Clinical

Question 1

What conditions are a good FHx important for?

Answer 1

Remember to ask specifically
Crohns
Coeliac?

Question 2

What is important to look for on inspection GI?

Answer 2

Distension
Scars
Bruising

Question 3

What is important to do before palpating? When palpating what level should you be at?

Answer 3

Source the area of discomfort and let patient know starting away and work toward it

Level of bed - get chair or crouch down

Question 4

How to feel for kidney?

Answer 4

One hand on back by kidney and on front and??

Question 5

What must you remember to say at end of GI exam?

Answer 5

I would also look for groinal hernias

Question 6

Practice speak for PR exam

Answer 6

Remember:
- Chaperone
- “back passage”
etc.

Question 7

Where is the prostate located in anal canal?

Answer 7

Anteriorly

Question 8

Finger clubbing is commonly seen in which GI disease?

Answer 8

IBD

Question 9

What two bowel conditions are likely to present with Fe deficient anaemia and diarrhoea

Answer 9

Crohns and coeliac

Question 10

If a patient presents with acute epigastric pain what blood test must be done?

Answer 10

Troponin - to eliminate MI

Question 11

What 4 liver conditions can result in flapping tremour?

Answer 11

WOCA
Wilsons disease
Opiod overdoes
Cirrhosis
Alcoholic liver disease

Question 12

In a liver screen you would test for all the following (plus more) . Match each of the following to the disease they are contributed with:

• ANA
• AMA
• ASMA
• Caeurloplasmin
• Ferritin and Transferrin Saturation
• alpha-1 antitrypsin

Answer 12

Autoimmune hepatitis =
ANA = antinuclear antibodies
ASMA = anti smooth muscle antibodies

Primary biliary cirrhosis
= AMA - antimicrobrial antibodies

Caeurloplasmin = Wilson’s disease

Ferritin and Transferrin Saturation = hereditary haemochromatosis

Alpha-1 antityprsin = alpha-1 antitrypsin deficiency

Question 13

What disease can occur in elderly patients with a history of atherloscerosis?

Answer 13

Chronic Mesentric ischaemia

• abdominal angina

Question 14

Most common side effect of ERCP?

Answer 14

Acute pancreatitis

Question 15

Match each of the following to what they are a measurement of:
Upper arm circumference
Ulna length
Hand grip 
Waist circumference
Tricuspid skinfold thickness

Upper body strength
Central obesity Height
BMI
Height
Total body fat

Answer 15

Upper arm circumference - BMI
Ulna length - height
Hand grip - upper extermity strength
Waist circumference - central obesity 
Tricuspid skinfold thickness - total body fat

Question 16

What should be given for long term management of oesphageal varices?

Answer 16

beta-blocker

Question 17

What makes bowel dilation differ from toxic megacolon?

Answer 17

Toxic megacolon is bowel dilation with fever and tachycardia (when patient progresses to being more unwell)