GI

Question 1

Assessment of cirrhosis in hep C patient considering treatment?

Answer 1

1. APRI - AST to platelet ratio index score less than 1

2. Fibroscan

Question 2

How to test cure after HCV treatment?

Answer 2

HCV RNA 12 weeks after treatment completion

Question 3

Triple therapy for H pylori treatment?

Answer 3

1. Esomeprazole 20mg BD
2. Clarithromycin 500mg BD
3. Amoxicillin 1g BD

For 7 days

Question 4

Smoking cessation pharmacological options?

Answer 4

1. Varenicline
2. Bupropion - not for use with seizure
3. Nortriptyline 25mg daily (up to 75mg)
4. Nicotine patch 21mg/ 24 hours

Question 5

What in Liver function tests consistent with alcohol abuse?

Answer 5

AST/ALT ration > 2:1