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June Exam Revision > GI 2 > Flashcards

GI 2 Flashcards

1
Q

Which site of bowel obstruction is more common

A

Small Bowel

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2
Q

Simple Bowel obstruction does not interfere with

A

Blood supply

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3
Q

Causes of simple bowel obstruction

A 
Gallstones
Impacted Faeces
Congenital Atresia
Crohsn
DIverticular
Malignant
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4
Q

Dynamic Bowel Obstruction

A

Bowel Obstruction with cessation of peristalsis and absence of true waves

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5
Q

Intussception in GI can cause

A

Strangulated Bowel Obstruction

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6
Q

What is the most common associated gene in IBD

A

NOD2

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7
Q

Which IBD Disease does smoking seem to help

A

Ulcerative Colitis

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8
Q

Microscopic Features of ulcerative colitis

A

mucosal ulceration
crypt abscesses
pseudopolyps

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9
Q

How does IBD present on skin

A

Erythema nodosum

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10
Q

Mild IBD Classified as

A

Stools <4 Day

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11
Q

Mod IBD Classified as

A

Stools >4 Day

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12
Q

Severe IBD Classified as

A

Stools <4 day with Bleed

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13
Q

What condition is common associated with Ulcerative Colitis

A

Hypoalbuminaemia

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14
Q

Which part of colon affected in Toxic Megacolon

A

Right and Transverse

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15
Q

Loss of Haustrations on x-ray could mean

A

Toxic Megacolon

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16
Q

Crohns Features

A 
Skip Lesions
Strictures
Ulcers
Crypt Abscess
Fistulas
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17
Q

Where does Ulcerative Colitis begin

A

Rectum and Works Proximally

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18
Q

Proctitis is confined to

A

Rectum

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19
Q

Which criteria is used for score of severity in Ulcerative Colitis

A

Truelove and Witts

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20
Q

what can precipitate toxic megacolon

A

low potassium or magnesium

21
Q

Histology of Ulcerative Colitis

A

Crypt Abscesses
Depleted Goblet Cells
Limited to mucosa

22
Q

History of Crohns

A

Transmural Inflammation

23
Q

which type of colitis raises colonic carcinoma risk significantly

A

Pancolitis

24
Q

what does the gallbladder secrete after meal

A

CCK

25
Q

Congenital causes of Benign Biliary Tract Disease (2)

A

Biliary Atresia

Choledochal Cysts

26
Q

How does Cholangiocarcinoma present

A

Obstructive Jaundice

Itch

27
Q

Gallblader Cancer prognosis

A

Poor

28
Q

Chronic Pancreatitis causes

A 
Alcohol
Cystic Fibrosis 
Hereditary: Autosomal Dominant
Hypercalcaemia
Smoking
29
Q

Clinical Features of Chronic Pancreatitis

A

Abdo Pain
Exocrine Insufficiency
Endocrine Insufficiency

30
Q

If Carcinoma of pancreas is affecting head what symptom

A

painless obstructive jaundice

31
Q

if carcinoma of pancreas is affecting body and tail what symptom

A

upper abdo pain

32
Q

Absolute Contraindications to Enteral Feeding

A

Obstruction
Severe Ileus
Perforation
Prox Fistula

33
Q

What should Nasogastric Tube ph be

A

0-5

34
Q

When don’t use NG tube

A

Base of Skull Fracture

35
Q

Reasons to use NJ Tube

A

Delayed Gastric Empty
Pancreatitis
Intractable Vomit

36
Q

Most common pancreas cancer

A

Head of Pancreas

37
Q

head of pancreas cancer is related to which endocrine condition

A

Diabetes

38
Q

what type of jaundice in head of pancreas cancer

A

obstructive

39
Q

Acute Pancreatitis complications

A

Pseudocyst
Absess
Necrosis
Fluid

40
Q

Acute Pancreatitis Causes

A 
Gallstones
Alcohol
CMV
Mumps
Tumours
ERCP
Hypercalcaemia
Scorpion Venom
41
Q

Modified Glasgow Criteria for Acute Pancreatitis what would be classified as severe

A

More than 3 Factors

42
Q

How to treat Cholelithiasis

A

ERCP and ES

43
Q

Chronic Pancreatitis causes

A 
Adenocarcinoma
Sphincter of Oddi Dysfunction
Duodenal Obstruction
Post Nec Radiation
Autoimmune
Toxins
Genetic
Environment
Recurrent Injuries
44
Q

Which genetic factors contribute to Chronic Pancreatitis

A

Autosomal Dominant (Codon 29 and 122)

Autosomal Recessive (CFT, Spink1, Codon A)

45
Q

Chronic Pancreatitis linked to

A

Pain with Binges
Pancreatic Exocrine Insufficiency
Jaundice

46
Q

How do we screen for Colorectal Cancer

A

QFit

47
Q

Most common colorectal tumour location for cancer

A

proximal

48
Q

Which of these conditions are functional GI Disorders

Oesophageal Spasm
Non Ulcer Dyspepsia
Biliary Dyskinesia
IBS
Slow Transit Constipation
Drug Related
A

All

June Exam Revision (2 decks)

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