4th Year Gastro

Question 1

Where does UC always start?

Answer 1

The rectum

Question 2

Where does UC never spread beyond?

Answer 2

Ileocecal valve

Question 3

What is hepatic encephalopathy?

Answer 3

Liver failure causing a build up of toxins in the brain

Question 4

What pattern of inheritance is Wilsons disease?

Answer 4

Autosomal recessive

Question 5

What is Wilsons disease?

Answer 5

Excessive copper deposition

Question 6

What happens to caeruloplasmin in Wilsons disease?

Answer 6

Decreases

Question 7

What is used to induce remission in crohns disease?

Answer 7

Glucocorticoids

Question 8

What are the 1st line drugs for maintaining remission in crohns disease?

Answer 8

Azatiohprine or Mercaptoline

Question 9

What malignancy may cause a palpable gall bladder?

Answer 9

Pancreatic cancer

Question 10

What is the incubation period of hep A?

Answer 10

15-50 days

Question 11

Name 3 features of hep A?

Answer 11

Flu like prodrome
Jaundice
Hepatosplenomegaly

Question 12

What is Zollinger Ellison syndrome?

Answer 12

Over secretion of gastric acid causing multiple gastroduodenal ulcers

Question 13

What might be the cause of Zollinger Ellison syndrome?

Answer 13

MEN

Question 14

Which anti bodies are present in autoimmune hepatitis?

Answer 14

ANA, anti smooth muscle anti body

Question 15

Which anti bodies are present in primary biliary cirrhosis?

Answer 15

Anti mitochondrial anti body

Question 16

What condition is primary sclerosis cholangitis associated with?

Answer 16

UC

Question 17

Which anti bodies are present in primary sclerosis cholangitis?

Answer 17

ANCA and anti smooth muscle

Question 18

How is hereditary haemochromatosis inherited?

Answer 18

Autosomal dominant

Question 19

What is hereditary haemochromatosis?

Answer 19

Increase iron - raised ferritin

Question 20

Bloody stools - UC or crohns?

Answer 20

UC

Question 21

Virchows node?

Answer 21

Gastric carcinoma

Question 22

What condition might cause a palpable gallbladder?

Answer 22

Pancreatic cancer - Courvoisier sign

Question 23

What is achalasia?

Answer 23

Failures of relaxation of circular muscles at lower end of oesophagus

Question 24

What is Plummer Vinson syndrome - 3 features?

Answer 24

Iron deficiency 
Glossitis
Angular chelitis
Dysphagia due to cricoid web
pre malignant

Question 25

Name 1 cause of pre hepatic jaundice?

Answer 25

Haemolysis | Haemolytic anaemias

Question 26

Name 2 causes of hepatic jaundice?

Answer 26

Acute liver failure, alcoholic, hepatitis, cirrhosis

Question 27

Name 2 causes of post hepatic jaundice?

Answer 27

Biliary atresia, gallstones, CBD, strictutres, tumours

Question 28

Pre hepatic jaundice - stool and urine colour?

Answer 28

Stool - Normal | Urine - normal

Question 29

Hepatic jaundice - stool and urine colour?

Answer 29

Stool -Normal | Urine - dark

Question 30

Post Hepatic jaundice - stool and urine colour?

Answer 30

Stool - pale | Urine - dark

Question 31

What is the most common cause of genetic elevated bilirubin and how is it inherited?

Answer 31

Gilberts syndrome - autosomal recessive

Question 32

In what age group might a raised Alk phos be physiological?

Answer 32

Teenagers

Question 33

Episcleritis and uveitis - UC or crohns?

Answer 33

Episcleritis - CD | Uveitis - UC