Name: Nina Vasir

Theme: Upper GI disease

OPTION LIST

A	Labyrinthitis	I	Meningitis
B	Appendicitis	J	Gastroenteritis due to Staphylococcus Aureus
C	Pancreatitis	K	Gastric ulcer
D	Myocardial Infarction	L	Large bowel obstruction
E	Medication effect	M	Uraemia
F	Gastroenteritis due to Salmonella	N	Gastroenteritis due to Bacillus Cereus
G	Small bowel obstruction	O	Gastric outflow obstruction
H	Malaria	P	Migraine

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 65-year-old man is admitted to hospital whilst drunk complaining of heavy vomiting and severe abdominal pain radiating to the back that is eased when sitting forward. On examination he is pyrexic, tachycardic and has a rigid abdomen.

2. A 17-year-old male gives a 3-day history of 20-minute spells of nausea and vomiting. On examination he is unsteady on his feet, pale and sweaty.

3. A 22-year-old female student presents with a 2-day history of severe vomiting, non-bloody diarrhoea and crampy abdominal pain. On examination she is pale, clammy and shivering. An abdominal examination is unremarkable.

4. A 14-year-old male presents with a 1-day history of abdominal pain, nausea and vomiting. On examination he is pyrexic, tachycardic and has tenderness and guarding in the right iliac fossa.

5. A 22-year-old student presents with a 5-day history of colicky central abdominal pain, which is relieved by vomiting. Vomit is dark green. On examination she is dehydrated and the abdomen is distended but non-tender. There are increased bowel sounds. She had an exploratory laparotomy 2 years ago.

ANSWERS

1. C

2. A

3. J

4. B

5. G