GASTROINTESTINAL

1. List the possible causes of upper abdominal pain and discuss how the history can generally help to determine the cause of the abdominal pain.

2. List the causes of watery mucoid diarrhea. Briefly outline the investigations and management of such a case.

3. List 5 common causes of chronic diarrhea in adult Nigerian male. What investigations wil you do to make a diagnosis?

4. List the causes of diarrhea and discuss how history can provide clues to its cause.

5. List 5 common causes of chronic diarrhea in Adult Nigerian male. What investigations will you do to make a diagnosis?

6. Describe the clinical presentation and management of amoebic liver abscess

7. What are the common causes of dyspepsia in medical Outpatientsclinic? Outline the management of irritable bowel syndrome.

8. What is malabsoption? List 5 common causes in Nigeria and briefly discuss the diagnosis and management of this condition.

9. A 25-year old female student presented with right iliac fossa mass and abdominal pain. Discuss the differential diagnosis and briefly outline the management of this patient.

10. Discuss the aetiology, precipitating factors and management of hepatic encephalopathy.

11. Outline the management of a. Acute liver failure

12. Discuss the signs you would expect to find in a. Acute cholecystitis (1/5)

13. What treatment would you give a patient with a. Hepatic encephalopathy b. Erosive gastritis c. Severe haematemesis

14. Write short notes on the following a. Lundh meal b. Clinical and biochemical manifestations of obstructive jaundice. c. The value of stool examination on malabsorption syndrome d. Urease breath test e. Fever & Yellowness of eyes f. Pseudomemebranous enterocolitis g. Treatment of amoebiasis h. Medical treatment of peptic ulcer (300 words) i. Primary Liver cell Carcinoma ( 300 words)

15. What is the connecting link between a. Pancreatic tumour and duodenal ulceration ( Zollinger-Ellison syndrome) b. Urease breath test and duodenal ulcer c. Ascites and Hepatitis C infection ( Liver cirrhosi) d. Dyspeptic symptoms and Anaemia e. Jaundice and Psychotic behaviour f. Dysphagia and Anaemia g. Jaundice and renal failure

16. Describe the symptoms & signs you would expect to find in apatient with a. PLCC