Discuss whether a breach of the law or the employment contract has occurred in the following scenario.

Sophie has worked for Gray Finance Ltd for three months. She wishes to take a holiday, but she has yet to be informed of her holiday entitlements. She has asked for this information on several occasions, but has yet to be supplied with it

Question 1

Please explain the role of the sympathetic nervous system in the

gastrointestinal tract.

Question 2

What is the difference between a submandibular salivary gland swelling

and swelling of a salivary lymph node?

Question 3

How does Barrett's oesophagus develop?

Question 4

Is it recommended to treat asymptomatic endoscopically diagnosed

reflux oesophagitis with acid suppression and/or antireflux

measures?

Question 5

Is it recommended to give a young patient, diagnosed endoscopically to

have mild reflux oesophagitis, life-long proton pump inhibitors (PPIs) to

prevent the development of Barrett's oesophagitis?

Question 6

Is it safe to give a patient with reflux oesophagitis who is on proton

pump inhibitors (PPIs) for treatment of acid suppression, aspirin in

antiplatelet doses (75-325 mg per day)?

Question 7

Does a combination of magnesium and aluminium hydroxide salts,

taken as antacid for reflux oesophagitis, have serious long-term adverse

effects? 33

Question 8

In the treatment of reflux oesophagitis with a proton pump inhibitor

(PPI), should the PPI be life long or given for 4-8 weeks, as mentioned by

the drug manufacturers?

Question 9

Would a patient who suffers with reflux oesophagitis as a result of a

hiatus hernia, and who is not responsive to proton pump inhibitors

(PPIs), benefit from a highly selective vagotomy?

Question 10

1. What are the causes of belching and what appropriate drug can be

used?

2. What are the effects of smoking on the gastrointestinal tract and what

is its role in peptic ulcer disease?