GI

Question 1

what is commonly the first nutrient to be malabsorbed?

Answer 1

iron

Question 2

what do recurrent cold sores point towards?

Answer 2

immune deficiency

Question 3

bile in vomit. what causes this?

Answer 3

small or large bowel obstruction

Question 4

why is GORD more common n children?

Answer 4

gastro oesophageal sphincter is weaker in children, no medication that can help this

Question 5

baby who is back arching and crying?

Answer 5

reflux

Question 6

immedately coming back up. drooling as can’t swallow own saliva - diagnosis?

Answer 6

oesophageal stricture

Question 7

food bolus obstruction. History of swallowing chicken, steak and dry bread. A drooling patient that is otherwise well. what do you do?

Answer 7

refer to ENT or gastroenterologist

Question 8

a drooling patient who is febrile and very unwell?

Answer 8

epiglotitis

Question 9

sausauge shape mass in iliocaecal valve, red currant jelly and bile in vomit?

Answer 9

intucusseption

Question 10

how can you differentiate viral and bacterial gastroenteritis ?

Answer 10

bacterial causes bloody diarrhoea, viral does not

Question 11

where do you usually see skin features of dermatitis herpatiformis?

Answer 11

round the mouth

Question 12

erythema nudosum. seen in crohns or UC?

Answer 12

crohns

Question 13

do you get erythema nudosum on the trunk?

Answer 13

no

Question 14

what do you get on foot in crohns (boots) looks like ulcers?

Answer 14

pyoderma gangrenosa

Question 15

how do you treat pyoderma gangrenosa?

Answer 15

steroids

Question 16

what is Haemolytic uraemic syndrome caused by?

Answer 16

shiga like toxin on e coli 0157

Question 17

main viral causes of gastroenteritis?

Answer 17

NA noro virus and adenovirus

Question 18

bacterial causes of GE?

Answer 18

e coli 0157, c diff, campylobacter, salmonella, cryptosporidium

Question 19

why do you get HUS?

Answer 19

giving antibiotics which kill the bacteria and toxins are released.

Question 20

treatment of gastroenteritis?

Answer 20

Treat gastroenteritis with fluids and rest. Diorelite. They will already be salt depleted so giving water alone will worsen this. Ondansstron can be given to stop vomiting.

Question 21

GORD vomiting usually resolves around which age?

Answer 21

12-15 months

Question 22

which HLA is coeliac associated with?

Answer 22

DQ2 and DQ8

Question 23

diarrhoea, pale stools, abdominal bloating, growth failure and anaemia ?

Answer 23

coaeliac

Question 24

which antibody is associated with coeliac?

Answer 24

anti endomesial

Question 25

explosive passage of stool following digital rectal examination?

Answer 25

hirschsprungs disease