Day 7 - GI2 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 7 - GI2 Quiz > Flashcards

Flashcards in Day 7 - GI2 Quiz Deck (14):
1

EGD w/ bx in 75 yo M reveals gastric CA - next step in mgt

CT scan ab/pelvis (staging - size & metastasis)

2

Next step in mgt of pt w/ recurrent ulcers seen on at least 2 EGDs

Serum Gastrin level (r/o Zollinger-Ellison syndrome)

3

Duodenal v. Gastric ulcers p/w

DUODENAL: 2-4 hrs after eating, pain initially improves w/ eating; GASTRIC: pain soon after eating, eating (also n/v) worsens pain

4

Most effective mgt duodenal ulcers not due to Zollinger-Ellison syndrome

Most all duodenal ulcers due to H. pylori (PPI, clarithromycin, metronidazole or amoxicillin)

5

Chem 7 lab abnormality often elevated in pts w/ GI bleed

BUN (bacteria in gut break down Hb & elevate BUN)

6

Ranson's criteria for determining prognosis in pts w/ acute pancreatitis

Upon admission, GA-LAW: Glucose > 200, AST > 250, LDH > 350, Age > 55, Elevated WBC > 16,000; In initial 48 hrs, C-HOBBS: Ca 4, Sequestration of fluid > 6L

7

Causes of Acute pancreatitis

Alcohol & Gallstones most common; Trauma, Hypertriglyceridemia, Hypercalcemia, Drugs (e.g., certain HIV meds)

8

Tumor markers for pancreatic CA

CEA & CA-19-9

9

Tumor marker for gastric cancer

CEA

10

Tx H. pylori

PPI + Clarithromycin + Metronidazole/Amoxicillin

11

Tx Gastric CA

Depends on location; Distal third: Subtotal gastrectomy, Middle/Upper: Total gastrectomy; In either case, chemotherapy and radiation adjuvants recommended

12

Tx pancreatic CA in head of pancreas

Whipple procedure; Additionally, chemotherapy

13

Specific lab test for chronic pancreatitis

Low fecal elastase (regardless of whether giving pancreatic enzyme replacement)

14

Tx chronic pancreatitis

Pancreatic enzyme replacement; Stop alcohol; Pain control

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