misc 2

Question 1

why are opiates avoided in patients with liver disease

Answer 1

increase risk of hepatic encephalopathy

Question 2

short bowel syndrome

Answer 2

develops after surgical resection of small intestine

diarrhoea, abdo pain, malabsorption

Question 3

what is oral hairy leukoplakia due to

Answer 3

EBV

–> pathognomic for HIV

Question 4

Mx gastroparesis

Answer 4

dompiredone

Question 5

why avoid CCB in reflux

Answer 5

they relax LOS

Question 6

toxic megacolon Dx

Answer 6

radiograph showing colonic dilation >6cm 
plus 3 of 
- temp >38
- HR >120 
- neutrophilic leucocytosis
-anaemia

plus 1 of

• dehydration
• altered U+Es
• hypotension
• alt consciousness

Question 7

what kind of jaundice can co-amoxiclav cause

Answer 7

cholestatic jaundice

Question 8

coeliac disease effect on BMD

Answer 8

reduces bone mineral density

Question 9

Mx perforated gastric ulcer

Answer 9

laparotomy

Question 10

whipples disease

Answer 10

infection

polyarthralgia, hyperpigmentation, malabsorption, diarrhoea

Dx = jejunal biopsy

Question 11

whipples disease Mx

Answer 11

co trimoxazole

Question 12

testing after treatment for H.pylori erradication

Answer 12

urea breath test

Question 13

B12 is absorbed where in GIT

Answer 13

terminal ileum

Question 14

indications for TIPPS

Answer 14

2ry prophylaxis oesophageal varices bleeding
Rx refractory ascites
Rx portal HTN in budd chairi

Question 15

whipple disease - jejunal biopsy results

Answer 15

stunted villi

macrophages in lamina propira which stain positive for period acid schiff

Question 16

psueodomembranous colitis

Answer 16

complication of c.diff

shows as yellow plaques on mucosa

Question 17

ondansteron

Answer 17

5ht antagonist

good for cyotoxic N&V

Question 18

coalic - what to test if IgA deficienct

Answer 18

Anti-TTG IgG