Phys Vivas · gastrointestinal
Nutrition IN Liver AND GI Disease — Viva Defence
DCE viva defence for Nutrition IN Liver AND GI Disease.
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Target exams
Nutrition IN Liver AND GI Disease Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Nutrition IN Liver AND GI Disease. 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]Alali M, Naveed AK, Alnounou A, Alharami M, et al. Beyond Endoscopy: A Narrative Review of the Emerging Role of Gastroenterologists in Obesity Medicine, GLP-1 (Glucagon-Like Peptide-1) Therapy, and Metabolic Care Cureus, 2026.PMID 42382903
- [2]Budai BC, Panait R, Laczkó B, Cai G, et al. Immunonutrition Decreases Postoperative Complications in Gastrointestinal Cancer-A Systematic Review and Meta-analysis of Randomized Controlled Trials Adv Nutr, 2026.PMID 42331289
- [3]Hadzic N, Dionisi-Vici C, Vara R Current status in paediatric liver transplantation for inherited metabolic diseases J Pediatr Gastroenterol Nutr, 2026.PMID 42328777
- [4]Hernandez-Gea V, Paradis V, Guindi M, Alves VAF, et al. A multisociety consensus statement on a new common definition and diagnostic criteria for PSVD or NCPF Hepatol Int, 2026.PMID 42207228
- [5]Hernández-Gea V, Paradis V, Guindi M, Alves VAF, et al. A multisociety consensus statement on a new common definition and diagnostic criteria for PSVD or NCPF J Hepatol, 2026.PMID 42191459
- [6]Hernandez-Gea V, Paradis V, Guindi M, Alves VAF, et al. A multisociety consensus statement on a new common definition and diagnostic criteria for PSVD or NCPF Ann Hepatol, 2026.PMID 42191146
- [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