GI Passtest Flashcards
How do you test for eradication of h pylori?
C urea breath test
A relapsing patient with coeliac who is still abiding to gluten free diet think
T cell intestinal lymphoma
Crohns patients usually have the antibodies against
Saccharomyces cerevisiae
What is a non invasive way to demonstrate acid reflux.
Oesophageal pH monitoring (pH probe in distal oesphagus)
Bacteria steatorehoea and macrocytic anaemia
Bacterial overgrowth syndrome
Crypt abscesses in Crohns or UC
UC
Which laxative should be prescribed with opiates
Senna
HIV with white patch on tongue that won’t scrape away - treat with antivirals
Oral hairy leukoplakia (treat with antivirals)
What is the reason for hypercalcaemia leading to gord
Hyperparathyroidism
Kayser fleisher rings
Wilson’s disease
Reduced secretion of what leads to the development of achalasia
Nitric oxide
In melanosis coli what is the name of the pigment
Lipofuscin
Flushing
Diarrhoea
Bronchispams
And new murmur
Carcinoid syndrome caused by serotonin
Diagnosed via high urine 5 hydroxyindoleacetic acid
Travellers diarrhoea most commonly caused by
E Coli
What are you most worried about in alcohol dependency? Phosphate sodium magnesium or potassium
Phosphate due to refeeding syndrome
Diarrhoea wheezing and flushing
Carcinoid syndrome
?neuroendocrine tumour
Investigate for carcinoid syndrome
Chromogranin A 24 hour urinary 5 hydroxyindolaecetic acid (5HIAA) Cros sectional imaging of the thorax Abdo pelvis Upper GI and lower GI endoscopy
What is a geographic tongue
Depappilation associated with pain on eating spicy or acidic foods
Wernikes caused by which vitamin deficiency
B1
What is the other name for hereditary haemorrhagic telangectasia
Osler Weber rendu syndrome
Budd chiari is occlusion if what vein
Hepatic vein
Name six causes of a chronically enlarged spleen
Malaria Schistosomiasis Hydatid disease Kala azar Chronic leukaemia PCR Sickle cell Thalassaemia Hereditary spherocytosis Portal hypertension Lymphoma
What is hypersplenism
Splenic enlargement with the sequestration and /or destruction of peripheral blood cells in the splenic circulation this results in anaemia leukoplenia and or thrombocytopenia
UC and greater than 2 exacerbations in the past year
Oral azathioprine or oral mercaptopurine to maintain remission
What makes a UCflare severe?
>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)
Metoclopramide is contraindicated in
Parkinson’s
What should you ensure before carrying out a urease breath test?
No abx in the last 4 weeks
No anti secretory drugs (eg PPI) in past 2 weeks
What is the investigation of choice for detecting liver cirrhosis
Transient elastography
What measurement of weight loss is diagnostic of malnutrition
> 10% within the last 3-6 months
What vaccine are coeliacs offered and why
Pneumococcal and influenza
Because of functional hyposplenism
PPIs can cause what electrolyte abnormality
Hyponatraemia
Hypomagnasaemia (muscle aches)
A combination of liver and neurological disease points towards
Wilson’s disease
What is the risk of patients with PSC
Development of cholangiocarcinoma
First line in UC
TOPICAL (ie rectal) mesalazine
How long before an upper GI endoscopy should PPIs be stopped
2 weeks
Duodenal ulcers relieved by
Eating
What meds should be stopped in C diff infections
Oramorph PRN
Which psychiartric drug causes peptic ulcers?
Sertraline
What is the most common presentation of Crohns in kids
Abdo pain
Treat Wilson’s
Penicillamine
What is SAAG used for
To determine if the ascites has been caused by portal hypertension or not
If >11g|l indicates portal hypertension
What are the serological abnormalities in Wilson’s
Excess copper in tissues causing low serum copper and reduced caeruloplasmin
What should be checked before prescribing azathioprine or mercaptopurine in Crohns?
TPMT activity
Diagnose PSC
MRCP
Bleeding gums think
Scurvy
Patients with T1DM or autoimmune thyroid disease should be screened for
Coeliac disease on diagnosis
jaundice itch arthralgia
pbc
most common cause of acute hep
a
jaundice hepatomegaly impotence diabetes arthritis hyperpigmentation small testes infertility
haemochromatosis
fever ruq pain jaundice
ascending cholangits
what is copes sign
pain from appendix worsens when flex and internally rotate right hip
TIPS connects which two vessels
Hepatic vein and portal vein
Treat severe alcoholic hepatitis
Corticosteroids
Incision used in cholecystectomy
Kochers
Whipple procedure incision
Rooftop
What sign is this? Palpating under the right costal margin causes her to catch her breath
Murphy sign
In acute cholecystitis
Carcinoid syndrome causes what effects on the heart
Pulmonary stenosis and tricuspid insufficiency (affects the right heart)
How long do you isolate for with c diff
48 hours
Dysphasia affecting both solids and liquids at the start
Achalasia
There is an increase in goblet cells in
Crohns
