GI

Question 1

gingival hypertrophy

Answer 1

side effect of CCBs or phenytoin

Question 2

grey turner’s sign and cullen’s sign

Answer 2

acute pancreatitis

Question 3

murphy’s sign positive

Answer 3

cholecystitis

Question 4

pale stools, jaundice, abdo pain

Answer 4

biliary obstruction

Question 5

abdo distension, caput medusae, shifting dullness

Answer 5

portal hypertension + ascites

Question 6

pyoderma gangrenosum, erythema nodosum

Answer 6

crohn’s/UC

Question 7

tinkling bowel sounds

Answer 7

bowel obstruction

Question 8

vesicular rash and weight loss

Answer 8

coeliac disease

Question 9

virchow’s node (left supra-clavicular)

Answer 9

gastric cancer

Question 10

urea breath test

Answer 10

h.pylori

Question 11

AMA

Answer 11

primary biliary cirrhosis/cholangitis

Question 12

ASMA

Answer 12

autoimmune hepatitis

Question 13

alpha feta protein

Answer 13

alpha feto protein

Question 14

which diuretic is used for ascites due to cirrhosis

Answer 14

spironolactone

Question 15

corkscrew oesophagus on barium swallow

Answer 15

diffuse oesophageal spasm

Question 16

severe abdo pain, diarrhoea and vomiting after drinking raw milk

Answer 16

campylobacter

Question 17

russell’s sign

Answer 17

self-induced vomiting

Question 18

mallory’s hyaline bodies

Answer 18

alcoholic liver disease, acute hepatitis and chronic active hepatitis

Question 19

signet rings on biopsy

Answer 19

linitis plastic -> diffuse gastric cancer

Question 20

charcots triad (fever, jaundice and RUQ pain)

Answer 20

ascending cholangitis

Question 21

thumb-printing on X-ray commonly at the splenic flexure

Answer 21

ischaemic colitis

Question 22

BATH VIPS (bowel obstruction causes)

Answer 22

bolus, adhesions, tumour, hernia, volvulus,

intersussception, pseudo-obstruction, stricture

Question 23

A CHEMICAL (causes of abdominal mass)

Answer 23

AAA, crohn’s, hernia, enlarged organ,

malignancy, intersusception, cyst or abcess, appendicitis, lymphadenopathy

Question 24

stomatitis gangrenosum

Answer 24

mouth disease in crohn’s

Question 25

ABCDEFGHI causes of liver disease

Answer 25

autoimmune, hepatitis B, hepatitis C, drugs, ethanol, fatty liver disease, growth, haemodynamic, infiltration (haemochromatosis, wilson’s disease), infective

Question 26

which LFT is more specific to the liver?

Answer 26

ALT