Gastroenterology

Question 1

Raised gamma glutamyl transamylase

Answer 1

Alcohol consumption or pancreatic disease

Question 2

New Onset jaundice in a Patient above 40 years

Answer 2

Suspect pancreatic cancer

Question 3

Diabetes, bronze pigmentation & hepatomegaly

Answer 3

Haemochromatosis

Question 4

Gastrointestinal endoscopy should be done in patients with

Answer 4

Dysphagia
pts above 50years with weight loss and any of the following upper abd pain, reflux or dyspepsia
Refractory dyspepsia
Unsuccessful 2nd line h pylori regimen

Question 5

Dysphagia to both solids & liquids

Answer 5

Motility problem
1.intermittent motility dysph.-diffuse oesophageal spasm
2 progressive motility Dysphagia - achalasia & scleroderma

Question 6

DYSPHAGIA initially to solids but progresses to liquids

Answer 6

Mechanical obstruction
I.intermittent mechanical Dysphagia- oesoph ring
2 progressive mechanical dysphagia - peptic strict & oesophageal cancer