Passmedicine extras

Question 1

What is a possible complication in children who had surgery for tracheo-oesophageal fistula soon after birth?

Answer 1

oesophageal stricture

Question 2

Gastric Cancer Nodes

What is

1. Sister Mary Joseph’s node
2. Virchow’s node

Answer 2

1. palpable node in the umbilicus (due to malignant cancer in pelvis or abdomen)
2. left supraclavicular lymph node

Question 3

For patients with chronic liver disease, what is the most sensitive and specific test for diagnosing liver cirrhosis

Answer 3

thrombocytopenia (low platelet count)

Question 4

What should you suspect on an irregular-appearing narrowing of the oesophagus on radiology?

Answer 4

oesophageal cancer

• if looks a smooth constriction then that’s achalasia

Question 5

What should you suspect in someone who has taken cocaine and has sudden onset abdominal pain +/- rectal bleeding

Answer 5

ischaemic colitis

Question 6

What should you suspect if there is a palpable gall bladder?

Answer 6

malignancy - especially pancreatic

this is stated by Courvoisier’s law

Question 7

When should you stop a PPI prior to endoscopy

Answer 7

stop 2 weeks before

Question 8

What is the treatment for alcoholic ketoacidosis?

Answer 8

IV thiamine + fluids