GI

Question 1

Charcot’s triad

Answer 1

RUQ pain
Rigors (Fever)
Jaundice

Question 2

Which Hepatitis A immunoglobulin remains for rest of life?

Answer 2

Anti-HAV IgG

IgM during acute illness dissapearing after 3-5 months

Question 3

Which two types of Hepatitis are transmitted through the faeco-oral route?

Answer 3

Hep A & E

Question 4

Gallstone formation risk factors

Answer 4

Age
Female sex until 65
Family history

Question 5

5 Fs of Gallstone formation

Answer 5

Female
Fat
Fair
Forty
Fertile

Question 6

Biliary colic, Acute cholecystitis, Cholangitis all usually present with

Answer 6

RUQ pain

Question 7

Biliary colic, Acute cholecystitis, Cholangitis

Biliary colic is usually differentiated with the other two by which symptom?

Answer 7

Fever

Question 8

Biliary colic, Acute cholecystitis, Cholangitis

Which one presents with jaundice?

Answer 8

Cholangitis

Question 9

Complications of gallstones in the gallbladder & cystic duct

Answer 9

Biliary colic
Acute & chronic cholecystitis
Mycocoele (overdistended gallbladder filled with mucoid or clear and watery content) or Empyema (gallbladder fills with purulent material)
Carcinoma (rare)
Mirizzi’s syndrome (common hepatic duct obstruction by an extrinsic compression from an impacted stone in the cystic duct)

Question 10

Chronic pancreatitis treatment

Answer 10

Mainly symptomatic

Treatment of underlying and precipitating factors (eg alcohol)

Question 11

Complications of chronic pancreatitis

Answer 11

Pseudocysts
Calcification
DM
Malabsorption