Gastroenteretis

Question 1

………… bacteria or cysts can produce infection,
while ………… Vibrio cholerae organisms must be ingested to cause disease.

Answer 1

10— 100

10^5—10^8

Question 2

Fecal —oral transmission organisms

Answer 2

E.coli
Shigella
Entamoeba
Giardia

Question 3

Dysentery

Answer 3

Inflammatory diarrhoea with mucus or blood🩸

Question 4

حمى شديدة، زگژان ،هةلاوردن ،قةبزي /اسهال نادر ولكن اذا تواجد يكون شديد

Answer 4

Typhoid fever = Enteric fever

Question 5

Typhoid fever =Enteric fever

Mechanism ……………
Cause ………………

Answer 5

Penetration
ياسين ،انتركولتيكا +سالمونيلا تايفي

Question 6

Non inflammatory +inflammatory diarrhoea

Answer 6

س ٦

Question 7

Increasing of WBCs :-
Enteric fever
Inflammatory diarrhoea

Answer 7

Mononuclear cells
Polymorphonuclear cells

Question 8

………and ………are very stable to acidity

أي يقاومون الحموضه الفتاكه

Answer 8

Rotavirus +Shigella
شگیلا شیت رویت

Question 9

Why infants are at higher risk

Answer 9

لأن الفلورا مالتهم بعدهه ممكتملة ، عندهم عدد قليل من البكتريا النافعة

Question 10

لماذا من يتعاطون مواد مخدرة (opiates) , تكون الدفاعات الجسمية لديهم اقل

Answer 10

لأن غالبا ما يكونون مصابين ب الأمساك

Question 11

اذ ا اعطينا من مصاب شگيلا شيت دايفن ئوكسيلةيت ، لماذا يبطيء شفاءه

Answer 11

لأن هذا مضاد حركة امعاء ، يقلل من دفع شگيلا

Question 12

من يتعاطون ………وعندهم فد سالمونيلا بسيطة يمكن ان يؤدي الىbacteremia

Answer 12

Opiates

Question 13

People with blood group …………… show increased susceptibility to disease due to V. cholerae, Shigella, E. coli O157, and norovirus.

Answer 13

O

Question 14

A painful spasm of the urogenital diaphragm with an urgent desire to evacuate the bowel or bladder, involuntary straining, and the passage of little fecal matter or urine.

Answer 14

Tenesmus

Question 15

Stools that contain blood or mucus indicate

Answer 15

ulceration of the large bowel.

Question 16

“rice-water” stools suggest ……………or a similar toxigenic process

Answer 16

Cholera

Question 17

Bloody stools without fecal leukocytes ,due to

Answer 17

Enterohemorrhagic E. coli (EHEC) producing shiga toxin

Question 18

An appendicitis-like syndrome should prompt a culture for ………………

Answer 18

يرسينيا

ياسين هةولدةد ،زائدة دودية خراوبكةد ☹️😳😡

Question 19

Bloating is common in ……………

Answer 19

Giardiasis

Question 20

Painful abdominal muscle cramps, caused by. ((( electrolyte loss))). , can develop in
severe cases of

Answer 20

كوليرا

Question 21

Abdominal pain may be most severe in inflammatory processes like those due to

Answer 21

شگيلا شيت
كامپايلوباكتر
Necrotizing toxins

Question 22

…………may be a feature of cases with proctitis, as in shigellosis or amebiasis

Answer 22

Proctitis التهاب المستقيم

Question 23

Current antibiotic therapy or a recent history of treatment suggests……………

Answer 23

Clostridium difficile diarrhea

Question 24

…………………dehydration orthostatic fall in BP, skin tenting, and sunken eyes (or, in infants, a sunken fontanelle).

Answer 24

Moderate

Question 25

……………dehydration lethargy, obtundation, feeble pulse, hypotension, and frank shock.

Answer 25

Sever

Question 26

Symptomatic treatment

Answer 26

Loperamide —ژان PLASIL—antiemetic ONDANSETRON —treatment of nausea and vomitimg 🤮 ORS + Ringer lactate —Rehydration bismuth subsalicylate—زگچین وسند

Question 27

Individuals with………… should receive a 3- to 7-day course.

Answer 27

شگیلا شیت

Question 28

bloody diarrhea and fever should be treated empirically with an antimicrobial agent

Answer 28

فلوروکوینولون او ماکرولید

Question 29

في اسهال التهابي لايجب اعطاء

Answer 29

ديفن اوكسيله يت + ميترونيدازول

Question 30

احذري عند Bloody diarrhea with little or no fever In the exam with no WBCs

Answer 30

قد يكون EHEC الذي لا يجب اعطاء مضادات حيوية معه لأن قد يؤدي الى Renal failure +Hemolytic uremic syndrome

Question 31

اكو RBCs ماكو WBCs

Answer 31

EHEC +Amebiasis

Question 32

Complications

Answer 32

سلاید 24

Question 33

Reactive arthritis as a complication due to

Answer 33

شگیلا / سالمونیلا / کامپایلوباکتةر / ياسين

Question 34

HUS as a complication due to

Answer 34

Shigella +EHEC

Question 35

Guillain bare syn as a complication due to

Answer 35

کامپایلوباکته ر