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Year 4 Gen Med > GI Passtest > Flashcards

GI Passtest Flashcards

1
Q

How do you test for eradication of h pylori?

A

C urea breath test

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2
Q

A relapsing patient with coeliac who is still abiding to gluten free diet think

A

T cell intestinal lymphoma

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3
Q

Crohns patients usually have the antibodies against

A

Saccharomyces cerevisiae

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4
Q

What is a non invasive way to demonstrate acid reflux.

A

Oesophageal pH monitoring (pH probe in distal oesphagus)

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5
Q

Bacteria steatorehoea and macrocytic anaemia

A

Bacterial overgrowth syndrome

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6
Q

Crypt abscesses in Crohns or UC

A

UC

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7
Q

Which laxative should be prescribed with opiates

A

Senna

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8
Q

HIV with white patch on tongue that won’t scrape away - treat with antivirals

A

Oral hairy leukoplakia (treat with antivirals)

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9
Q

What is the reason for hypercalcaemia leading to gord

A

Hyperparathyroidism

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10
Q

Kayser fleisher rings

A

Wilson’s disease

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11
Q

Reduced secretion of what leads to the development of achalasia

A

Nitric oxide

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12
Q

In melanosis coli what is the name of the pigment

A

Lipofuscin

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13
Q

Flushing
Diarrhoea
Bronchispams
And new murmur

A

Carcinoid syndrome caused by serotonin

Diagnosed via high urine 5 hydroxyindoleacetic acid

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14
Q

Travellers diarrhoea most commonly caused by

A

E Coli

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15
Q

What are you most worried about in alcohol dependency? Phosphate sodium magnesium or potassium

A

Phosphate due to refeeding syndrome

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16
Q

Diarrhoea wheezing and flushing

A

Carcinoid syndrome

?neuroendocrine tumour

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17
Q

Investigate for carcinoid syndrome

A 
Chromogranin A 
24 hour urinary 5 hydroxyindolaecetic acid (5HIAA)
Cros sectional imaging of the thorax 
Abdo pelvis
Upper GI and lower GI endoscopy
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18
Q

What is a geographic tongue

A

Depappilation associated with pain on eating spicy or acidic foods

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19
Q

Wernikes caused by which vitamin deficiency

A

B1

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20
Q

What is the other name for hereditary haemorrhagic telangectasia

A

Osler Weber rendu syndrome

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21
Q

Budd chiari is occlusion if what vein

A

Hepatic vein

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22
Q

Name six causes of a chronically enlarged spleen

A 
Malaria 
Schistosomiasis 
Hydatid disease
Kala azar 
Chronic leukaemia 
PCR
Sickle cell
Thalassaemia 
Hereditary spherocytosis 
Portal hypertension 
Lymphoma
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23
Q

What is hypersplenism

A

Splenic enlargement with the sequestration and /or destruction of peripheral blood cells in the splenic circulation this results in anaemia leukoplenia and or thrombocytopenia

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24
Q

UC and greater than 2 exacerbations in the past year

A

Oral azathioprine or oral mercaptopurine to maintain remission

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25
Q

What makes a UCflare severe?

A 
>6 stools per day 
And at least one of 
Temp >37.8
HR>90
Anaemia (Hb less than 105)
ESR >30

(In hospital as an emergency)

26
Q

Metoclopramide is contraindicated in

A

Parkinson’s

27
Q

What should you ensure before carrying out a urease breath test?

A

No abx in the last 4 weeks

No anti secretory drugs (eg PPI) in past 2 weeks

28
Q

What is the investigation of choice for detecting liver cirrhosis

A

Transient elastography

29
Q

What measurement of weight loss is diagnostic of malnutrition

A

> 10% within the last 3-6 months

30
Q

What vaccine are coeliacs offered and why

A

Pneumococcal and influenza

Because of functional hyposplenism

31
Q

PPIs can cause what electrolyte abnormality

A

Hyponatraemia

Hypomagnasaemia (muscle aches)

32
Q

A combination of liver and neurological disease points towards

A

Wilson’s disease

33
Q

What is the risk of patients with PSC

A

Development of cholangiocarcinoma

34
Q

First line in UC

A

TOPICAL (ie rectal) mesalazine

35
Q

How long before an upper GI endoscopy should PPIs be stopped

A

2 weeks

36
Q

Duodenal ulcers relieved by

A

Eating

37
Q

What meds should be stopped in C diff infections

A

Oramorph PRN

38
Q

Which psychiartric drug causes peptic ulcers?

A

Sertraline

39
Q

What is the most common presentation of Crohns in kids

A

Abdo pain

40
Q

Treat Wilson’s

A

Penicillamine

41
Q

What is SAAG used for

A

To determine if the ascites has been caused by portal hypertension or not
If >11g|l indicates portal hypertension

42
Q

What are the serological abnormalities in Wilson’s

A

Excess copper in tissues causing low serum copper and reduced caeruloplasmin

43
Q

What should be checked before prescribing azathioprine or mercaptopurine in Crohns?

A

TPMT activity

44
Q

Diagnose PSC

A

MRCP

45
Q

Bleeding gums think

A

Scurvy

46
Q

Patients with T1DM or autoimmune thyroid disease should be screened for

A

Coeliac disease on diagnosis

47
Q

jaundice itch arthralgia

A

pbc

48
Q

most common cause of acute hep

A

a

49
Q

jaundice hepatomegaly impotence diabetes arthritis hyperpigmentation small testes infertility

A

haemochromatosis

50
Q

fever ruq pain jaundice

A

ascending cholangits

51
Q

what is copes sign

A

pain from appendix worsens when flex and internally rotate right hip

52
Q

TIPS connects which two vessels

A

Hepatic vein and portal vein

53
Q

Treat severe alcoholic hepatitis

A

Corticosteroids

54
Q

Incision used in cholecystectomy

A

Kochers

55
Q

Whipple procedure incision

A

Rooftop

56
Q

What sign is this? Palpating under the right costal margin causes her to catch her breath

A

Murphy sign

In acute cholecystitis

57
Q

Carcinoid syndrome causes what effects on the heart

A

Pulmonary stenosis and tricuspid insufficiency (affects the right heart)

58
Q

How long do you isolate for with c diff

A

48 hours

59
Q

Dysphasia affecting both solids and liquids at the start

A

Achalasia

60
Q

There is an increase in goblet cells in

A

Crohns

Year 4 Gen Med (26 decks)

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