passmed misc

Question 1

what type of anaemia can sulphasalazine cause

Answer 1

heinz body anaemia

Question 2

c.diff Mx

Answer 2

1) oral vancomycin
2) oral fidoxamin
3) oral vancomicin + IV metronidazole

Question 3

C.diff Mx if recurrent

Answer 3

<12wks oral fidoxamin

> 12 wks oral vancomycin or fidoxamin

Question 4

Mx in severe alcoholic hepatitis

Answer 4

prednisolone

Question 5

hepatic encephalopathy prophylaxis

Answer 5

lactulose + rifaximin

Question 6

obesity + abnormal LFTs

Answer 6

NAFLD

Question 7

what electrolyte disturbance can PPIs cause

Answer 7

hyponatraemia

Question 8

what is used to help with dermatitis herpetiformis rash

Answer 8

dapsone

Question 9

pellagra

Answer 9

vitamin B3 deficiency

dementia, diarrhoea, dermatitis ,.. death

Question 10

pellagra - assoc with

Answer 10

carcinoid syndrome

Question 11

pellagra Mx

Answer 11

vitamin replacement with nicotinamide

Question 12

optimum endoscopic management of bleeding oesophageal varices

Answer 12

endoscopic band ligation

Question 13

ascitic tap result indicating SPB

Answer 13

neutrophils/polymorphs >250mm^3

Question 14

dysphagia + iron deficiency anaemia =

Answer 14

plummer vinson syndrome

Question 15

which class of anitb can cause dyspepsia

Answer 15

macrolides e.g. clarithromycin

Question 16

biopsy findings - primary biliary cirrhosis

Answer 16

granulomas

Question 17

haemochromatosis - venesection improves

Answer 17

heart failure

pigmentation

Question 18

zollinger ellison syndrome

Answer 18

excess acid production leading to peptic ulcers

due to gastrinoma secreting gastrin

Question 19

Mx of ascending cholangitis

Answer 19

ERCP