Gastro 2 Flashcards

(31 cards)

1
Q

Diarrhoea in truck driver

A

Check stool for ova and cyst

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2
Q

Mother and sister colon cancer 63 and 48, colonoscopy

A

10 years earlier than mother,

from 50 every 5 years

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3
Q

Glucose screening

A

From 40 every 3 years

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4
Q

Asymptomatic gallstone become symptomatic at rate

A

2% per year

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5
Q

Cholecystitis most commonly caused by

A

E Coli

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6
Q

Paraesophageal hernia Inv

A

Barium swallow

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7
Q

Inv for patient with blunt abdominal trauma after playing football - splenic trauma

A

FAST ultrasound if haemodynamically unstable

CT abdomen if stable

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8
Q

Pain relief post operatively after cholecystectomy

A

Morphine

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9
Q

Diarrhoea,

pain in R iliac fossa that resolved

Pain on digital rectal exam

A

Pelvic appendicitis

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10
Q

Auto immune hepatitis : auto antibodies with the worst response to therapy

A

Anti-liver-kidney microsomal antibody

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11
Q

Screening marker for hepatoma in patient with chronic hepatitis C

A

Alpha feta protein

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12
Q

Diabetes type 1 patients are at risk of developing

A

Coeliac disease

As both are immune mediated

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13
Q

Mechanism of bacterial peritonitis in patient with ascites

A

Bacterial translocation from gut to mesenteric lymph node

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14
Q

Most common symptom of haemorrhoids

A

Rectal bleeding

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15
Q

Barrett oesophagus monitoring

A

Endoscopy and biopsy every 2 to 5 years

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16
Q

most common cause of large bowel obstruction in Australia

17
Q

Calcified gallbladder management

A

Prophylactic cholecystectomy

18
Q

Patient is 25 and his father had colon cancer at 35

Management

A

Colonoscopy now

19
Q

Patient is 82

Dysphagia for solids and liquids

Decreased contractions on manometry

A

Presbyoesophagus

Achalasia is between 25 and 60

20
Q

First test for patients with epigastric pain for two years

A

Endoscopy

Then HPylori can be tested

21
Q

Coeliac disease lab

A

Low calcium due to vitamin D deficiency

High INR vitamin K deficiency

Low iron

22
Q

Bacterial peritonitis treatment

A

Cefotaxime and albumin

Or Ceftriaxone and albumin

Albumin reduces rate of renal failure

23
Q

Jaundice, dark urine and pale stool

No pain

A

Periampullary tumour

24
Q

Acute diverticulitis investigation

A

Abdominal CT

Pain in L iliac fossa, fever

25
Pancreatic pseudocyst management
if less than 6 cm observation If more than 6 cm surgical drainage
26
Hereditary nonpolyposis colorectal cancer (Lynch syndrome) screening
Autosomal dominant First genetic assessment  Colonoscopy from 25 everyone or two years
27
Trousseau syndrome is migratory superficial thrombophlebitis and deep vein thrombosis of legs associated with tumour -
Pancreatic cancer
28
Unproven risk factor for peptic ulcer
Alcohol
29
Loud borborygmi Abdominal distension
Small bowel obstruction
30
Criteria for gastric banding
BMI 40 Or BMI 35 with diabetes or sleep apnoea
31
Elevated liver enzymes and normal bilirubin after thoracic gunshot
Ischaemic hepatitis