GI

Question 1

most common cause of vanishing bile ducts in adults

Answer 1

PBC

Question 2

2 big risk factors for SCC head and neck

Answer 2

smoking and alcohol

Question 3

hepatic hydrothorax

Answer 3

secondary to portal HTN
R>left pleural effusions
tx: TIPS

Question 4

abdominal succussion splash

Answer 4

gastric outlet obstruction

Question 5

emphysematous cholecystitis

Answer 5

elderly male
diabetics
= air fluid levels in GB from the gas producing bacteria

Question 6

diarrhea and cramps
friable mass
64yo male

Answer 6

second peak UC

Question 7

risk factors for Acalculous cholecystitis

Answer 7

SEVERELY ILL HOSPITAL PATIENTS

Question 8

jejunal aspirate for SIBO

Answer 8

greater than 10^5 organisms/ml

Question 9

scant hematochezia investigation

Answer 9

proctoscopy=anoscopy– since probs haemorrhoids

Question 10

PPI side effects

Answer 10

• osteoporosis
• pneumonia
• B12 deficiency
• C. diff

Question 11

labs for alcoholic hepatitis

Answer 11

INCREASE ferritin
2:1 AST>ALT
increase GGT

Question 12

2 drugs that worsen HE in cirrhosis patients

Answer 12

acetazolamide

furosemide

Question 13

borborygmi

Answer 13

bowel sound= stomach rumble

tropical sprue

Question 14

ischaemic hepatic injury

Answer 14

MASSIVE AST increase
MASSIVE ALT increase
increase total bill
increase ALP

Question 15

AS associated with what in the gi

Answer 15

angiodysplasia

Question 16

bx of hepatic mass= sinusoids and cupful cells

Answer 16

focal nodular hyperplasia

NOT NOT NOT NOT NOT associated with OCP

Question 17

GS but poor surgical candidate

Answer 17

ursodeoxycholic acid

Question 18

non-bleeding eso varices

Answer 18

beta blockers

Question 19

GI bleeding that could not be picked up from colonoscopy…. what to do next?

Answer 19

Tc99

Question 20

colonic ulcer in HIV patient

Answer 20

CMV

Question 21

IVDU with ascites…

Answer 21

CIRRHOSIS– either secondary to hepatitis or alcohol

Question 22

amoebic liver abscess…

Answer 22

ORAL METRO (do NOT drain it)