Gastrointestinal System Questions

Question 1

What are GI causes of clubbing?

Answer 1

-Hepatic Cirrhosis
-Ulcerative Colitis
-Crohn’s Disease
-Coeliac Disease

Question 2

Causes of Koilonychia

Answer 2

Chronic Iron deficiency

Question 3

Causes of Asterixis

Answer 3

Suggest liver failure with failure of ammonia metabolism to urea.
HOWEVER, asterixis can also be seen in renal failure and in respiratory failure with CO2 retention

Question 4

Causes of Spider Naevi

Answer 4

Multiple spider naevi suggest underlying liver disease

Question 5

Causes of Dupuytren’s contracture

Answer 5

Idiopathic or familial but there is a possible association with liver disease, trauma, diabetes, epilepsy, alcoholism and liver disease.

Question 6

Causes of Angular Stomatitis

Answer 6

Deficiency of Vitamin B6, B12, Folate or iron

Question 7

Causes of glossitis

Answer 7

Painful - Vitamin B12 or Folate deficiency
Painless - Iron deficiency

Question 8

What is Trossier’s sign

Answer 8

Troisier’s sign is the finding of a palpable left supraclavicular lymph node; this is called Virchow’s node.

It may indicate gastrointestinal malignancy, commonly of the stomach, or less commonly, lung cancer.

Question 9

When do you test for murphy’s sign

Answer 9

When suspecting acute cholecystitis

Question 10

What is Charcot’s triad

Answer 10

Right upper quadrant (RUQ) abdominal pain, jaundice, and fever is known as Charcot’s triad and suggests a diagnosis of ascending cholangitis.

Question 11

What is Reynold’s pentad

Answer 11

Charcot’s triad and the addition of hypotension and change in mental state/ confusion (shock). Associated with biliary sepsis.