Gastrointestinal

Question 1

When should UGIB get endoscopy?

Answer 1

If unstable/severe bleeding - as soon as resuscitated

Any other - within 24 hours of admission

Question 2

Haemochromatosis
- management in pregnancy
- considerations

Answer 2

No intervention needed
- if liver and cardiac function is normal

Question 3

Management of vomiting 2y to hypercalcaemia

Answer 3

Dopamine antagonist
e.g. haloperidol/levopromazine

Question 4

Investigation for severity of cirrhosis

Answer 4

Transient elastography
= Fibroscan

Question 5

Positive AMA
Normal LFTs

Answer 5

Not diagnostic of PBC
Monitor annually with blood tests - likely to develop

Question 6

Are there polyps in Lynch syndrome?

Answer 6

Can get colonic polyps

Question 7

Anti-platelets in colonoscopy

Answer 7

Can be continued if straightforward, caution if removing polyps etc

Question 8

Lymphocytic infiltration on colon biopsy =
- causes

Answer 8

Microscopic colitis

Causes = SSRI/NSAID/PPI

Question 9

High risk of colon cancer from FH
- criteria
- management

Answer 9

<50 years 1st degree relative colon cancer

Colonoscopy every 5 years 55-75 years of age

Question 10

Management of small bowel overgrowth

Answer 10

= rifaxamin

Question 11

Deciding on colonoscopy surveillance:

Answer 11

Decide whether low, intermediate or high risk
low = 5 years
intermediate = 3 years
high = 1 year

Question 12

Gastric biopsy
= lymphoepithelial lesions in gastric biopsy
- diagnosis
- management

Answer 12

MALT lymphoma
Eradication therapy for H. pylori

Question 13

Anti-saccharomsces

Answer 13

Crohn’s Disease