GI Assessment

Question 1

When should constipation be referred on?

Answer 1

1. blood/tarry stools
2. unexplained and persistent constipation

Question 2

When should diarrhea be referred on?

Answer 2

1. adults > 2days OR children >24 hours
2. dehydration
3. bloody/dark stool
4. severe abdominal pain
5. fever
6. severely watery /clear diarrhea

Question 3

What are the steps to C. difficile testing?

Answer 3

1. check for glutamate dehydrogenase antigen
2. PCR confirmatory test

Question 4

What must be present to perform a C. difficile test?

Answer 4

stool MUST be liquid

Question 5

Why is a second confirmatory test needed for C. difficile?

Answer 5

test is sensitive but not specific; first test has false positives

Question 6

What does a fecal occult blood test tell you?

Answer 6

presence of blood in the stool NOT the cause

Question 7

What should be added is there is a significant loss of blood the GI tract? Why?

Answer 7

short-term PPI; decrease acidic environment –> clotting factors not degraded–> promotes healing

Question 8

How many points is a bilirubin <2?

Answer 8

1

Question 9

How many points is a bilirubin 2-3?

Answer 9

2

Question 10

How many points is a bilirubin >3?

Answer 10

3

Question 11

How many points is an Albumin >3.5?

Answer 11

1

Question 12

How many points is a albumin 2.8-3.5?

Answer 12

2

Question 13

How many points is a albumin <2.8?

Answer 13

3

Question 14

How many points is a INR<1.7?

Answer 14

1

Question 15

How many points is an INR 1.7-2.3?

Answer 15

2

Question 16

How many points is INR >2.3 ?

Answer 16

3

Question 17

How many points is child Pugh class A?

Answer 17

5-6

Question 18

How many points is child Pugh class B?

Answer 18

7-9

Question 19

How many points is child Pugh class C?

Answer 19

10-15