GI

Question 1

what is the mechanisim of atcion of cyclizine?

Answer 1

it is an anti-histamine

H1 antagonist

Question 2

what is the mechanism of action of ondansetron?

Answer 2

5HT3 antagonist

Question 3

what is the mechanism of action of domperidone/prochloperazine/ metaclopramide?

Answer 3

dopamine antagonist (D2/3)

Question 4

when should you not give metaclopramide?

Answer 4

bowel obstruction

parkinsons

Question 5

female with dysphagia and anaemia

Answer 5

patterson kelly brown syndrome

AKA Plummer -Vinson syndrome

iron deficiency is assocaited with post-cricoid oesophgeal web

Question 6

bird beak appearance on barium swallow

Answer 6

achalasia

Question 7

what should you do if you really need to examine the rectum but its far too painful for the patient?

Answer 7

Examination under anaesthesia

Question 8

Blood on toilet paper, painful when pooing

Answer 8

anal fissure

Question 9

cruise down river nile and then has watery diarrhoea 6 weeks later

Answer 9

test urine or stool miscroscopy to look for eggs

Question 10

screening for AAA

Answer 10

abdo USS. if > 5.5cm in male then need repair

Question 11

women taking NSAIDS for hip replacement develops bleeding

Answer 11

acute erosive gastritis

Question 12

spidery-web white pattern in mouth

Answer 12

lichenoid patchy/lichen planus

Question 13

describe an apthous ulcer

Answer 13

painful yellow ulcer with red halo

Question 14

descirbe a typical mouth cancer lesion

Answer 14

painless yellow ulcer with red halo

Question 15

patient has had a gastric resection and is now unsteayb on feet?

Answer 15

B12 def as loss of parietal instrinic factor and now has peripheral neuropathy

Question 16

who needs vit D supplements?

Answer 16

pregnant women
people over 65

infants and children aged up to 5
(should really take one every day in scotland anyway)

Question 17

painless rolled ulcer in mouth

Answer 17

mouth cancer

Question 18

which neurotransmitter causes sedation?

Answer 18

histamine

Question 19

old lady with constipation, abdo pain and bleeding

Answer 19

diverticulitis

Question 20

alcohol , pmh of gallstones and epigastric pain

Answer 20

pancreatitis

Question 21

shoulder tip pain on right and abdo pain

Answer 21

cholysystitis

Question 22

alcoholic, drinking bottle of whiskey per day, poor memory, amnesia

Answer 22

korsakoff’s dementia

Question 23

pregnant woman, feels stuff coming down back passage, blood on wiping

Answer 23

haemorrhoids

Question 24

woman bleeding and extreme pain when pooing, sore PR

Answer 24

anal fissure

Question 25

5cm lump from anal verge

Answer 25

cancer?

Question 26

tets for gardnella

Answer 26

stool microscopy

Question 27

test for viral hepatitis

Answer 27

blood serology

Question 28

what is hyoscine butyl bromide used for

Answer 28

abdo cramps (anti spasmodic)

Question 29

what is hyoscine hydrobromide used for

Answer 29

secretions (palliative) (anti emetic)

Question 30

should avoid what when on metronidazole

Answer 30

alcohol

Question 31

is spironolactone okay to use in liver failure>

Answer 31

yes

Question 32

plummer vinson

Answer 32

dysphagia and anaemia

Question 33

treatment for giardiasis

Answer 33

metronidazole