Erythema nodosum tends to correlate well with the activity of the underlying bowel disease
B
UC commonly involves the colon but not the anus
C
Smoking worsens Crohn’s disease
D
Nephrolithiasis occurs more commonly with UC
Answer
2
Regarding hepatitis B infection which is FALSE?
A
HBsAG with normal liver enzymes suggests a healthy carrier
B
IgM anti-HBc is used to identify chronic hepatitis
C
Anti-HBs imply prior infection and immunity
D
In patients who are HBV DNA positive, transplantation may be followed by severe recurrent disease
Answer
3
Which is the BEST marker of liver function in acute liver failure?
A
Prothrombin time
B
Albumin
C
Plasma ammonia
D
Bilirubin
Answer
4
Which of the following is NOT a feature of Acute Liver Failure
A
Raised ALT
B
Jaundice
C
Encephalopathy
D
Centrilobular or panacinar necrosis
Answer
5
Which of the following is TRUE regarding Boerhaave’s syndrome?
A
Diagnosis and surgery within 48 hours has a survival rate of greater than 50%
B
Barium oesophagram is an appropriate investigation
C
Haematemesis is unusual
D
90% of erect chest xrays are initially normal
Answer
6
Which statement is TRUE re: inflammatory bowel disease?
A
Bowel resection in Crohn’s disease is curative
B
Toxic megacolon is indicated by a transverse colon diameter > 10 cm
C
> 10 motions/day is indicative of fulminant disease in ulcerative colitis
D
Episcleritis is the most common extra-intestinal manifestation
Answer
7
Which statement is FALSE regarding Button battery ingestion?
A
Esophageal perforation has occurred within 6 hours post ingestion
B
Mercuric poisoning is a possibility but no clinical case has been recorded
C
Around 1/3 of patients may be asymptomatic with the battery lodged in the oesophagus
D
The discharge state (power remaining) of the battery correlates with outcome
Answer
8
The following about ingestion of strong acids / alkali is true EXCEPT
A
The oesophagus may have significant burns with normal lips and oral cavity on examination
B
Endoscopy within 24 hrs is indicated for all symptomatic patients, patients with visible oropharyngeal burns and all patients with intentional ingestions
C
The use of corticosteroids following alkali ingestion prevents the formation of strictures
D
Ingestion of strong alkali cause ‘liquefying’ necrosis with high penetration of tissues
Answer
9
Regarding causes of oesophageal obstruction, which one is TRUE
A
Median survival for oesophageal cancer is < 1 year
B
Treatment of a Schatzki ring is endoscopic excision
C
Oesophageal webs are usually found in the distal oesophagus
D
Oesophageal obstruction in children is often caused by oesophageal diverticula
Answer
10
Which of the following is NOT an extra intestinal manifestation of IBD
A
Uveitis
B
Erythema nodosum
C
Pancreatitis
D
Alopecia
Answer
11
Regarding ingested foreign bodies
A
10 to 20 % of swallowed foreign bodies require some sort of intervention
B
Button batteries may be observed for 24 hours if lodged in the oesophagus
C
Coins will show up on xray in the sagittal plane if stuck in the oesophagus
D
50% of adults who present with meat impaction in the oesophagus harbour pathogenic oesophageal conditions
Answer
12
Oesophageal foreign bodies can be treated with all of the following EXCEPT:
A
tartaric acid
B
glucagon
C
Papain
D
sodium bicarbonate
Answer
13
With respect to gastrointestinal bleeding which ONE of the following statements is TRUE
A
The oesophageal balloon should be inflated first in a Minnesota tube
B
Somatostatin has been proven to decrease mortality
C
Colonic angiodysplasia is a rare cause of lower GI bleeding in the elderly
D
Complications commonly occur in endoscopic sclerotherapy
Answer
14
With respect to fulminant acute liver failure which ONE of the following statements is TRUE?
A
Cerebral oedema is an unusual cause of death
B
Late administration of glutathione is unwarranted in paracetamol induced hepatic failure
C
Renal failure rarely occurs in paracetamol induced hepatic encephalopathy
D
INR is a sensitive index of liver function
Answer
15
Regarding inflammatory bowel disease, which ONE of the following statements is TRUE?
A
Toxic megacolon is always treated surgically
B
Thromboembolic disease is a leading cause of death in Crohn’s disease
C
Perianal fistula/abscess is unusual in Crohn's disease
D
Bloody diarrhoea is typical of Crohn’s disease
Answer
16
Regarding peptic ulcer disease, which of the following are true
A
Given the good correlation between dyspeptic symptoms and gastrooesophageal disease, early empirical treatment of dyspepsia is reasonable
B
In patients with non ulcer dyspepsia, H2 blockers are significantly more effective than PPI’s in reducing symptoms
C
The urea breath test have poor sensitivity for the presence of H. pylori
D
The majority of people with H. pylori will be found to have PUD
Answer
17
Regarding oesophageal perforation, which of the following is TRUE?
A
Gastrograffin swallow demonstrates the perforation in nearly 100% of cases
B
Mortality in blunt trauma is approximately 50%
C
Pleural effusion is more commonly right sided
D
Diagnosis of perforation due to blunt trauma is delayed in 2/3
Answer
18
In the pharmacological treatment of acute variceal bleeding, which intravenously administered drug has been shown to have a reduction in mortality when used in comparison with a placebo?
A
Somatostatin
B
Vasopressin
C
Terlipressin
D
Octreotide
Answer
19
All of the following are true with regards to treatment with H2 antagonists, EXCEPT:
A
Their dose should be adjusted in patients with significant liver dysfunction
B
For non-ulcer dyspepsia, they are more effective at reducing symptoms than proton pump inhibitors
C
In most patients they are effective in reducing both gastric and duodenal ulceration within 8 weeks
D
Food does not reduce their absorption
Answer
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