Comprehensive CCs: GI Surgery - Statistics

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This quiz has been taken 14 times
10 since last reset
The average score is 10 of 16

Answer Stats

Hint	Answer	% Correct
Cholecystitis is diagnosed by...?	abdominal ultrasound	100%
1st line investigation for suspected gallstones	Abdominal ultrasound	100%
1st line investigation for suspected volvulus	Abdominal x-ray	100%
1st line investigation for suspected ileus	Abdominal x-ray	100%
Intestinal ischaemia can cause metabolic ____	acidosis	100%
Most common cause of small bowel obstruction?	Adhesions	100%
The majority of chronic pancreatitis cases are due to ____ abuse	alcohol	100%
The ____ score is used to assess the likelihood of appendicitis	Alvarado	100%
Lipase and ____ are raised 3x the upper limit of normal in acute pancreatitis	amylase	100%
Patients with severe diverticulitis require IV fluids and IV ___	antibiotics	100%
Rovsing's sign indicates which condition?	Appendicitis	100%
Diverticulitis can present with changes in ___ habits	bowel	100%
An abdominal x-ray shows dilated loops of bowel with air-fluid levels. The likely diagnosis is...?	Bowel obstruction	100%
Which condition classically presents with the Charcot triad or Reynold's pentad?	Cholangitis	100%
Gallstones which occur in the gallbladder are definitively treated by _____	cholecystectomy	100%
Pts with mild diverticulitis are given a course (5+ days) of oral ___ (antibiotic)	co-amoxiclav	100%
The best first-line investigation for suspected colorectal cancer is a ____	colonoscopy (with biopsy)	100%
Investigation of choice for confirming volvulus diagnosis	Contrast CT scan	100%
Gold standard investigation for confirming bowel obstruction diagnosis	CT abdo + pelvis (CTAP)	100%
Which investigation can cause pancreatitis as a complication?	ERCP	100%
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	100%
Gallstones which occur in the common bile duct are treated by _____	ERCP	100%
Pts with chronic pancreatitis are advised to follow a low-___ diet	fat	100%
Pain caused by cholecystitis can be worse after ____ meals	fatty	100%
The most common causes of pancreatitis are alcohol and ____	gallstones	100%
Appendicitis is a clinical diagnosis, using a combination of clinical presentation and raised _____ markers.	inflammatory	100%
Management of ileus = "drip + suck" = ____, NBM + NG tube	IV fluids	100%
____ (clinical symptom) makes gallstones a more likely diagnosis than cholecystitis	Jaundice	100%
Definitive management of cholecystitis will likely involve ____	laparoscopic cholecystectomy	100%
A pt with very acute intestinal ischaemia may be managed surgically with an exploratory ____	laparotomy	100%
Diverticulitis often presents with pain in the ___ lower quadrant	left	100%
Amylase and ___ are raised 3x the upper limit of normal in acute pancreatitis	lipase	100%
Most common cause of large bowel obstruction?	Malignancy	100%
If a pt is suspected to have cholangitis caused by gallstones, the investigation of choice is...?	MRCP	100%
Pts with bowel obstruction or ileus should be made ____	Nil by mouth (NBM)	100%
Cullen's and Turner's signs can present in cases of acute ____	pancreatitis	100%
____ is an important complication of diverticulitis, as it contraindicates the use of colonoscopy as a first-line investigation in ACUTE cases	Perforation	100%
Complications of pancreatitis include necrosis, fluid collection, infection, and formation of abscesses and _____	pseudocysts	100%
Pancreatitis can cause shock because the activation of pro-inflammatory mediators leads to systemic vasoconstriction; this results in loss of fluid into the ___ space	third	100%
A pt is suspected to have sepsis and lactate levels need to be taken. In general, which blood test is the preferred method to measure this, as it is quicker and less invasive than the common alternative? (Assume no respiratory distress)	VBG	100%
Which condition is characterised by the bowel twisting around itself, causing a closed-loop obstruction?	Volvulus	100%
Which investigation is used to identify the location of a GI perforation?	CT abdo + pelvis	67%
The best first-line investigation for diagnosis of chronic pancreatitis is ____	CT with contrast	67%
One of the signs of appendicitis is palpation of the LLQ causing pain in the RLQ. This is called ____ sign.	Rovsing's	67%
There are 2 main types of volvulus, caecal and ___, the latter of which is more common, especially in the elderly	sigmoid	67%
Amylase and lipase are raised __ times the upper limit of normal in acute pancreatitis	3	50%
Surgical intervention for non-emergency cholecystitis will be performed within __ - 12 weeks	6	50%
1st line investigation for suspected bowel obstruction	Abdominal x-ray	50%
The most common causes of pancreatitis are ___ and gallstones	alcohol	50%
Cholecystitis initial management includes analgesia, anti-emetics, IV fluids and ___	antibiotics	50%
Which investigation is used in a pt with peritonitis to identify the causative underlying pathology?	CT abdo + pelvis	50%
After diagnosis of colorectal cancer, the tumour(s) can be staged using ____ (imaging) with contrast	CT of thorax, abdo + pelvis (CTTAP)	50%
Diverticulosis is often diagnosed by ___ (investigation)	CT with contrast	50%
Absolute constipation associated with LESS pain makes which type of bowel obstruction more likely? (functional/mechanical)	functional, i.e. ileus	50%
Chronic pancreatitis can cause loss of pancreatic function, leading to a depletion in pancreatic enzymes, particularly ____ and insulin	lipase	50%
Bowel strictures can be treated by surgical ____ or stenting	resection	50%
Management of bowel obstruction includes IV fluids and a ___ tube	Ryles/NG	50%
What is a rapidly-occurring complication of cholangitis, necessitating prompt treatment if cholangitis is suspected?	Sepsis	50%
Management of chronic pancreatitis includes enzyme and vitamin _____	supplementation / replacement	50%
The ____ score is used to assess the severity and prognosis of pancreatitis	Glasgow	33%
Surgical intervention for cholecystitis will be performed within __ week(s) if very acute	1	0%
Complications of pancreatitis include necrosis, fluid collection, infection, and formation of _____ and pseudocysts	abscesses	0%
The most important step in the initial management of acute pancreatitis is...?	Aggressive IV fluid resuscitation	0%
Suspected intestinal ischaemia necessitates an URGENT investigation, using either CT with contrast or CT ____	angiogram	0%
___ ___ should be taken in cases of acute cholangitis to guide therapy	Blood cultures	0%
Imaging of a patient with chronic pancreatitis will show pancreatic ______ and atrophy	calcification	0%
Colorectal tumour marker used for monitoring of disease (but NOT diagnosis)	CEA (carcinoembryonic antigen)	0%
Sigmoid volvulus will show the _____ sign on AXR	coffee bean	0%
Gallstones cause ____ pain (spasmodic/crampy and cyclical)	colicky	0%
If a pt is suspected to have cholangitis NOT caused by gallstones, the investigation of choice is...?	CT	0%
Suspected intestinal ischaemia necessitates an URGENT investigation, using either ___ or CT angiogram	CT with contrast	0%
Acute pancreatitis can present with periumbilical discolouration, known as the ___ sign	Cullen	0%
Loss of ENDOcrine function in chronic pancreatitis can cause pts to develop the condition ____ _____	diabetes mellitus	0%
Chronic pancreatitis can cause malabsorption symptoms due to EXOcrine pancreatic insufficiency, including steatorrhoea, ____, decreased appetite and weight loss	diarrhoea	0%
AXR will show ____ large bowel loops in pts with volvulus	dilated	0%
The Charcot triad is RUQ pain, jaundice and ___ (usually with rigors)	fever	0%
Murphy's sign indicates involvement of which organ?	Gallbladder	0%
What is a common cause of cholangitis?	Gallstone(s), often in the CBD	0%
Chronic pancreatitis can cause _____ dysfunction due to ENDOcrine pancreatic insufficiency	glycaemic	0%
Acute pancreatitis can present with flank discolouration, known as the ___ sign	Grey Turner	0%
Complications of diverticulitis include perforation, abscess, strictures and major ___	haemorrhage	0%
Reynold's pentad is the Charcot triad, plus an altered mental state/confusion and ____	hypotension/shock	0%
Pancreatitis can cause complications including ____ shock	hypovolaemic	0%
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	0%
Management of a volvulus includes ____, replacement of fluids + electrolytes and potentially the insertion of a urinary catheter for monitoring	insertion of an NG tube	0%
Chronic pancreatitis can cause loss of pancreatic function, leading to a depletion in pancreatic enzymes, particularly lipase and ____	insulin	0%
A pt presenting with SEVERE abdominal pain but who has a soft, non-tender abdomen and no guarding upon examination may have...?	Intestinal ischaemia	0%
Initial management of acute intestinal ischaemia includes O2, IV fluids and empirical ___	IV antibiotics	0%
An alternative investigation to abdominal ultrasound for suspected gallstones is...?	MRCP	0%
Cholecystitis can cause pain in the RUQ when a clinician is palpating as the pt inhales. This is called ____ sign	Murphy's	0%
Initial management of acute cholangitis includes IV fluid resuscitation and IV broad-spectrum antibiotics, which cover Gram-____ bacteria	negative	0%
Which neurological disease is a risk factor for volvulus?	Parkinson's	0%
Peritonitis occurs when the visceral or parietal ____ becomes inflamed	peritoneum	0%
Abdominal surgery, electrolyte derangements and ___ are all important risk factors for ileus	sepsis	0%
Chronic pancreatitis can cause malabsorption symptoms due to exocrine pancreatic insufficiency, including ____, diarrhoea, decreased appetite and weight loss	steatorrhoea	0%
Chronic pancreatitis can cause damage and strictures to the duct system, resulting in obstruction, which may be treated by ERCP with ____	stenting	0%
Bowel strictures can be treated by surgical resection or ____	stenting	0%
A pt with GI perforation who undergoes surgery will likely have a ___ formed as a result of the operation	stoma	0%
CT of the abdomen and pelvis in a pt with volvulus will show the ____ sign	whirlpool	0%

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