Gastroenterology and Hepatology

28 free practice questions shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 45-year-old woman is admitted with epigastric pain radiating to the back and a serum lipase of 2400 U/L (<60). Ultrasound shows multiple small stones in the g…

Clinical rotations · middle twist

A 68-year-old woman presents with two days of constant right upper quadrant and epigastric pain. Overnight she had two episodes of violent, uncontrollable shaki…

Clinical rotations · common

A 35-year-old man born in Vietnam attends for pre-employment health screening and is found to have the following results: HBsAg negative, anti-HBs positive at 8…

Clinical rotations · common

A 58-year-old man is reviewed after routine blood tests show ALT 68 U/L (<40), AST 44 U/L (<40) and GGT 80 U/L (<60). He has type 2 diabetes and hypertension, h…

Clinical rotations · common

A 28-year-old woman presents with eight months of crampy lower abdominal pain that eases after opening her bowels, together with bloating and a bowel habit alte…

Clinical rotations · common

A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…

Clinical rotations · middle twist

A 72-year-old man is found to have a serum creatinine of 286 micromol/L, compared with 98 micromol/L 3 months earlier. He reports six months of poor urinary str…

Clinical rotations · common

A 62-year-old man attends his general practitioner for preventive health care and has no gastrointestinal symptoms. He has no personal or family history suggest…

Clinical rotations · common