Phys Vivas · gastrointestinal
Functional GI Disorders — Viva Defence
DCE viva defence for Functional GI Disorders.
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Target exams
Functional GI Disorders Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Functional GI Disorders. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Berschback M, Varayil JE, Stout J Malnutrition and Sarcopenia in Gastrointestinal Motility Disorders: Mechanisms, Assessment, and Management Curr Gastroenterol Rep, 2026.PMID 42467137
- [2]Bananis K, Mor R, Voros C, Gandhi R, et al. Bariatric Surgery as a Bridge to Kidney Transplantation in Patients with Obesity and Advanced Chronic Kidney Disease or End-Stage Renal Disease: A Systematic Review Obes Surg, 2026.PMID 42463851
- [3]Zhang H, Adjah J, Kapse B, Affinass N, et al. Differential generation of parasite-specific Th2 and T follicular helper cells distinguishes resistant and susceptible mouse strains Front Immunol, 2026.PMID 42459657
- [4]Votto M, Olcese R, De Filippo M, Caminiti L, et al. Gastrointestinal manifestations during oral immunotherapy: A guide for pediatric allergists Pediatr Allergy Immunol, 2026.PMID 42430571
- [5]Takahashi H, Dehal A, In H, Kwon S, et al. Biomarker-Driven Management of Nonmetastatic GEJ Adenocarcinoma Ann Surg Oncol, 2026.PMID 42141340
- [6]Giustina A, di Filippo L, Fleseriu M, Pivonello R, et al. Consensus on acromegaly complications: an update Pituitary, 2026.PMID 42050227
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005