GI Flashcards
What is the investigation of choice for PSC?
MRCP
anti-HBc (IgG) suggests…
Previous Hep B infection
Ischaemic colitis is most likely to occur in which area?
Splenic flexure
PSC is associated with…
UC
Which auto-antibody may suggest PSC?
pANCA
Which auto-antibodies may be raised in pernicious anaemia?
Intrinsic factor antibodies
What is the first-line treatment for autoimmune hepatitis?
Steroids
What is the investigation of choice in suspected UC?
Flexible sigmoidoscopy
What is the eradication therapy for H Pylori?
PPI + Amoxicillin + Clarithromycin
What is the treatment for Wilson’s disease?
Penicillamine
Give causes of a change in bowel habit.
Colorectal cancer, IBD, IBS and Coeliac disease
What is the initial test for coeliac disease?
IgA Anti-TTG
Which type of IBD is worsened by smoking?
Crohn’s disease
Which vessels are connected in a TIPSS shunt?
Hepatic vein and portal vein
Which vaccination should people with coeliac disease receive every 5 years?
Pneumococcal (due to hyposplenism)
‘Cobblestone appearance’ suggests…
Crohn’s disease
‘Crypt abscesses’ suggests…
UC
Transmural inflammation in IBD suggests…
Crohn’s disease
Which types of IBD may be worsened by smoking?
Crohn’s disease
How are flares of IBD usually managed?
Oral steroids
What are the first-line maintenance agents for UC?
Mesalazine or sulfasalazine
What are the first-line agents for maintenance of Crohn’s disease?
Immunosuppression - azathioprine, methotrexate
Melanosis coli is associated with…
Laxative abuse
Which types of hepatitis can be vaccinated against?
A, B and D
Which Hep B serological marker suggests current infection?
HBsAg
Which serological marker is used to check for Hep B vaccine response?
Anti-HBsAg
Which markers are used in haemochromatosis monitoring?
Ferritin and Transferrin saturation
What is the first-line prophylactic agent in variceal bleeding?
Propanolol
What is the surgical management for Achalasia?
Heller cardiomyotomy
What is the test for H Pylori?
Urea breath test
What is the most common cause of gastroenteritis?
Campylobacter
Gastroenteritis few days after BBQ suggests…
E Coli
Sudden-onset gastroenteritis suggests…
Staph aureus
Sudden-onset gastroenteritis suggests…
Staph aureus
Prolonged vomiting leads to which ABG abrnomality?
Metabolic alkalosis with hypokalaemia
Prolonged diarrhoea may lead to which ABG abnormality?
Metabolic acidosis with hypokalaemia
