Gastrointestinal

Question 0

are erythema nodosum and inflammatory bowel disease linked?

Answer 0

Yes

Question 1

What is the test for H.pylori in the stomach?

Answer 1

C13 urea breath test

Question 2

Are acanthosis nigricans and gastrointestinal malignancy linked?

Answer 2

Yes

Question 3

Are mucocutaneous pigmentation and Peutz-Jegher syndrome linked?

Answer 3

Yes

Question 4

are Pyoderma gangrenosum and coeliac disease linked?

Answer 4

No

Question 5

What is dyspareunia?

Answer 5

Painful sexual intercourse due to medical or psychological causes

Question 6

What is the most common gastrointestinal malignancy developed in the world?

Answer 6

Colorectal cancer

Question 7

What is Hydatid disease caused by?

Answer 7

cestodes - Echinococcus granulosis or multilocularis

Question 8

What is Wilson’s disease caused by?

Answer 8

Genetic enzyme deficiency

Question 9

What two diseases are caused by protozoa?

Answer 9

Amoebiasis and Leishmaniasis

Question 10

A 24 year old women is admitted to the emergency department with a three hour history of abdominal pain. On closer questioning she admits to three weeks of severe diahorrea and significant weightloss. She drinks three units of alcohol a week and has an 8 pack year history. She is only on the contraceptice pill and has no allergies. On examination she appears pale and fatigued. What is the most likely diagnosis? Ulcerative colitis, peptic ulcer disease, Crohn’s disease, Diverticulitis or gall stones

Answer 10

Crohn’s disease

Question 11

A 53 year old make with a 30 pack year history of smoking, presents to his GP with a two month history of epigastric pain. He has been unable to weed his garden since the pain began, and is often woken up at night. He finds that the pain is relieved by drinking a glass of milk. He has also given up his frequent visits to the pub. What is the likely diagnosis? Gastric ulcer, Oesophagitis, duodenal ulcer, pancreatitis, gall stones

Answer 11

Duodenal ulcer

Question 12

What is acute cholangitis?

Answer 12

A bacterial infection occuring in conjunction with obstruction to the biliary tree, most commonly caused by gall stones. Symptoms include continuous epigastric or upper right quadrant abdominal pain, vomiting, fever, peritonism or a gall bladder mass. The triad of fever, jaundice and abdominal pain is associated with acute cholangitis.

Question 13

A 72 year old presents with painless jaundice and deranged liver function tests, which are obstructive in nature. He complains of a vague discomfort in the epigastric area that is worse when lying flat. Cardiovascular and respiratory examination is normal apart from bibasal fine inspiratory crepitations. Abdominal palpitation reveals a palpable mass in the right upper quadrant which does not appear to be a liver edge. What is the likely diagnosis? Gall stones, hepatitis, cirrhosis, pancreatic carcinoma, gastritis.

Answer 13

Pancreatic carcinoma

Question 14

What does achalasia mean?

Answer 14

“failure to relax”