GI pass medicine questions

Question 1

A 23-year-old man presents to the surgical clinic with an inguinal hernia. On examination he has a small direct hernia. However, you also notice that he has pigmented spots around his mouth, on his palms and soles. In his history he underwent a reduction of an intussusception aged 12 years. Which one of the following lesions is most likely to be identified if a colonoscopy were performed?

Answer 1

you would find harmatoma’s.

Peutz Jegher syndrome

• polyps in GI tract
• melanotic dark macules on mouth, genitals and lips
• harmatomas
• fecal occult blood test

Question 2

Zollinger Ellison syndrome

Answer 2

• refractory peptic ulcers with increased gastrin

- tumour producing excess gastrin

Question 3

A 64-year-old man is admitted to the emergency department overnight for a fall and head injury he sustained while walking home. This fall was related to alcohol excess, and this patient is noted to have had a number of previous admissions of a similar nature. The patient’s admission lasts several days, during which his blood sugar levels are consistently high. He is noted to be unkempt. There is no other significant medical history.

Answer 3

Chronic pancreatitis can lead to diabetes due to destruction of the islet of Langerhans cells of the pancreas

Question 4

herschsprungs disease

Answer 4

• lack of peristalsis in neonates
• don’t pass first poop
• problems in myenteric plexus located in muscular propia