Your Name: Lara Wear

Theme: Upper GI

OPTION LIST

A	Duodenal Ulcer	I	Tropical Sprue
B	GORD	J	Coeliac Disease
C	Barrett’s Oesophagus	K	Carcinoma of the Oesophagus
D	Whipple’s	L	Pernicious Anaemia
E	Gastric Ulcer	M	MALT
F	H. pylori	N	Partial Villous Atrophy
G	Microsporidiosis	O	Lmphoma
H	Hiatus Hernia	P	Cryptosporidiosis

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 man presents with epigastric pain associated with dyspepsia. The pain gets worse at night and when he is hungry. He complains of nausea and flatulence. This patient is on NSAIDs.

2. A 70 year old woman has progressive low retrosternal dysphagia, initially to solids and now also to liquids. She complains of chest pain and weight loss over the last 3 months. A social history reveals that she has been a heavy smoker for many years and drinks around 20 units of alcohol a week.

3. A 26 year old HIV patient presents with watery diarrhoea, abdominal cramps, nausea, vomiting and a low grade fever. It started 3 days after eating some undercooked meat at a barbecue.

4. A 66 year old man complaining of epigastric pain undergoes an endoscopy. The mucosa appears reddened in the antrum of the stomach. ¹³C is detected on a urea breath test.

5. A 58 year old female presents with malnutrition. She complains of abdominal pain, weight loss and arthritis. She has steatorrhoea. A jejunal biopsy showed periodic acid-Schiff (PAS)-positive macrophages.

ANSWERS

1. A

2. K

3. P

4. F

5. D