Gastroenterology💩

Question 1

Most common causative organism of travellers diarrhoea

Answer 1

E. Coli

Question 2

Score used to assess severity of chronic liver disease for liver transplant consideration

Answer 2

MELD score

Question 3

What is the MELD score used for

Answer 3

To assess severity of chronic liver disease to prioritise for liver transplant

Question 4

What tests are normal in biliary colic?

Answer 4

Normal LFTs and inflammatory markers

Question 5

Antibody associated to PBC

Answer 5

AMA

Question 6

HNPCC increases risk of what other malignancies (3)

Answer 6

Endometrial, ovarian, gastric

Question 7

1st line treatment for Crohn’s exacerbation

Answer 7

Prednisolone

Question 8

Class 1 obesity BMI range

Answer 8

30-34.9

Question 9

Grading tool for cirrhosis severity

Answer 9

Child-Pugh score

Question 10

What does incarceration of a hernia mean

Answer 10

When it is irreducible without compromising blood supply

Question 11

Pathogen in acute cholangitis

Answer 11

E. Coli

Question 12

What does aldosterone do to sodium

Answer 12

Increases sodium reabsorption

Question 13

Crucial vitamin supplements for alcoholic liver disease

Answer 13

B vitamins

Question 14

Investigation to do AFTER confirming cortisol levels in Cushing’s

Answer 14

ACTH level

Question 15

Why do we do ACTH level after a cortisol test for Cushing’s

Answer 15

Differentiate between ACTH-dependant and ACTH-independent

Question 16

2 signs which point towards B12 deficiency

Answer 16

Glossitis (red swollen tongue)
Subtle neurological signs

Question 17

Hypocalcaemia causes what ECG change

Answer 17

Long QT

Question 18

First line management Grave’s disease

Answer 18

Carbimazole

Question 19

What symptom differentiates external vs internal haemorrhoids

Answer 19

External are painful

Question 20

Most significant risk factor for oesophageal SCC

Answer 20

Tobacco smoking

Question 21

Most common cause of B12 deficiency

Answer 21

Pernicious anaemia

Question 22

Type of anaemia that causes B12 deficiency

Answer 22

Pernicious

Question 23

Physiology of pernicious anaemia

Answer 23

Autoimmune, destroys gastric parietal cells, leading to lack of intrinsic factor

Question 24

Cholestatic liver function markers

Answer 24

Elevated bilirubin, ALP and GGT

Question 25

PSC finding on MRCP

Answer 25

Multiple bile duct strictures with ‘beaded’ appearance

Question 26

Best management for symptomatic primary hyperparathyroidism

Answer 26

Parathyroidectomy

Question 27

First line investigation acute pancreatitis

Answer 27

Serum lipase

Question 28

Best test to diagnose hiatus hernia

Answer 28

Barium swallow

Question 29

What metabolic imbalance is caused by Cushing’s

Answer 29

Hypokalaemic metabolic acidosis

Question 30

Route of transmission for Hep A

Answer 30

Faecal-oral

Question 31

Treatment for level 2 haemorrhoids

Answer 31

Rubber band ligation

Question 32

First line treatment for itching in PBC

Answer 32

Cholestyramine

Question 33

Drug to maintain remission in Crohn’s

Answer 33

Azathioprine

Question 34

Diagnostic test for diverticulitis

Answer 34

CT abdo and pelvis with contrast

Question 35

Surgical option for rectal tumour >8cm from anal margin

Answer 35

Anterior resection

Question 36

What skin disease is associated to coeliac?

Answer 36

Dermatitis herpetiformis

Question 37

What is a good blood indicator of ischaemia

Answer 37

Lactate

Question 38

First line treatment for dermatitis herpetiformis

Answer 38

Dapsone - stops itching

Question 39

Antibiotic for cholera

Answer 39

Doxycycline