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Year 1 EMQ revision > GI > Flashcards

GI Flashcards

1
Q

Colicky loin pain radiating to groin

A

Ureteric colic

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2
Q

Jaundice and constant right upper quadrant pain

A

Biliary colic

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3
Q

Severe epigastric pain radiating to back associated with vomiting

A

Acute pancreatitis

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4
Q

Periumbilical pain radiating to right iliac fossa

A

Acute appendicitis

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5
Q

Central abdominal pain, expansile pulsatile mass

A

Abdominal aortic aneurysm

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6
Q

Iliac fossa pain, positive pregnancy test

A

Ectopic pregnancy

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7
Q

Asterixis (liver flap)

A

Hepatic encephalopathy

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8
Q

Leukonychia

A

Hypoalbuminaemia

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9
Q

Koilonychia

A

Iron-deficiency aenemia

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10
Q

Angular Stomatitis

A

Iron-deficiency aenemia

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11
Q

Buccal pigmentation

A

Peutz-jeghers disease

Addison’s disease

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12
Q

Glossitis

A

Vitamin B12 deficiency

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13
Q

Aphthous ulceration

A

IBD

Coeliac Disease

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14
Q

Expansile pulsatile mass

A

aneurysm

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15
Q

Craggy hepatomegaly

A

liver malignancy

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16
Q

Signs of chronic liver disease

A 
Clubbing
Flapping tremor
Dupuytren’s contracture 
Palmar erythema* 
Gynaecomastia
Spider naevi* 
Splenomegaly* 
Testicular atrophy 
Ascites* 
Encephalopathy*

*all happen in acute failure too

17
Q

Early onset emphysema is associated with…

A

􏰆1-Antitrypsin deficiency

18
Q

Pigmentation and diabetes is associated with…

A

Haemochromatosis

19
Q

Dysarthria, dyskinesia, dementia and kayser-fleischer ring is associated with…

A

Wilson’s disease

20
Q

Middle-aged woman presents with: Pruritus, jaundice, pigmentation Anti-mitochondrial antibody (AMA) positive

A

Primary biliary cirrhosis

21
Q

Primary biliary cirrhosis is associated with rheumatoid arthritis and therefore… (list associated conditions)

A 
Sjögren’s syndrome
thyroid disease 
keratoconjunctivitis 
sicca
renal tubular acidosis
membranous glomerulonephritis
22
Q

Usually middle-aged man, presents with: Pruritus, jaundice, abdominal pain
↑ ALP (alkaline phosphatase), AMA negative
Associated with inflammatory bowel disease (especially ulcerative colitis)

A

Primary sclerosing cholangitis

23
Q

Describe Chron’s Disease

A

Can affect anywhere between mouth and anus Weight loss, diarrhoea, abdominal pain Strictures, anal fistulae
Barium enema: ‘cobble-stoning’
‘Rose-thorn’ ulcers
Granulomas

24
Q

Describe ulcerative colitis

A

Only affects colon
Diarrhoea with blood and mucus
Fever, tachycardia, toxic megacolon in severe acute UC
Barium enema: loss of haustra Sigmoidoscopy: oedematous, friable mucosa

Year 1 EMQ revision (4 decks)

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