GI

Question 1

Irritable bowel syndrome symptoms

Answer 1

Bloating
Abdominal pain
Increased toilet visits
Mucus stool
Incomplete emptying

Question 2

IBS treatment

Answer 2

Initial - Improve diet

Drugs - Mebeverine, hycosine, Loperamide (anti-diarrhoea), Amitryptiline (anti-depressant)

Question 3

Appendicitis symptoms

Answer 3

Umbilical pain, MANTREL score 7-10

Question 4

Treatment for appendicitis

Answer 4

Laparoscopic appendectomy + analgesia + antibiotics

Question 5

Appendicitis inflammation

Answer 5

Neutrophilic inflammation

Question 6

Budd chiari syndrome

Answer 6

Young women on pill

Question 7

Cirrhosis symptoms

Answer 7

Middle aged women, Jaundice, AMA positive

Question 8

Treatment for cirrhosis

Answer 8

Urseodeoxycholic acid

Question 9

Auto immune hepatitis symptoms

Answer 9

Jaundice, Hepatomegaly, Elevated LFTs

Question 10

Autoimmune hepatitis treatment

Answer 10

Azathioprine, Prednisolone

Question 11

Primary sclerosing cholangitis

Answer 11

Destruction of bile ducts

Question 12

Primary sclerosing cholangitis symptoms

Answer 12

Middle-aged man, Jaundice, AMA negative

Question 13

Ascites treatment

Answer 13

Immediate: Paracentesis

Spironolactone, avoid salt

Question 14

Ascites patient

Answer 14

Abdominal pain, Alcoholic

Question 15

Oesophagitis treatment

Answer 15

Proton pump inhibitor

Question 16

Pain at night after eating?

Answer 16

Peptic Ulcers (H.pylori)

Question 17

Drugs to treat peptic ulcer disease

Answer 17

Antacids (Gaviscon)
H2 antagonists (ranitidine)
PPI (omeprazole)