Gastroenterology and Hepatology practice questions

A 46-year-old woman was admitted yesterday with epigastric pain and a serum lipase of 3,400 U/L (<60). Ultrasound showed multiple gallbladder stones and a commo…

Pre-internship · middle twist

A 26-year-old man born in Vietnam who migrated to Australia at age 10 attends for a pre-employment medical. He is well. Blood tests show: hepatitis B surface an…

Pre-internship · middle twist

A 29-year-old woman asks whether she has coeliac disease. For three years she had bloating, loose stools and tiredness; four months ago she removed gluten from…

Clinical rotations · middle twist

A 34-year-old woman describes 18 months of intermittent difficulty swallowing. From the beginning both liquids and solids have been affected, and it is worse wh…

Clinical rotations · common

A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…

Clinical rotations · common

A 61-year-old man is brought to the emergency department after fainting and passing a large amount of bright red blood. His blood pressure is now 102/70 mmHg af…

Clinical rotations · middle twist

A 21-year-old university student notices yellowing of his eyes after several days of restricted food intake during examinations. He is otherwise well and has no…

Clinical rotations · common

A 42-year-old woman has 18 months of fatigue, pruritus and intermittent discomfort beneath the right costal margin. Alkaline phosphatase is 410 U/L (30–110), al…

Clinical rotations · middle twist

A 79-year-old woman presents with four days of intermittent cramping abdominal pain, vomiting and increasing abdominal distension. She has no history of abdomin…

Clinical rotations · common

A 67-year-old man with a previous midline laparotomy presents with colicky abdominal pain, vomiting and progressive distension. Initially the pain came in waves…

Clinical rotations · middle twist

A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…

Clinical rotations · common

A 26-year-old man is referred for recurrent episodes of yellowing of the eyes, usually after intercurrent illness. He has no pruritus, abdominal pain or weight…

Mechanisms of disease · niche