Gastroenterology4 UKMLA questions
Gastro-oesophageal reflux disease — UKMLA Revision Notes
Gastro-oesophageal reflux disease is an important clinical condition in Gastroenterology that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Gastro-oesophageal reflux disease as outlined in current NICE guidelines.
Key Facts
- Gastro-oesophageal reflux disease is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Gastroenterology section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- FBC, U&E, LFTs, CRP
- Endoscopy (OGD/colonoscopy)
- CT abdomen/pelvis
- Stool cultures
- Faecal calprotectin
- Abdominal USS
Management
- Dietary modification
- PPI/H2 antagonist as indicated
- Treat underlying cause (H. pylori eradication, IBD therapy)
- Nutritional support
- Gastroenterology follow-up
- Endoscopic surveillance if required