Flashcard 5

Question 1

management peritonitis

Answer 1

• IV antibiotics
• analgesia
• treat underlying cause/ surgery if indicated
• ascitic fluid drainage
• PEG/ NG tube if needed

Question 2

causes of anaemia

Answer 2

• heavy periods
• pregnancy
• stomach/ small intestine cancer
• insufficient dietary intake
• inflammation e.g. crohns
• stomach ulcers
• haemorrhoids

Question 3

symptoms:
- tetany
- osteomalacia

Answer 3

Ca, Mg, vit D deficiency

Question 4

symptoms:

• diarrhoea
• abdo pain
• bloating
• flatulence
• dyspepsia
• fatigue
• constipation
• weight loss
• peripheral neuropathy
• ataxia

Answer 4

coeliac disease

Question 5

ataxia

Answer 5

shaky movements and unsteady gate that results from the brains failure to regulate body posture

Question 6

potential causes malabsorption

Answer 6

• inflammation e.g. crohns
• infection
• iatrogenic
• pancreatic
• impaired mobility

Question 7

symptoms:

• vomitting (lacks bile, fermented foodstuffs)
• early satiety
• abdo distension
• weight loss
• gastric splash
• dehydration
• metabolic alkalosis

Answer 7

gastric outlet obstruction

Question 8

management eosinophilic oesophagitis

Answer 8

immunosuppressants
steroids (topical/ swallowed)
endoscopic dilation to manage strictures

Question 9

how would you get Hep E

Answer 9

raw pork

seafood

Question 10

symptoms:

• distended abdomen
• severe constipation
• vomittiing bile
• failure to thrive

Answer 10

hirschsprungs disease

Question 11

investigations ulcerative colitis

Answer 11

calprotectin
colonoscopy with biopsies 
rectal exam
stool culture
FBC
CRP
WCC
albumin

Question 12

crohns management

Answer 12

immunosuppressants (e.g. infliximab)
resections of particularly bad bits of bowel
corticosteroids

Question 13

where in GI tract is diverticulitis most common

Answer 13

sigmoid colon

Question 14

what does MSM stand for

Answer 14

men who have sex with men

Question 15

fistula-in-ano

Answer 15

anal fistula.

small tunnel connecting end of bowel to skin near anus

Question 16

symptoms:

• rectal bleeding
• itching and pain @ anus
• small lumps around anus
• mucus discharge from anus
• sometimes bowel incontinence

Answer 16

anorectal cancer

Question 17

symptoms:

• heart burn
• cough
• water brash
• sleep disturbance
• hoarse voice
• bad breath
• bloating
• nausea

Answer 17

GORD

Question 18

what change is seen in Barretts oesophagus

Answer 18

squamous -> gastric type mucosa (mucous secreting columnar)

Question 19

management Barretts oesophagus

Answer 19

• endoscopic musosal resection
• radio frequency ablation
• oesophagectomy rare

Question 20

symptoms:

- severe episodic chest pain +/- dysphagia

Answer 20

oesophageal hyper mobility