Gastroenterology

Question 1

Anti hbc means what?

Answer 1

Acquired infection. Negative if immunised

Question 2

Early

Symptoms of haemochromatosis?

Answer 2

Arthralgia
Penile dysfunction
Fatigue

Question 3

Irreversible complications of haemochromatosis

Answer 3

Diabetes
Cirrhosis
Arthropathy
Hypogonadism

Question 4

Which test for hep b immunity?

Answer 4

Anti HBS

Question 5

Treatment for oesophageal varies?

Answer 5

Terlipressin

Question 6

When should omeprazole be stopped pre endoscopy?

Answer 6

2 weeks before

Question 7

Treatment for uc

Answer 7

Topical aminosalicylates/ steroids for rectal disease

Otherwise oral aminosalicylates

Oral pred is second line

Question 8

Treatment of severe uc

Answer 8

IV steroids

Question 9

Commonest cause of panc

Answer 9

Gallstones

Question 10

Achalasias presenting symptoms

Answer 10

Dysphagia of both liquids and solids

Question 11

Treatment of achalasia

Answer 11

Botox
Heller cardiotomy
Balloon dilatation

Question 12

Sbp number of cells

Answer 12

> 250

Question 13

When is melanchosis coli seen

Answer 13

Laxative abuse

Question 14

Gallstones more common in UC or Crohns

Answer 14

CROHNS

Question 15

Risk of colorectal cancer higher in UC or crohns

Answer 15

UC

Question 16

Most common extra intestinal feature of UC or crohns

Answer 16

Arthritis

Question 17

Which blood group increases risk of gastric

Answer 17

Blood group a

Question 18

Who gets pbc

Answer 18

Middle aged women

Question 19

Features of pbc

Answer 19

Raised alp
Pruritis
Raised bili 
Cholestatic jaundice
Xanthelasmas
Xanthomata

Question 20

Which2 heps are risk factors for HCC

Answer 20

B and C

Question 21

Which non antibiotic is a risk factor for c diff

Answer 21

Omeprazole

Question 22

Treatment for c diff

Answer 22

Vanc or metronidazole

Question 23

Dx of pbc

Answer 23

Igm abs

Anti mitochondrial abs

Question 24

5sa not working for UCs, whT next ?

Answer 24

Oral pred

Question 25

Long term risk of ppis

Answer 25

Fractures

Question 26

Smoking makes UC or crohns worse?

Answer 26

Crohns

Question 27

Med to allow crohns remission?

Answer 27

Azathioprine 1st line

Methotrexate 2nd line

Question 28

Features of autoimmune liver disease

Answer 28

Signs of chronic liver disease

Amenorrheoa

Question 29

Features of peutz jaegers

Answer 29

Polyps
Pigmented lesions on lips/oral mucosa
Intestinal obstruction (usually intusussepction)

Question 30

Cause of massive splenomegaly

Answer 30

CML
MALARIA
MYELOFIBROSIS
Gauchers syndrome