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Finals round 2 lol > Gastro > Flashcards

Gastro Flashcards

(62 cards)

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1
Q

fSBP prophylaxis

A

Ciprofloxacin

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2
Q

Hepatic encephalopathy medical treatment

A

Lactulose + rifaximin

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3
Q

Medical treatment of hypercalciuria/renal stones

A

Thiazide diuretics

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4
Q

dietary changes with ascites

A

low sodium diet

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5
Q

Liver failure following cardiac arrest

A

ischaemic hepatitis

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6
Q

What cancer can develop with PSC

A

Cholangicarcinoma

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7
Q

antibiotic most liekly to cause pseudomembranous colitis

A

aka c.diff
cefrtriaxone

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8
Q

GORD complications

A
  • oesophageal carcinoma
  • Barretts oesophagus
  • Anaemia
  • Benign strictures
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9
Q

infectious colitis: stools that float + history of swimming pools

A

giardia

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10
Q

acute pancreatitis complications

A
  • peripancreatic fluid collections
  • pseudocysts
  • pancreatic nercrosis
  • pancreatic abscess
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11
Q

gold standard pancreatic cancer test

A

HRCT: double duct sign

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12
Q

What may you seen on FBC with alcoholic liver disease

A

macrocytic anaemia

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13
Q

How is NAFLD monitored

A

ELF to look for advanced fibrosis

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14
Q

Complications of cirrhosis

A
  • ascites
  • varices
  • hepatic encephalopath
  • hepatocellular carcinoma
  • hepatopulmonary syndrome
  • coagulation disorders.
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15
Q

screening for liver cancer

A

anyone with cirrhosis (US and AFP) every 6 months to look for HCC

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16
Q

tumour marker for pancreatic and cholangiocarcinoma

A

raised ca 19-9

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17
Q

treatment of pyoderma gangronosum

A

oral pred

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18
Q

most common antibiotic regimen

A

IV metronidazole and IV cefuroxime (cholangitis + appendicitis)

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19
Q

skin change with coeliacs

A
  • angular stomatitis
  • dermatitis herpetiformis
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20
Q

x-ray finding in bowel obstruction

A

dilated bowel loops

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21
Q

pernicious anaemia predisposes you to what cancer

A

gastric

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22
Q

What antibodies are associated with hepatitis

A

anti-smooth muscle or anti liver/kidney microsomal antibodies.

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23
Q

most likely area to be affected by ischaemic colitis

A

splenic flexure

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24
Q

vomiting, subcutaneous emphysema, severe retrosternal chest pain

A

oesophageal rupture

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25
What cancer with coeliac
enteropathy-associated T cell lymphoma
26
SE of omeprazole
MNOP = Hypomagnesemia, Hyponatraemia, Osteoporosis, Poo (C diff)
27
what vessels involved in gastric and duodenal ulcer perforations
Gastric ulcer = LGA and splenic artery *LGA supply lesser curvature which is common location for G astric ulcer Duodenal ulcer = Gastroduodenal
28
Liver failure triad
encephalopathy, jaundice and coagulopathy
29
double duct sign
pancreatic cancer
30
treatment of achalasia
Heller cardiomyotomy
31
score for liver cirrhosis
Child-Pugh Score measures cirrhosis severity. ‘Pour Another Beer At Eleven’ - PT, Albumin, Bilirubin, Ascites, Encephalopathy
32
sites of vitamin absorption
Dude I Just Feel Ill Bro Sites of Absorption: Duodenum (Iron), Jejunum (Folate), Ileum (B12)
33
acute mesenteric ischaemia treatment
urgent laparotomy
34
most common cause of diarrhoea in HIV
Cryptosporidium
35
CT scan diverticulitis
mural thickening of the colon and the presence of pericolic fat stranding in the sigmoid colon
36
barretts oesophagus treatment
- high-dose proton pump inhibitor - endoscopic surveillance with biopsies for patients with metaplasia (but not dysplasia) endoscopy is recommended every 3-5 years - if dysplasia of any grade is identified endoscopic intervention
37
Which hepatitis is transferred through undercooked pork
hep e
38
RF for high risk of hepatotoxicity following paracetamol overdose
chronic alcohol, HIV, anorexia or P450 inducers
39
treatment of giardiasis
metronidazole
40
blood film with hyposplenism
howell-jolly bodies and siderocytes
41
bile acid malabsorption treatment
cholestyramine
42
liver disease signs
jaundice, gynaecomastia, spider naevia, caput medusae and ascites.
43
yellow fever symptoms
flu like illness → brief remission→ followed by jaundice and haematemesis
44
most sensitive and specific lab finding for diagnosis of liver cirrhosis in those with chronic liver disease
platelets
45
autoimmune heptatitis antibodies
anti-nuclear and/or anti-smooth muscle antibodies.
46
Fetor hepaticus, sweet and fecal breath
acute liver failure
47
what can sulphasalazine used in UC cause
haemolytic anamiea: heinz bodies
48
absence of anti-HBcAg IgM
chronic infection
49
what condition predisposes you to gallstones
crohns (cobbleSTONE)
50
vitamin b12 deficiency treatment
Vitamin B12 1mg IM three times/week then 1mg IM every 3 months
51
what happens to potassium in diarrhoea
hypo
52
loss of haustra on barium enema
lead pipe: UC
53
most common cause of oeseophageal cancer with gord/barrets vs achalasia/smoking
adeno: gord/barretts SCC: achalasia
54
investigation for budd chiari
doppler us
55
SIBO treatment
rifaximin
56
HNPCC
1. Colorectal 2. Endometrial/pancreatic
57
causes of LBO
1. cancer 2. volvulus (sigmoid) 3. diverticula (sigmoid colon)
58
what laxative to avoid in iBS
lactulose : makes gas worse
59
treatment of campylobacter jejuni
clarithromycin
60
what antibiotic is used before endoscopy with upper GI bleeds
quinolones + terlipressin
61
is constipation or diarrhoea more common in salmonella typhi
constipation
62
diverticulitis flare
Patients with diverticulitis flares can be managed with oral antibiotics at home. If they do not improve within 72 hours, admission to hospital for IV ceftriaxone + metronidazole is indicated

Finals round 2 lol (24 decks)

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