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Comprehensive CCs: GI Surgery

NB: this quiz is RANDOMISED, so you will be asked 20 different questions every time. There are currently 99 questions.
For answers which can be phrased multiple ways, e.g. "CT scan", "CT abdomen and pelvis", "CTAP", all reasonable alternatives should work.
"ERCP" and "MRCP" are accepted; I can't be bothered typing their full names
Quiz by
noodlebrain
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Last updated: January 10, 2025
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First submittedJanuary 10, 2025
Times taken14
Average score62.5%
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Hint
Answer
Chronic pancreatitis can cause loss of pancreatic function, leading to a depletion in pancreatic enzymes, particularly ____ and insulin
lipase
Which condition is defined as a FUNCTIONAL obstruction of the gut, caused by a lack of peristaltic movement (i.e. there is no mechanical blockage)?
Ileus
Lipase and ____ are raised 3x the upper limit of normal in acute pancreatitis
amylase
Sigmoid volvulus will show the _____ sign on AXR
coffee bean
Which investigation is used to identify the location of a GI perforation?
CT abdo + pelvis
____ (clinical symptom) makes gallstones a more likely diagnosis than cholecystitis
Jaundice
1st line investigation for suspected volvulus
Abdominal x-ray
____ is an important complication of diverticulitis, as it contraindicates the use of colonoscopy as a first-line investigation in ACUTE cases
Perforation
Hint
Answer
Murphy's sign indicates involvement of which organ?
Gallbladder
Which investigation is used in a pt with peritonitis to identify the causative underlying pathology?
CT abdo + pelvis
Loss of ENDOcrine function in chronic pancreatitis can cause pts to develop the condition ____ _____
diabetes mellitus
A pt with very acute intestinal ischaemia may be managed surgically with an exploratory ____
laparotomy
The best first-line investigation for diagnosis of chronic pancreatitis is ____
CT with contrast
Appendicitis is a clinical diagnosis, using a combination of clinical presentation and raised _____ markers.
inflammatory
Surgical intervention for non-emergency cholecystitis will be performed within __ - 12 weeks
6
If a pt with acute cholangitis is identified as having a gallstone obstruction in the common hepatic or common bile ducts, management will likely include ____
ERCP
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