Your Name: Sara Lethby

Theme: Lower GI

OPTION LIST

A	Angiodysplaisia	I	Pseudomembraneous Colitis
B	Colorectal Carcinoma	J	Sigmoid Volvulus
C	Crohn’s Diseae	K	Tubular Adenoma
D	Diverticular Disease	L	Ulcerative Colitis
E	Diverticulitis	M
F	Gastroenteritis	N
G	Intestinal TB	O
H	Ischaemic Colitis	P

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 63 year old lady presents to A and E with acute abdominal pain. She has been vomiting. On examination her abdomen is distended and you hear tinkling bowel sounds. Abdominal X-ray shows an inverted U loop of bowel.

2. A 70 year old gentlemen presents to his GP with left sided colicky abdominal pain which is relieved by defecation. He admits to passing constipated stools.

3. A 65 year old lady presents to A and E with left sided abdominal pain which is relieved by defecation. On examination her abdomen is tender over the left iliac fossa and she is pyrexial. Her ESR and WCC are both raised.

4. A 76 year old lady was admitted to hospital with community acquired pneumonia. She was treated with Cefuroxime and Clarythromycin. 5 days later she developed bloody diarrhoea and her fever returned.

5. A 26 year old gentleman presents to A and E with acute abdominal pain. He has lost 5 kg of weight in the last 2 weeks, and has been passing bloody diarrhoea with mucus. He is pyrexial and on examination is noted to have angular stomatitis.

ANSWERS

1. J

2. D

3. E

4. I

5. C