GI

Question 1

most important risk factor for traveler’s diarrhea

Answer 1

location of travel: South America, Asia, Africa, Middle East

Question 2

most commonly identified traveler’s diarrhea bacteria from Mexico and South America

Answer 2

E. coli

Question 3

most commonly identified traveler’s diarrhea bacteria from Asia

Answer 3

C. jejuni, Shigella, and Salmonella

Question 4

most cases of traveler’s diarrhea are caused by

Answer 4

contaminated food and drink

Question 5

traveler’s diarrhea: mgmt

Answer 5

only drink bottled/boiled water
PO rehydration
azithyromycin/cipro if severe
consider loperamide (not for bloody diarrhea or febrile pts)

Question 6

How do bacterial enterotoxins create traveler’s diarrhea?

Answer 6

stimulate secretion of fluid and Na into the gut > net loss of fluid

Question 7

when to tx diarrhea w/Flagyl

Answer 7

suspected parasite (Giardia, E.` histolytica)

Question 8

cannabinoid hyperemesis syndrome: sx

Answer 8

N/V, abdominal pain

Question 9

cannabinoid hyperemesis syndrome: mgmt

Answer 9

hot shower, capsaicin, Haldol, quit

Question 10

deepest area for anorectal abscesses

Answer 10

supralevator space

Question 11

Crohn’s flare tx

Answer 11

mild = mesalamine
severe = prednisone

Question 12

transaminases in alcoholic hepatitis

Answer 12

AST: ALT > 2:1

Question 13

typhlitis

Answer 13

bowel wall (usually cecum) infection in pt undergoing induction for leukemia