Gastrointerology

Question 1

Patient with AMA +ve, increase ALP and GGT

Answer 1

Primary biliary cirhosis

Question 2

Teenage girl with jaundice and hepatomegaly

Answer 2

autoimmune hepatitis

Question 3

Increased Serum ferritin

Answer 3

Haemochromotosis

Question 4

slate grey pigmentation of the skin

Answer 4

Hameochromotosis

Question 5

Kayser fleisher rings

Answer 5

Wilson’s disease

Question 6

High alpha feto protein (AFP)

Answer 6

Hepatocellular carcinoma

Question 7

Embryonic ductal plate malformation of bilary tree

Answer 7

Polycystic liver disease

Question 8

When passing stool patient feels like they’re passing glass

Answer 8

anal fissure

Question 9

6 step treatment for Sepsis

Answer 9

Blood culture
Urine output 
FBC
Antibiotics 
Liquids (fluids)
Oxygen

BUFALO

Question 10

pin point rash (petechiae), bloody diarahoea, ecoli infection

Answer 10

Haemolytic Uraemic Syndrome

Question 11

On histology villous atrophy, flat mucosal biopsy

Answer 11

Celiac disease

Question 12

Histology piecemeal necrosis & interface hepatitis

Answer 12

autoimmune hepatitis

Question 13

Encephalopathy and and jaudince within 2 week after having a normal liver

Answer 13

Fulimant liver failure

Question 14

Watery diarrhoea but normal endoscopy

Answer 14

collagenous colitis

Question 15

Gingival hypertrophy

Answer 15

side effect of Ca blockers or phenytoin

Question 16

Bird beak appearance (and distended oesophagus)

Answer 16

Achalasia

Question 17

Grey turner’s sign (lumbar redness) and Cullen’s sign (umibilical redness) +ve

Answer 17

Pancreatitis

Question 18

Mneumonic for causes of acute pancreatitis

Answer 18

GET SMASHED

Gallstone
Ethanol
Traumua

Sterioids
Mumps 
Autoimmune
Scorpian bite/sting
Hypolipidaemia, hyperthermia, hypercalcaemia
ERCP 
Drugs

Question 19

Murphy’s sign

Answer 19

Cholecysitis

Question 20

Pale stools, jaundice, abdopain

Answer 20

Biliary obstruction

Question 21

Abdo distension, caput medussa, shiften dullness

Answer 21

Ascite and portal hypertension

Question 22

Pyoderma gangrenosum, erythema nodosum

Answer 22

UC

Question 23

Tinkling bowel sounds

Answer 23

bowel obstruction

Question 24

Vesicular rash and weight loss

Answer 24

Coeliac disease

Question 25

Virchows Node (left supra clavicular node)

Answer 25

Gastric cancer

Question 26

Urea breath test

Answer 26

H.Pylori

Question 27

I4C breath test

Answer 27

bacterial over growth

Question 28

Primary biliary cirhosis

Answer 28

presence of AMA +ve (antimitichondrial)

Question 29

Autoimmune hepatits test

Answer 29

Anti smooth muscle (ASMA)

Question 30

cobble stone mucosa, indicating deep fissuring ulceration of the mucosa

Answer 30

Crohn's disease

Question 31

Diuretic for asicates

Answer 31

Sporolactone

Question 32

Primary biliary cirhosis treatment

Answer 32

Uresdoexycyclic acid for the itch

Question 33

Corkscrew oesophagus and on Ba swallow

Answer 33

diffuse oesophageal spasm

Question 34

Russel's sign

Answer 34

Self induced vomiting causes calluses to form on the hands

Question 35

Mallory Hyaline bodies

Answer 35

alcoholic liver disease and chronic active heptatis

Question 36

crypt abscess

Answer 36

Crohns

Question 37

Onion skinning fibrosis and beading of bile ducts

Answer 37

primary sclerosing cholangitis

Question 38

Signet rings seen on biopsy

Answer 38

Linitis plastica - diffuse stomach cancer (adenocarcinoma)

Question 39

Thumb printing on xray commonly at splenic flexture

Answer 39

Ischemic colitis

Question 40

Charcot's triad

Answer 40

Acute cholangitis i.e. fever, jaundice, abdo pain secondary to cholithiasis

Question 41

causes of abdo mass

Answer 41

``` A CHEMICAL AAA Chron's Hernia Enlarged organ Malignancy Intersusception Cysts or abscess Appendicitis Lymphadenopathy ```

Question 42

Causes of bowel obstruction

Answer 42

BATH VIPS ``` Bolus Adhesions Tumour Hernia Volvulus Intersusception Pseudo obstruction Stricutre ```

Question 43

Primary sclerosing cholangitis

Answer 43

ASMA +ve