Gastroenterology

Question 1

What is PSC (primary sclerosing cholangitis) associated with?

Answer 1

Ulcerative colitis

Question 2

Management of dyspepsia in a patient under 55?

Answer 2

Lifestyle changes then 4 week trial of PPI if they fail to respond

Question 3

What is the diagnostic criteria for IBS?

Answer 3

At least two of the following:
- Altered stool passage (straining, urgency, incomplete evacuation)
- Abdominal bloating, distension or hardness
- Symptoms worsened by eating
- Passage of rectal mucus

Question 4

45F with jaundice. Positive for AMA subgroup M2?

Answer 4

Primary biliary cirrhosis

Question 5

45F with jaundice. Positive for AMA subgroup M2?

Answer 5

Primary biliary cirrhosis

Question 6

45F with secondary amenorrhoea and deranged LFTs?

Answer 6

Autoimmune hepatitis

Question 7

Most common cause of traveller’s diarrhoea?

Answer 7

E. coli

Question 8

Normal bloods except
Bilirubin 47
ALP 500
ALT 67
What drug would cause this?

Answer 8

Co-Amoxiclav or Flucloxacillin

Question 9

Management for H. pyelori?

Answer 9

Full-dose PPI plus Amoxicillin plus Clarythromycin

Question 10

What is the treatment for H. pylori?

Answer 10

PPI + Amox + Clarithromycin
PPI + Metronidazole + Clary