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RB Y1 GI > questions > Flashcards

questions Flashcards

1
Q

what is teh chest pain like in achalasia

A

retrosternal

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2
Q

achalasia - dysphagia to

A

liquids > solids

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3
Q

what does crunchy skin mean

A

surgical emphysema

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4
Q

zollinger ellision

A

multiple and recurrent ulceres

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5
Q

small bowel obstruction

A

hyperactive bowel sounds

previous surgery

valvulae conniventes the entire width

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6
Q

hypothyroidism

A

constipation fatigue and lethargy

pale dry coarse skin

slow relaxing reflex

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7
Q

what can ischaemic colitis progress to

A

peritonitis

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8
Q

gallstone Ix

A

US

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9
Q

waht si misoprostol

A

PGE analogue

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10
Q

what can stimulant laxatives be used for

A

bowel cleansing

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11
Q

what is the best for suppressing gastric acid production

A

PPI

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12
Q

what is dysentery

A

infection of the intestines resulting in severe diarrhoea with the presence of blood and mucus in the faeces.

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13
Q

test for meckels

A

techentium 99M nuclear scan

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14
Q

what is microcytic anaemia in the elderly presumed to be

A

colonic cancer - do colonscopy

frail - CT colonography

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15
Q

what is haematoma

A

post op

small purple lump

if painful, incise and drain

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16
Q

what is a fistula in ano a complication of

A

perianal abscess

17
Q

what can fistula in ano cause

A

chronic discharge

18
Q

what can a post op adhesion cause

A

small bowel obstruction

19
Q

what can air under the diaphragm be caused by

A

perforated abdominal viscus

20
Q

how do you treat a volvulus

A

flatus tube or surgical resection

21
Q

choangiocarcinoma treatment

A

palliation - biliary stent

treat - whipples

22
Q

what does alcohol do it gamma GT

A

raise it

23
Q

what does a vitamin K deficiency cause

A

raised PT time

24
Q

what is used in hepatic encephalopathy

A

lactulose to clear gut - it reduces the amount of ammonia released by preventing breakdown of intestinal matter

25
Q

how is a cholecystectomy performed

A

laparoscopically

26
Q

what can statins cause

A

jaundice

27
Q

what is gilberts

A

pre hepatic jaundice - occasional and short lived episodes of jaundice

28
Q

what ducts are involved in PSC

A

intra and extra hepatic

29
Q

what can PSC develop to

A

cholangiocarcinoma -15%

30
Q

where are kayler fleisher rings

A

around the cornea

31
Q

what is cullens sign seen in

A

pancreatitis - and grey turner

32
Q

what can chronic budd chiara cause

A

ascites

33
Q

treatment of budd chiara

A

recnalisation or TIPS

thrombolysis

34
Q

what does haemacrhomatosis preidspose to

A

CARCINOMA

35
Q

can COPD cause metastases

A

yes

36
Q

fatty liver Hx

A

fat, diabetes

37
Q

what are muoceles

A

form when gallstone impacted in cystic duct and gallbladder secretes mucous

painless, nausea

38
Q

what does coeliac cause

A

diarrhoea and splenic atropy

RB Y1 GI (54 decks)

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