GI

Question 1

Gingival Hypertrophy

Answer 1

Side effect of calcium channel blockers or phenytoin

Question 2

Bird beak appearance (and distended oesophagus)

Answer 2

Achalasia

Question 3

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness) positive

Answer 3

Acute pancreatitis

Question 4

Murphy’s sign positive

Answer 4

Cholecystitis

Question 5

Pale stools, jaundice, abdo pain

Answer 5

Biliary obstruction

Question 6

Abdo distension, caput medusae, shifting dullness

Answer 6

Portal hypertension and ascites

Question 7

Pyoderma gangrenosum, erythema nodosum

Answer 7

Crohn’s, UC

Question 8

“Tinkling bowel sounds”

Answer 8

Bowel obstruction

Question 9

Vesicular rash + weight loss

Answer 9

Coeliac

Question 10

Virchow’s node (left supra-clavicular)

Answer 10

Gastric cancer

Question 11

Urea breath test

Answer 11

H.pylori

Question 12

Anti-mitochondrial antibodies

Answer 12

Primary biliary cirrhosis

Question 13

Anti-smooth muscle antibodies

Answer 13

Autoimmune hepatitis

Question 14

‘Cobblestone mucosa’; indicating deep fissuring ulceration of mucosa

Answer 14

Crohn’s

Question 15

Severe abdo pain + D&V after raw milk

Answer 15

Campylobacter

Question 16

Russell’s sign

Answer 16

Self induced vomiting

Question 17

Crypt abscess / cryptitis

Answer 17

Crohn’s

Question 18

Onion skinning fibrosis, beading of bile ducts

Answer 18

Primary sclerosing cholangitis

Question 19

“Signet RIng” cells seen on biopsy

Answer 19

Diffuse stomach cancer

Question 20

Thumb-printing on X-ray commonly at splenic flexure

Answer 20

Ischaemic colitis