Gasteroenterology

Question 1

non-alcoholic fatty liver disease (NAFLD)

Answer 1

ALT > AST

specialist treatment -pioglitazone

Question 2

Wrost prognosis of alchoholic liver disease

Answer 2

Hepatorenal syndrome

Question 3

severe oesophagitis

Answer 3

8 weeks of lansoprazole 30 mg OD

Question 4

Treatment of spondyloarthritis, post GE

Answer 4

NSAID

Question 5

H. pylori test after eradication treatment

Answer 5

breath test

Question 6

Osteoporosis risk factors

Answer 6

previous fragility fracture

current use or frequent recent use of oral or systemic glucocorticoids

history of falls

family history of hip fracture

other causes of secondary osteoporosis

low body mass index (BMI) (less than 18.5 kg/m2)

smoking

alcohol intake of more than 14 units per week for men and women.

Question 7

IBS diagnosis

Answer 7

A diagnosis of IBS should be considered if abdominal pain relieved by defecation is accompanied by two or more symptoms from the following: 
altered stool passage; 
abdominal bloating; 
symptoms made worse by eating; 
passage of mucus.

Question 8

Constipatino

Answer 8

Start treatment with a bulk-forming laxative such as ispaghula (adequate fluid intake is important)
If stools remain hard, add or switch to an osmotic laxative
If stools are soft but the patient still finds them difficult to pass or complains of inadequate emptying, add a stimulant laxative
Advise that laxatives can be stopped once the stools become soft and easily passed again

Question 9

Drugs causing pancreatitis

Answer 9

Azathioprine

Question 10

fatty liver: risk of progression to liver disease

Answer 10

5%