Oesophagus:

Eosinophilic Esophagitis generally understood to be:

The gold standard approach for diagnosing Eosinophilic Esophagitis is:

Which of the following is a primary dysmotility disorder of the oesophagus:

First line treatments for Eosinophilic Esophagitis without overt obstructive features, according to the 2022 BGS guidance, includes:

The primary risk factors for oesophageal adenocarcinoma include (choose 2 options):

The annual risk of oesophageal adenocarcinoma in patients with non-dysplastic Barrett’s oesophagus is:

Which of the following is considered the gold standard test to diagnose achalasia?

Which of the following are recommended treatment options for achalasia (tick all that apply)?

Endoscopy

Which of the following is a scoring system used to classify ulcers identified at endoscopy?

What is the name of the protocol used to assess the stomach of a patient with atrophic gastritis at the time of endoscopy?

Endoscopic features of CAG (chronic atrophic gastritis) include which of the following (tick all that apply):

The Hill classification can be used at endoscopy to classify the size of which of the following:

A 52 year old patient with AF who takes Edoxaban attends for a diagnostic upper GI endoscopy to investigate for cause of iron-deficient anaemia.  What advice should he have been given before his procedure with regards to his Edoxaban?

A patient attends for gastroscopy and dilation of known stricture.  They take Warfarin for a prosthetic metal heart valve.  How many days before his procedure should he stop taking Warfarin?

A patient with a history of peripheral vascular disease takes regular Clopidogrel.  He attends for a diagnostic gastroscopy with biopsies.  He has no other risk factors for haemorrhage, or any other antiplatelet/anticoagulant medication. What should he do with regards to his antiplatelet medication prior to his endoscopy?

According to the BSG, which of the following is defined as a high-risk endoscopic procedure with regards to antiplatelet and anticoagulant medication (tick all that apply)?

In which of the following scenarios would you consider antibiotic prophylaxis before performing the procedure?

Stomach:

Which of the following cells are responsible for secreting hydrochloric acid into the stomach?

Helicobacter pylori is a:

A patient presents to you with several months of dyspepsia, and you arrange a H Pylori stool antigen test after a failed trial of standard dose PPI.  The result is positive.  Which of the following regiments would be your first-line treatment for this patient (assuming they are not allergic to penicillin)?

A 62 year-old patient with a background of SLE comes to see you in clinic.  She has been under investigation for iron-deficient anaemia come to see you for follow-up after the colonoscopy and gastroscopy.  The colonoscopy has been reported as normal, but the gastroscopy image is as below:

CLO test was negative, and duodenal histology was normal with a negative tTG.

What is the most likely cause of iron deficient anaemia in this patient?

What is the commonest underlying cause of atrophic gastritis?

Which of the following is recognised as the strongest risk factor for gastric cancer?

Which of the following is a functional test that can be used to confirm the presence of a hiatus hernia and gastric acid reflux?

According to the Rome IV classification, the main subtypes of functional dyspepsia are (tick all that apply):

Roughly what percentage of patients undergoing investigations for dyspepsia will be diagnosed with functional dyspepsia?

The Correa cascade describes the stages of development of gastric cancer. The cascade is as below:

Normal mucosa -> Non-atrophic gastritis -> Atrophic gastritis -> ‘?’ -> Dysplasia -> Gastric cancer

What is ‘?’ in the above cascade?

Which of the following patients with dyspepsia should be referred via a 2 week wait pathway for suspected gastro-oesophageal cancer?

A 34-year-old comes to see you in clinic.  You take a careful history, and it becomes clear that they have functional dyspepsia.  They have no lower GI symptoms. According to the BSG guidelines on functional dyspepsia, which of the following tests would you do in this patient (tick all/any that apply)?

A 48 year old undergoes investigations for weight loss, abdominal pain, severe GORD and diarrhoea.  Colonoscopy is normal.  OGD reveals several duodenal ulcers as well as prominent gastric folds.  He is started on high-dose PPI, and after 6 weeks he is re-scoped.  The ulceration persists and he remains symptomatic of GORD. What is the most likely diagnosis?