GI

Question 1

ascites SAAG >11g

Answer 1

liver problem

Question 2

triple therapy for H pyloris

Answer 2

PPT + amox + metronidazole/ clarithromycin

Question 3

signet rings

Answer 3

gastric cancer

Question 4

histology of coeliac disease

Answer 4

villous atrophy
crypt hyperplasia

Question 4

raised faecal calprotectin

Answer 4

IBD

Question 4

rosvigs sign

Answer 4

appendicitis
pressing on left causes pain on right

Question 5

antimitochondrial antibodies

Answer 5

primary biliary cholangitis

Question 6

GI symptoms + erythema nodosum

Answer 6

UC or crohns

Question 7

treatment of hepatic encephalopathy

Answer 7

lactulose (gets rid of ammonia)

Question 8

c diff treatment

Answer 8

1st - oral vancomycin
2nd - fidaxomicin
recurrent - feacal transplant

Question 9

chronic alcoholism blood results

Answer 9

raised MCV

Question 10

measure of severity of pancreatitis

Answer 10

calcium (lower = worse)

Question 11

anti smooth muscle antibodies

Answer 11

autoimmune hepatitis

Question 12

acid schiff macrophages on jejunal biopsy

Answer 12

whipples disease

Question 13

what prevents recurrence of hepatic encephalopathy

Answer 13

rifaximin

Question 14

bacteria that causes spontaneous bacterial peritonitis

Answer 14

E coli
kleb

Question 15

treatment of anal fissures

Answer 15

<1 week = soften stool - bulk forming laxative & high fibre
chronic = topical GTN

Question 16

how long do PPIs have to be stopped before endoscopy

Answer 16

2 weeks

Question 17

most common cause of large vs small bowel obstruction

Answer 17

large - cancer
small - adhesions