q

Abrupt shoulders (oesophagus)

A

Cancer

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9
Q

Kilian dehiscence

A

Zenker diverticulum

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10
Q

transient, fine transverse folds across the oesophagus

A

Feline oesophagus

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11
Q

Birds beak

A

Achalasia

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12
Q

Solitary oesophageal ulcer

A

CMV or AIDS

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13
Q

Ulcers at the level of the arch or distal oesophagus

A

Medication induced

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14
Q

Breast Ca & Bowel Hamartomas

A

Cowdens

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15
Q

Desmoid tumours & bowel polyps

A

Gardners

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16
Q

Brain tumours & bowel polyps

A

Turcots

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17
Q

Enlarged left supraclavicular node

A

Virchow’s node, GI malignancy

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18
Q

Crosses the pylorus

A

Gastric lymphoma

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19
Q

Isolated gastric varices

A

Splenic vein thrombus

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20
Q

Multiple gastric ulcers

A

Chronic aspirin therapy

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21
Q

Multiple duodenal or jejunal ulcers

A

Zollinger-ellison syndrome

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22
Q

Pancreatitis after Billroth 2

A

Afferent loop syndrome

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23
Q

Weight gain years after Roux-en-Y

A

Gastro-gastro fistula

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24
Q

Cloverleaf sign (duodenum)

A

Healed peptic ulcer

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25
Q

Sand like nodules in jejunum

A

Whipple’s disease

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26
Q

Sand like nodules in jejunum, CD4 <100

A

MAI

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27
Q

Ribbon like bowel

A

Graft vs Host disease

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28
Q

Ribbon like jejunum

A

Long standing coeliac

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29
Q

Moulage pattern

A

Coeliac

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30
Q

Fold reversal of jejunum and ileum

A

Coeliac

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31
Q

Cavitary (low density) lymph nodes

A

Coeliac

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32
Q

Hide bound or stack of coins

A

Scleroderma

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33
Q

Megaduodenum

A

Scleroderma

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34
Q

Duodenal obstruction with weight loss

A

SMA syndrome

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35
Q

Cone shaped caecum

A

Amoebiasis

36
Q

Lead pipe

A

Ulcerative colitis

37
Q

String sign

A

Crohn’s

38
Q

Massive circumferencial thickening without obstruction

A

Lymphoma

39
Q

Multiple small bowel target signs

A

Melanoma

40
Q

Obstructing old lady hernia

A

Femoral hernia

41
Q

sac of bowel

A

paraduodenal hernia

42
Q

Scalloped appearance of liver

A

Pseudomyxoma peritonei

43
Q

HCC without cirrhosis

A

Hep B

44
Q

Capsular retraction

A

Cholangiocarcinoma

45
Q

Periportal hypoechoic infiltration, & AIDS

A

Kaposi sarcoma

46
Q

Sparing of the caudate lobe

A

Budd Chiari

47
Q

Large T2 bright nodes & Budd chiari

A

Hyperplastic nodules

48
Q

Liver, high signal in phase, lowe signal out of phase

A

Fatty liver

49
Q

Liver low signal in phase, high signal out of phase

A

Haemochromatosis

50
Q

Multifocal intrahepatic and extrahepatic stricture

A

PSC (Primary Sclerosis Cholangitis)

51
Q

Multifocal intrahepatic and extrahepatic strictures & papillary stenosis

A

AIDS Cholangiopathy

52
Q

Bile duct full of stones

A

Recurrent pyogenic cholangitis

53
Q

Gallbladder comet tail artefact

A

Adenomyomatosis

54
Q

Lipomatous pseudohypertrophy of the pancreas

A

Cystic fibrosis

55
Q

Sausage shaped pancreas

A

Autoimmune pancreatitis

56
Q

Autoimmune pancreatitis

A

IgG4

57
Q

IgG4

A

RP fibrosis,
sclerosing cholangitis,
Fibrosing mediastinitis,
Inflammatory pseudotumour

58
Q

Wide duodenal sweep

A

Pancreatic cancer

59
Q

Grandmother pancreatic cyst

A

Serous cystadenoma

60
Q

Mother pancreatic cyst

A

Mucinous cystadenoma

61
Q

Daughter pancreatic cyst

A

Solid pseudopapillary

62
Q

Most common benign mucosal lesion of oesophagus

A

Papilloma

63
Q

Oesophageal webs habe increased risk of …

A

Cancer and Plummer-Vinson Syndrome

64
Q

Dysphagia Lusoria caused by

A

Compression from right subclavian artery (most pts with aberrant right subclavians don’t have symptoms)

65
Q

Achalasia has increased risk of…

A

Squamous cell cancer (20 year lag)

66
Q

Most common mesenchymal tumour of GI tract

A

GIST

67
Q

Commonest location for GIST

A

Stomach

68
Q

Krukenberg tumour

A

Stomach (GI) met to the ovary

69
Q

Menetrier’s disease distribution

A

Involves fundus, spares antrum

70
Q

Commonest GI location for sarcoid

A

Stomach

71
Q

Gastric Remnants have increased risk of…

A

Cancer, even years after Billroth

72
Q

Commonest internal hernia

A

Left sided paraduodenal

73
Q

Commonest site of peritoneal carcinomatosis

A

Retrovesical space

74
Q

Injury to bare area of liver can cause

A

Retroperitoneal bleed

75
Q

Primary sclerosing cholangitis is associated with

A

UC

76
Q

Extrahepatic ducts are normal in…

A

PBC

77
Q

Anti-mitochondrial antibodies are positive in

A

Primary Billary Cirrhosis

78
Q

Mirizzi Syndrome

A

Stone in cystic duct causes CBD obstruction

79
Q

Risks of Mirizzi syndrome

A

5x risk of GB cancer

80
Q

Dorsal pancreatic agenesis associated with

A

Diabetes & polysplenia

81
Q

Hereditary and tropical pancreatitis features

A

Early age of onset & increased cancer risk

82
Q

Felty syndrome

A

Splenomegaly, Neutropenia, RA

83
Q

Splenic artery aneurysm (risk factors)

A

More likely in women.
More likely to rupture during pregnancy

84
Q

Commonest islet cell tumour

A

Insulinoma

85
Q

Commonest islet cell tumour with MEN

A

Gastrinoma

86
Q

UC and colon cancer

A

UC increases risk of colon cancer ONLY if it involves colon past the splenic flexure

FRCR 2A (Crack the 2A High Yield) (10 decks)

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