GI Flashcards

(40 cards)

1
Q

high risk colon cancer patients

A

1st degree relative had CRC or adenopatous polyp before 60
OR
2 2nd degree relatives w/ CRC

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2
Q

screening for high risk colorectal cancer

A

age 40 or 10 years before earliest age

rescreen every 5 years

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3
Q

RUQ pain, jaundice, palpable mass

A

choledochal cyst

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4
Q

IBD workup

A

1st: CBC, BMP, ESR

if positive or severe sxs, do endoscopy

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5
Q

1-2 tubular adenomas found on colonoscopy, FU in

A

5-10 years

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6
Q

3+ tubular adenomas found on colonoscopy, FU in

A

3 years

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7
Q

hyperplastic polyp

A

4 years

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8
Q

herbal tx for hepatic cirrhosis

A

milk thistle

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9
Q

effects of omeprazole on the body

A

incr risk of community acquired pneumonia
incr C diff
decr abs B12

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10
Q

Tx of thromboses external hemorrhoid diagnosed in first 24 hrs

A

thrombectomy under local anesthesia

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11
Q

herbal tx helpful for IBS

A

peppermint oil

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12
Q

avoid NSAIDs in ppl w/

A

hepatic cirrhosis

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13
Q

next step if suspect acute diverticulitis

A

CT abd and pelvis

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14
Q

MCC of diarrhea in adults

A

Norwalk virus

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15
Q

prophylaxis for traveler’s diarrhea

A

rifaximin

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16
Q

workup of active bleeding / hematochezia

A

lower GI endoscopy, then technetium 99 scan if too active bleeding and can’t tell what the cause is

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17
Q

episodic, sharp, sudden pains in anorectal area lasting seconds to minutes

A

proctalgia fugax

18
Q

fever, fatigue, wt loss, diarrhea, LLQ mass

A

diverticulitis

19
Q

outpatient tx for diverticulitis

A

amox/clavulanate

20
Q

fecal incontinence in elderly usually from

A

overflow incontinence (ex from constipation from many meds)

21
Q

high ALT and pancreas problem

A

gallstone pancreatitis

22
Q

high CRP and pancreas problem

A

pancreatic necrosis

23
Q

barrett’s esophagus may lead to

A

esophageal adenocarcinoma

24
Q

dx of constipation

A

Rome criteria (at least 2)

  • straining on defecation
  • hard stools
  • incomplete evacuation
  • less than 3 BM a week
25
contraindications for probiotics
short gut syndrome | immunocompromised
26
gastroparesis usually seen in what type of patienta
T1DM | women
27
risk factors for proximal neoplasia (and FU colonoscopy in 3 yrs)
high grade dysplasia 3 or more adenomas adenomas with villous features adenoma at least 1 cm
28
more sensitive and specific lab for pancreatitis
lipase
29
preferred imaging for RLQ pain
abd CT with IV contrast
30
preferred imaging for LLQ pain
abd CT with IV and PO contrast
31
Rome criteria for IBS
3 days per week of abdominal pain for past 3 months change in frequency of stool improvement with defecation
32
diagnostic of spontaneous bacterial peritonitis
paracentesis shows neutrophil count > 250
33
MCC of PUD
H. pylori
34
tx thromboses external hemorrhoids after 24 hrs
excision
35
tx internal hemorrhoid
rubber band ligation or sclerotherapy
36
which hepatitis is most associated w/ hepatocellular carcinoma
hepatitis B
37
what bodily fluid is hepatitis C found in
blood only
38
tx gastroparesis
metoclopramide (Reglan)
39
rising blood level of ___ is bad in primary biliary cirrhosis
bilirubin
40
pathology of sodium in patients with ascites
high lvld ADH --> pt can't excrete water --> pt hyponatremic