Gastro Passmedicine

Question 1

Dx of haemochromatosis

Answer 1

bronze tint
chondrocalcinosis
raised glucose > iron deposits in pancrease

liver disease from iron in liver

Question 2

screening test for haemochromatosis?

Answer 2

transferrins saturation

Question 3

Genetic testing is the definitive test for haemochromatosis

Answer 3

the C282Y and H63D mutations

Question 4

how is a posterior gastric ulcer managed?

Answer 4

endoscopic management and H pylori eradication therapy

Question 5

what is H pylori eradication therapy?

Answer 5

Amoxicillin (if pen allergy omit this) and clarithromycin or metronidazole

with a
PPI - omeprazole

‘triple therapy’

Question 6

test and treat h pylori

Answer 6

urea 13c breath test
stool antigen test

Question 7

mx of gastrointestinal perforation

Answer 7

NBM
early resus

NG tube
fluid resus

Question 8

Terlipressin and use of a Sengstaken-Blakemore tube

Answer 8

management of oesophageal varices

Question 9

Terlipressin moa

Answer 9

reduces portal blood flow
portal systemic collateral blood flow
variceal pressure

Question 10

primary biliary cholangitis

Answer 10

IgM is raised
anti mitochondrial ab m2
middle aged women

Question 11

PPI can cause what electrolyte abnormality?

Answer 11

hyponatraemia

Question 12

Blocks Clostridium difficile toxin B (TcdB)

Answer 12

bezlotoxumab
specialist drug in recuurent c diff

Question 13

Alcohol units = volume (ml) * ABV / 1,000

Answer 13

The correct answer is 9 units. The number of units of alcohol in a drink can be calculated using the formula: volume (in ml) × ABV (alcohol by volume as a decimal) ÷ 1000. Therefore, for a 750ml bottle of red wine with an alcohol by volume of 12%, the calculation would be: 750 × 0.12 ÷ 1000 = 9.

Question 14

Pseudomonas

Answer 14

Ciprofloxacillin
Amikacin
Gentamicin

Question 14

Allopurinol moa