MSRA > Gastro > Flashcards

Gastro Flashcards

(94 cards)

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1
Q

managing asymptomatic gallstones

A

reassurance
if present in CBD consider surgery

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2
Q

drug given before endoscopy in varices

A

terlipressin
IV antibiotics

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3
Q

what to do with PPI prior to UGIE

A

stop taking 2 weeks before

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4
Q

primary care investigation dyspepsia

A

review meds
lifestyle advice
H pylori test and treat

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5
Q

testing for H pylori

A

carbon 13 urea breath test or stool antigen test

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6
Q

risk with PPI

A

hyponatraemia
osteoporosis
increase risk c diff

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7
Q

gold standard diagnosis coeliac

A

jejunal biopsy

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8
Q

risk assessment upper GI bleed

A

glasgow blatchford score

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9
Q

score used after endoscopy in GI bleed

A

rockall score

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10
Q

parameters in glasgow blatchford score

A

urea, Hb, systolic bp, pulse, malaena, syncope, HF

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11
Q

glasgow blatchford score 0

A

consider early discharge

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12
Q

when to give PPI before endoscopy UGIB

A

non-variceal bleeding

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13
Q

medication to avoid in bowel obstruction and parkinsonism

A

metoclopramide

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14
Q

chronic watery diarrhoea, older age and nocturnal symptoms, macroscopically normal scope

A

microscopic colitis

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15
Q

best blood test to assess for acute liver failure

A

PT time

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16
Q

causes of acute liver failure

A

paracetamol OD
alcohol
viral hepatitis
AFL of pregnancy

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17
Q

aminosalicylates - key investigation if patient unwell

A

FBC - risk of agranulocytosis

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18
Q

management of severe alcoholic hepatitis

A

steroids

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19
Q

IBS investigations

A

FBC, ESR and coeliac serology

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20
Q

when to consider IBS

A

6 months
- abdo pain
- bloating
- change in bowel habit

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21
Q

achalasia increases risk of

A

SCC of oesophagus

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22
Q

first line meds to maintain remission in crohns

A

mercaptopurine or azathioprine

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23
Q

inducing remission in crohns

A

steroids
2nd line mesalazine

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24
Q

first line antibiotic for c diff

A

oral vancomycin

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25
treatment for ascites secondary to liver cirrhosis
spironolactone
26
primary biliary cholangitis
IgM Anti-mitochondrial ab middle aged females
27
treating pbc
ursodeoxycholic acid cholestyramine, liver transplant
28
liver and neurological symptoms -
wilsons disease
29
kayser fleischer rings
liver disease
30
treating wilsons disease
penicillamine
31
screening test active hep B infection
HBsAg
32
strongest risk factor barretts oesophagus
GORD
33
stable UGIB management
urgent OGD in 24hrs if unstable within 2 hrs
34
best first line management for NAFLD
weight loss
35
suspected SBP investigation
paracentesis
36
paracentesis findings SBP
neutrophils >250
37
association with melanosis coli on scope
laxative abuse
38
inheritance of haemachromatosis
AR
39
isonaizaid can cause what vitamin deficiency
B6
40
whipples disease
GI symtoms, arthralgia, neuro symptoms, malabsorption
41
blood test response to hep b vaccine
Anti-HBs
42
monitor treatment in haemachromatosis
serum ferritin transferrin sats
43
imaging suspected perianal fistulae in crohns
MRI pelvis
44
clotting factors in liver failure - which is high
8
45
courvoisiers sign
painless, enlarged gallbladder and jaundice - unlikely gallstones
46
pancreatic cancer - type and location
adenocarcinoma head of pancreas
47
associations pancreatic ca
increasing age, smoking, DM, HNPCC, MEN, BRCA2
48
imaging pancreatic ca
high res CT - double duct sign
49
crohns - goblet cells
increased
50
most important intervention to stop crohns flares
stop smoking
51
inducing remission in UC
rectal 5ASA add oral 5ASA if disease extend past where enema reach
52
AST/ALT ratio in alcoholic hepatitis
2:1
53
maintain remission in left sided UC
oral 5ASA
54
when to use topical 5ASA for remission in UC
proctitis or proctosigmoiditis
55
what does coeliac disease increase risk of
enteropathy T cell lymphoma
56
what to give prior to endoscopy if non-variceal bleed
prothrombin complex PPI after scope if it is non variceal
57
managing barrets oesophagus
high dose PPI and endoscopy surveillance
58
features of haemachromatosis
hypogonadism, bronze skin, DM, cardiac failiure, asrthritis
59
bacterial overgrowth risk factor
DM
60
which vitamin if taken in high doses can be teratogenic?
A
61
test to do if suspect NAFLD
ELF fibrosis test
62
test perncious anaemia
IF antibodies
63
UC flare - what after topical and oral 5asa
oral steroid
64
crohns fistula management
oral metronidazole infliximab draining seton
65
most common cause of HCC
world - hep B UK - hep C
66
PSC associations
UC
67
DM drug causing cholestasis
gliclazide
68
dysphagia, halitosis
pharyngeal pouch
69
pharyngeal pouch investigation
barium swallow dynamic fluoroscopy
70
recurrent c diff treatment
oral fidaxomicin
71
treating bile acid malabsorption
cholestyramine
72
how often surveillance for barrets
3-5 years
73
most common extra intestinal manifestation of crohns
arthitis
74
medication prophylaxis varices
propranolol
75
drugs causing cholestasis
co-amox, COCP, flucloxacillin, glucalzide
76
polyps in GI tract, pigmented freckles on lips and face
peutz jeghers
77
most common site of crohns
ileum
78
treating c diff
oral vanc life threatening add IV metro
79
known GORD and no response to high dose PPI
trial H2 receptor antagonist
80
investigation suspected carcinoud tumour
urinary 5HIAA
81
are PPI risk factor for c diff
yes
82
test for h pylori eradication
urea breath test
83
achalasia
dysphagia both food and fluids from start
84
TIBC in anaemia of chronic disease and iron deficiency
low in chronic high in iron
85
investigation boerhaave
water soluble contrast swallow
86
first line treatment constipation with IBS
isphagula husk
87
antiemetic with migraine
metoclopramide
88
antibiotic for prophylaxis SBP
ciprofloxacin
89
where is there often a palpable mass in crohns?
right iliac fossa
90
sudden severe abdo pain and AF
acute mesenteric ischaemia
91
breastfeeding vitamin supplement if vegan
B12
92
which extra intestinal manifestation fo corhns is linked to disease activity
erythema nodosum
93
ppi and antibiotics before urea breath test for h pylori
no antibiotics 4 weeks no PPI 2 weeks
94
severity of flare UC
mild 4 stools per day mod 4-6 severe >6, systemically unwell
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