GI 3 Flashcards

1
Q

Associated features of haemochromatosis

A

Hyperpigmentation, diabetes, cirrhosis and later possible hepatocellular carcinoma, dilated and restrictive cardiomyopathy, athralgia, rarely hypothryoidism

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2
Q

Treatment for haemochromatosis

A

Weekly venesection

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3
Q

Treatment in Primary Biliary Cirrhosis

A

Ursodeoxycholic acid

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4
Q

Treatment for Pseudomonas colitis

A

PO Vancomycin

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5
Q

Been abroad, diarrhoea, fever, sweats, rash suggestive of “rose spots”

A

Typhoid fever

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6
Q

Treatment for Typhoid fever?

A

Ciprofloxacin for 14 days

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7
Q

Traveller returning from Indian subcontinent, diarrhoea, fever, sweats, rash suggestive of “rose spots”

A

Typhoid fever

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8
Q

Management options for oesophageal spasm?

A

Medical therapy with Ca antagonists, nitrates and triclyclide antidepressants

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9
Q

Post-cricoid web, iron deficiency anaemia and dysphagia

A

Plummer-Vinson Syndrome

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10
Q

Treatment for a pregnant patient with gallstones in a non dilated bile duct

A

Conservative treatment with antibiotics and hydration

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11
Q

Farmer with vague abdominal symptoms affecting upper right quadrant. AXR shows multiple calcified cysts within the liver

A

Hydatid disease

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12
Q

What is the most appropriate long treat treatment for varies apart from abstaining from alcohol?

A

Band Ligation

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13
Q

Why should patients with a history of variceal bleeding not be monitored with repeat endoscopy?

A

Risk of further variceal bleeding

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14
Q

What should be given in the short term acute management of variceal bleeding?

A

Terlipressin

-Reduces mortality

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15
Q

Why is band ligation favoured over TIPPS in the long term management of variceal bleeding?

A

There is an increased risk of hepatic encephalopathy with TIPPS

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16
Q

Why should IgA levels of antibody be checked when checking for anti-tTG

A

anti-TTG is a type of IgA antibody which may be raised in the presence of IgA deficiency

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17
Q

Which is the preferred test for diagnosing coeliac disease?

A

anti-TTG as it is more specific than anti-gliandin

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18
Q

Treatment for Hepatitis C in an IV drug user

A

PEG-interferon alpha with ribavirin

-Only requires weekly dosing

19
Q

Patient returns from Far East with symptoms similar to coeliac disease, including chronic diarrhoea, weight loss, tiredness and fevers. He develops chronic leg oedema. Diagnosis and treatment?

A

Tropical Sprue

-Treat with Tetracycline for 3-6months

20
Q

What is diclofenac?

A

NSAID

21
Q

What is vitamin B1?

A

Thiamine deficiency

22
Q

Name some causes behind delayed vomiting

A

Peptic ulcer, gastric carcinoma, gall bladder disease and intestinal obstruction

23
Q

Which can constipation occur in Crohn’s

A

Due to partial strictures in the intestines

24
Q

In terms of bowel habit, what does hypothyroidism and hypercalcaemia cause?

A

Constipation

25
Q

Difficulty swallowing, iron deficiency anaemia and oesophageal web

A

Plummer-Vinson Syndrome

26
Q

What kind of pulse is associated with cardiac tamponade?

A

Paradoxical pulse

27
Q

What kind of pulse is found in patients with severe heart failure?

A

Alternans

28
Q

Causes of a wide pulse pressure

A

atherosclerosis, fever, anaemia, thyroxitosis, heart block, anxiety, aortic dissection, endcarditis

29
Q

What type of malignancies are patients with coeliac disease at risk of?

A

Small bowel lymphoma and oesophageal carcinoma

30
Q

Where is Meckel’s Diverticulum commonly found and when is it diagnosed?

A

Diagnosis of exclusion after upper and lower GI blood loss have been excluded. 60cm away from ileocaecal valve

31
Q

Diagnosis: depression, fatigue, constipation and bone pain

A

Hypercalcaemia

32
Q

Patient in shock and lying still

A

Peritonitis

33
Q

What type of stones are associated with bacterial in the bile duct?

A

Pigment stones

34
Q

What is Duke’s staging?

A

1) Limited to mucosa
2) Through wall
3) Lymph Node involvement
4) Distal metastases

35
Q

Where is the most common site of mesenteric ischaemia?

A

Splenic flexure

36
Q

What is the rule of twos for Meckel’s diverticulum?

A

2 inches in length, 2 feet proximal to ileocaecal junction, 2% of population, 2 types of Heretrophic epithelium (gastric and pancreatic)

37
Q

Pseudopolyps

A

UC

38
Q

An 83 year old man presents following a collapse. He is not tachycardic but has a postural drop in bp. He has mild epigastric discomfort. You not he has a history of arthritis and hypertension

A

Bleeding peptic ulcer

-He is taking NSAIDs because of his arthritis. Not tachycardic because he is using alpha blockers for hypertension

39
Q

Inguinal hernia

A

Above and medial to the pubic tubercle

40
Q

Femoral hernia

A

Below and lateral to the pubic tubercle

41
Q

Hernia lying medially to the epigastric vessels

A

Direct- more common in older male

42
Q

Hernia lying laterally to the epigastric vessels

A

Indirect- more common in young male

43
Q

Raised serum amylase

A

Pancreatitis

44
Q

Murphy’s sign positive

A

Cholecystitis