Last minute

Question 1

In tetralogy of fallot, what ventricle is hypertrophied?

Answer 1

Left

Question 2

What is Kaussmaul’s sign?

Answer 2

parodoxial rise in JVP on filling (pericarditis)

Question 3

What is pulsus paradoxus?

Answer 3

drop of 10 mmHg on inspiration (pericarditis)

Question 4

how does alcoholic liver disease affect creatinine kinase?

Answer 4

decreases

Question 5

What is n-acetyl cysteine’s MoA in paracetamol OD?

Answer 5

replenishes glutathione that conjugates NAPQI to non toxic compounds

Question 6

what is the goldstandard dx for Charcot’s triad?

Answer 6

contrast enhanced CT

Question 7

What skin condition is often seen with coeliac disease?

Answer 7

dermatitis herpetiformis

Question 8

What condition does Rosvig’s sign relate to?

Answer 8

appendicitis

Question 9

Histology of Crohn’s?

Answer 9

cobblestone apperance, granulomatous inflammation

Question 10

UC histology

Answer 10

pseudopolyps, goblet cell depletionm crypst asbcesses.

Question 11

What is the Rockall score?

Answer 11

risk of upper GI bleeding

Question 12

What is the treatment cascade for Crohn’s?

Answer 12

1. oral prednisolone, then sulfsalazine/aziothioprine

2. no response; infliximab (anti-TNF)

Question 13

What is the treatment cascade for UC?

Answer 13

1. 5-ASA, then oral prednisolone

2. severe with systemic symptoms: IV hydrocortisone, infliximab

Question 14

What Ab are associated with PBC?

Answer 14

ANA and abti-mitochondrial

Question 15

Obstructions treatment

Answer 15

drip and suck

Question 16

extra oesophageal presentation of GORD?

Answer 16

nocturnal asthma, chronic cough, laryngitis

Question 17

Acute vs chronic pancreatitis presentation:

Answer 17

• acute: epigastric or upper pain, radiates to back. N and V. Grey turner
• chronic: epigastric pain, weightloss, diabetes and steatorrhoea, jaundice

Question 18

What are the albumin levels in liver failure?

Answer 18

low