Buzzwords

Question 1

Gingival hypertrophy and gingivectomy/ biting on own gums

Answer 1

side effect of calcium channel blockers or pheytoin

Question 2

Bird beak appearance and distended oesophagus

Answer 2

achalasia (or in lower GI is it bowel obstruction)

Question 3

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness)

Answer 3

acute pancreatitis

Question 4

mnemonic for acute pancreatitis causes

Answer 4

Idiopathic

Gallstones
Ethanol
Trauma

Steroids
Mumps
Atuoimmune
Scorpion bites
Hyperlipidaemia/hypothermia/hypercalcaemia
ERCP
Drugs

I GET SMASHED

Question 5

Murphy’s sign positive

Answer 5

cholecystitis (inspiratory arrest when palpating the RUQ on inspiration)

Question 6

pale stools, jaundice, abdominal pain

Answer 6

biliary obstruction

Question 7

abdominal distension, caput medusae, shifting dullness

Answer 7

ascites and portal hypertension

Question 8

pyoderma gangrenosum, erythema nodosum

Answer 8

Crohn’s or UC

Question 9

tinkling bowel sounds

Answer 9

bowel obstruction

Question 10

sheep farming

Answer 10

hyatid disease

Question 11

vesicular rash and weight loss

Answer 11

coeliac disease

Question 12

rose spots that blanch on pressure

Answer 12

typhoid

Question 13

virchow’s node (left supra-clavicular)

Answer 13

gastric cancer

Question 14

urea breath test

Answer 14

H.pylori

Question 15

cryptosporidium

Answer 15

HIV, drug users, TB PMHx

Question 16

13C breath test

Answer 16

bacterial overgrowth

Question 17

rice-water like stools

Answer 17

vibrio cholera

Question 18

presence of AMA

Answer 18

primary biliary cirrhosis

Question 19

presence of ASMA

Answer 19

autoimmune hepatitis

Question 20

alpha feto protein assay

Answer 20

hepatocellular carcinoma or teratoma

Question 21

cobblestone mucosa

Answer 21

indicating deep fissuring ulceration fo the mucosa in Crohn’s disease

Question 22

diuretic for ascites

Answer 22

spironolactone

Question 23

corkscrew oesophagus on Ba swallow

Answer 23

diffuse oesophageal spasm

Question 24

severe abdominal pain and diarrhoea after raw milk

Answer 24

campylobacter

Question 25

scalloping on endoscopy

Answer 25

HIV

Question 26

Russell's sign

Answer 26

bullimia

Question 27

south east Asia, thickening in small bowel folds and flocculation in Ba enema

Answer 27

tropical sprue

Question 28

mallory's hyaline bodies

Answer 28

alcoholic liver disease and chronic active hepatitis

Question 29

crypt abscess and cryptitis

Answer 29

inflammatory bowel UC

Question 30

onion skinning fibrosis and beading of bile ducts

Answer 30

PSC

Question 31

signet ring cells sent on biopsy

Answer 31

linitis plastica | diffuse stomach cancer1

Question 32

thumb-printing on X-ray at splenic flexure

Answer 32

ischaemic colitis

Question 33

charcot's triad

Answer 33

fever jaundice abdominal pain secondary to acute cholangitis

Question 34

causes of abdominal mass

Answer 34

AAA ``` Crohn's Hernia Enlarged organ Malignancy Intussusception Cyst or abscess Appendicitis Lymphandenopathy ```

Question 35

causes of bowel obstruction

Answer 35

Bolus Adhesions Tumour Hernia Volvulus Intussusception Pseudo-obstruction Stricture

Question 36

red jelly sputum | caveatting lesions in upper zone CXR

Answer 36

klebsiella pneumoniae

Question 37

bloody diarrhoea fragmented RBCs undercooked burger metallic green stool cultures

Answer 37

E coli 0157

Question 38

red macule on body on examination

Answer 38

salmonella typhi

Question 39

playing with turtles, undercooked or stale chicken

Answer 39

salmonella enterididis

Question 40

bloody diarrhoea, haemorrhagic mucosa with ulcerations on distal colon

Answer 40

shigella dysenteria

Question 41

india, severe dehydration, watery diarrhoea

Answer 41

vibrio cholerae

Question 42

unpasteurised or raw milk, Guillain Barre syndrome

Answer 42

campylobacter jejuni