GI

Question 1

Bird beak appearance and distended oesophagus

Answer 1

Achalasia

Question 2

Cullens sign and greys sign

umbilical and lumbar bruising

Answer 2

Acute pancreatitis

Question 3

Causes of acute pancreatitis

Answer 3

Get smashed

Gall stones 
Ethanol ( alcohol)
Trauma 
Steroids 
Mumps 
Autoimmune 
Scorpion bite 
Hyperlipidaemia or hyperthermia 
ERCP
Drugs

Question 4

Murphys sign positive

Answer 4

Cholecystitis

Question 5

Pale stools
Jaundice
Abdominal pain

Answer 5

Biliary obstruction

Question 6

Abdominal distension
Capture medusa
Shifting dullness

Answer 6

Portal hypertension

Ascitis

Question 7

Pyoderma gangrenosum

Erythema nodosum

Answer 7

Crohn

UC

Question 8

Tinkling bowel sounds

Answer 8

Bowel obstruction

Question 9

Vesicular rash and weight loss

Answer 9

Coeliac disease

Question 10

Virchows node

supraclavicular

Answer 10

Gastric cancer

Question 11

Urea breath test

Answer 11

H.pylori

Question 12

14c breath test or hydrogen breath test

Answer 12

Bacterial overgrowth

Question 13

Rice water like stools

Answer 13

Vibrio cholera

Question 14

Anti mitochondrial anti body

Answer 14

Primary biliary cirrhosis

Question 15

Anti smooth muscle antibodies

Answer 15

Autoimmune hepatitis

Question 16

Alpha feto protein assay

Answer 16

Hepatocellular carcinoma or heratoma

Question 17

Cobblestone mucosa indication deep fissuring ulceration

Answer 17

Crohns

Question 18

Diuretic for Ascitis

Answer 18

Spironolactone

Question 19

Cork screw oesophagus on barium swallow

Answer 19

Diffuse oesophageal spasm

Question 20

Severe abdominal pain and diarrhoea and vomiting after raw milk

Answer 20

Campylobacter

Question 21

Crypt abscesses

Answer 21

Crohns

Question 22

Onion skinning fibrosis

Beading of bile ducts

Answer 22

Primary sclerosing cholangitis

Question 23

Signet ring cells on biopsy

Answer 23

Diffuse stomach cancer

Question 24

Thumbing print on x ray

Commonly at splenic flexure

Answer 24

Ischaemic colitis

Question 25

Charcots triad - acute cholangitis

Answer 25

Fever Jaundice Abdominal pain

Question 26

Best investigation for bile malabsorption

Answer 26

SeHCAT

Question 27

Mallory's hyaline bodies

Answer 27

Alcoholic liver disease | Chronic active hepatitis

Question 28

Russell's sign

Answer 28

Self induced vomiting

Question 29

Raised IgG

Answer 29

Autoimmune hepatitis

Question 30

Raised IgM

Answer 30

Primary biliary cirrhosis

Question 31

Causes of bowel obstruction | bath VIPs

Answer 31

``` Bolus Adhesions Tumour Hernia Volvulus Intersussception Pseudo obstruction Stricture ```

Question 32

Causes for abdominal mass A chemical )

Answer 32

``` AAA Crohns Hernia Enlarged organ Malignancy Intersusception Cyst or abscess Appendicitis Lymphadenopathy ```

Question 33

Gingival hypertrophy | biting on gums

Answer 33

Side effect of calcium channel | Blockers

Question 34

Anti mitochondrial antibodyb

Answer 34

Primary biliary cirrhosis

Question 35

Anti nuclear antibody | Anti smooth muscle

Answer 35

Autoimmune hepatitis

Question 36

Raised IgG

Answer 36

Autoimmune hepatitis

Question 37

Raised IgM

Answer 37

Primary biliary cirrhosis

Question 38

Viral markers

Answer 38

Hep A B C D E

Question 39

Serum iron | Serum ferritin

Answer 39

Haemochromatosis

Question 40

Serum and urinary copper Serum caeruloplasmin

Answer 40

Wilsons

Question 41

Anti nuclear cytoplasmic antibodies

Answer 41

Primary sclerosing cholangitis