Gastro

Question 1

appendicitis

Answer 1

RLQ

Question 2

acute cholecystitis

Answer 2

RUQ

Question 3

splenic trauma
pancreatitis

Answer 3

LUQ

Question 4

ulcerative colitis
diverticulitis

Answer 4

LLQ

Question 5

do stress ulcers develop immediately

Answer 5

no its over 5 days

Question 6

who is predisposed to stress ulcer

Answer 6

critically ill
cortisol levels high
patents who are NPO
require GI prophylaxis
- PPI
- antacids
- H2 blockers

Question 7

main causes of peptic ulcer

Answer 7

NSAID/H pylori

Question 8

throw up bright red blood

Answer 8

upper GI
- more severe

Question 9

stool of black/tarry

Answer 9

lower

Question 10

if a patient has bloody throw up

Answer 10

NGT

Question 11

what happens to the blood sugar if liver failure

Answer 11

decrease

Question 12

portal hypertension

Answer 12

high pressure in portal vein

Question 13

enlarged spleen

Answer 13

hypertension, keep platelets and WBC in there
leading to decrease platelets and WBC

Question 14

cirrhosis can be due to

Answer 14

alcohol/autoimmune

Question 15

portal hypertension can develop into

Answer 15

esophageal varices

Question 16

hepatic encephalopathy is due to

Answer 16

ammonia

Question 17

asterixis

Answer 17

flapping of the arms

Question 18

hepatic fetor

Answer 18

ammonia causes musty smell

Question 19

assessment of ascities

Answer 19

abdominal girth and weight

Question 20

ballon tampnade is an effective way to acheiev

Answer 20

short term hemostasis

Question 21

what is treatment for portal HTN and cirrhosis

Answer 21

TIPS

Question 22

what is TIPs

Answer 22

portal vein and hepatic vein together to allow blood flow and decrease pressure

Question 23

fulminant hepatic failure

Answer 23

severe acute liver failure (1-3wks)
can lead to encephalopathy

Question 24

fulminant hepatic failure
- leading to

Answer 24

JAUNDICE
BLEEDING
HYPOGLYCEMIA
MET ACIDOSIS

Question 25

Neomycin

Answer 25

reduces bacteria flora

Question 26

lactolouse

Answer 26

decrease bacterial growth, traps ammonia and has a laxative effect

Question 27

acute pancreatitis

Answer 27

pancreatic enzymes into pancreas and surrounding tissue - loss of volume into retroperitoneal and peripancreatic spaces

Question 28

signs of hypocalcemia

Answer 28

chovsteck trousseau

Question 29

acute pancreatitis GI labs

Answer 29

elevated serum amylase and lipase

Question 30

management of acute pancreatitis

Answer 30

NPO - NG tube eneretal or TPN

Question 31

complications of acute pancreatitis

Answer 31

hypovolemic shock

Question 32

in blunt trauma what organs are involved

Answer 32

liver/spleen

Question 33

what organs are worse to have punctured

Answer 33

fluid filled

Question 34

liver injuries pain in what quadrant

Answer 34

URQ

Question 35

10-12th rib can be associate with damage to

Answer 35

spleen

Question 36

pain in left shoulder

Answer 36

Kehr sign

Question 37

spleen pain in what quadrant

Answer 37

upper left

Question 38

splenectomy requires

Answer 38

penumovax

Question 39

uretrhal trauma is more common in

Answer 39

males

Question 40

blood at the meatus

Answer 40

signifies trauma to the urethra

Question 41

if there is blood at the meatus should we insert a foley

Answer 41

no

Question 42

why do we care to know if someone died in a wreck

Answer 42

more likely to have severe injuries

Question 43

cullens sign

Answer 43

blush purple sign at the umbilicus is a sign of bleeding in the peritoneum

Question 44

gray turners sign

Answer 44

ecchymosis over flank - retroperitoneal bleeding

Question 45

tension percussion

Answer 45

hyper resonance

Question 46

dullness percusion

Answer 46

ascites hemothorax