Gastroenterology

Question 1

What symptoms is Hepatoma related to?

Answer 1

Skin pigmentation (hemachromatosis)
Spider Angioma
Heart murmur

Question 2

Perforated peptic ulcer test

Answer 2

Erect chest and abdominal X-ray

Question 3

Barrett oesopgagus

Answer 3

Stratified squamous is replaced by columnar epithelial

Question 4

Endoscopy results in Crohn’s disease

Answer 4

Deep ulcers and skip lesion

Question 5

What is the single test to make sure eradication of h pylori

Answer 5

Carbon 13 urea breath test

Question 6

The investigation to confirm Zollinger Ellison syndrome is called what?(to determine the cause of ulcer)

Answer 6

Serum gastrin

Question 7

What is used to differentiate between IBD and IBS

Answer 7

Faecal Calprotectin

Question 8

Barium enema test results shows what in Ulcerative colitis

Answer 8

Loss of haustral marking

Question 9

Endoscopy result for Crohn’s disease

Answer 9

Cobblestone appearance
Fistula
Kantor string sign
Rose thorn ulcer

Question 10

Clostridium difficile- drug of choice

Answer 10

Oral vancomycin

Question 11

Coeliac disease cancer complication

Answer 11

Lymphoma

Question 12

What is the value for mean cell colume(MCV)

Answer 12

76-96 fL

Question 13

Charcot triad-RUQ pain
Fever
Jaundice

Think of

Answer 13

Ascending cholangitis

Question 14

What is seen on blood smear during Megaloblastic anemia

Answer 14

Hypersegmented neutrophils

Question 15

Lump in the supraclavicular region or Virchow node is synonymous to

Answer 15

Carcinoma of the stomach

Question 16

Cockscrew pattern on barium swallow can be seen in?

Answer 16

Oesophageal spasms

Question 17

Travelled to Kenya.(travellers diarhoea)

Answer 17

Think of E.coli

Question 18

What are Crohn’s disease histopathology(4)

Answer 18

Increased goblet cell
Granulomas
Transmural infiltration with lymphocytes
Cobblestone on endoscopy

Question 19

Histopathological changes in ulcerative colitis

Answer 19

Decreased goblets cell
Loss of haustration
Primary sclerosing cholangitis

Question 20

Acute cholescystits mmenomics

Answer 20

Female
Forties
Fair
Fertile
Fat
(Also associated with gall stone appearance)

Question 21

Bird beak appearance at the distal end( wide and then narrow) feature is seen in

Answer 21

Achalasia

Question 22

Primary biliary cirrhosis features

Answer 22

Positive anti mitochondrial antibodies
Sjoren syndrome
IgM

Question 23

Shooting rectal pain without any cause

Answer 23

Proctalgia fugax