BRGE

Question 1

Simptomul dominant in BRGE

Answer 1

Pirozisul

Question 2

Principala cauza a BRGE

Answer 2

Refluxul de - acid gastric
                    - pepsina
                    - bila
                    - continut duodenal
                                                          in esofag

Question 3

SEI si deglutitia

Answer 3

SEI contractat intre deglutitii

relaxat la initierea deglutitiei

Question 4

Buzunarul acid

Answer 4

In stomacul proximal -> acid gastric netamponat acumulat postprandial

Question 5

Caracterul pirozisului

Answer 5

Arsura dureroasa retrosternala, agravata de aplecare, ghemuire, pozitia culcat

Question 6

Simptome in boala de reflux laringo-faringian

Answer 6

Pirozis (asociat);

1. tuse, 2. voce ragusita, 3. rinoree, 4. astm (frecvente)

Question 7

Jonctiunea eso-gastrica este localizata deasupra diafragmului in HH

Answer 7

De alunecare

Question 8

Volvulusul si strangularea pot aparea in HH

Answer 8

Para-esofagiana

Question 9

RA la antiacide cu Mg si Al

Answer 9

Mg - diaree

Al - constipatie

Question 10

Mecanism de actiune IPP

Answer 10

Inhiba adenozin trifosfataza H/K

Question 11

RA IPP pe termen lung

Answer 11

Osteoporoza si infectii GI (Clostridium difficile)

Question 12

BRGE non-eroziva (NERD) apare la pacientii care

Answer 12

1. Nu rsp la IPP
2. Au simptome continue
3. Au EDS normala

Question 13

Agenti prokinetici antagonisti dopaminergici

Answer 13

Metoclopramid

Domperidona

Question 14

Clasificarea LA a esofagitei

Answer 14

Grad A - < 5 mm, limitate la pliuri
Grad B - cel putin una > 5 mm, limitata la pliuri, fara continuitate intre vf
Grad C - continuare intre pliuri, NU circumferentiale
Grad D - confluente, > 75% din circumferinta

Question 15

Simptome strictura peptica

Answer 15

Disfagie intermitenta pt solide agravata treptat

Question 16

Terapia de electie pt displazia din esofagul barrett dupa indepartarea oricarei leziuni nodulare

Answer 16

Ablatia prin radiofrecventa