GI FM NOTES

Question 1

name of the scoring system for pancreatitis?

Answer 1

ranson

Question 2

biggest risk factors for altitude sickness?

Answer 2

rapid ascent
prior history of altitude sickness

Question 3

what are the symptoms of the zika virus?

Answer 3

fever
myalgia
pruritis
eye pain
macular rash

Question 4

how long after returning from a zika virus endemic area should someone avoid conception?

Answer 4

2-6 mo

Question 5

name complications of malaria

Answer 5

seizure
hemolytic anemia
renal failure
hypoglycemia
coagulopathy
lactic acidosis

Question 6

name 5 drugs that can cause pancreatitis

Answer 6

-thiazides
-GLP1 agonists
-estrogen
-steroids
-ACEi
-statin

Question 7

what type of drug is denosumab?

Answer 7

RANK L inhibitor

Question 8

what type of drug is teriparatide?

Answer 8

PTH analog

Question 9

name a SERM used for osteoporosis

Answer 9

raloxifine

Question 10

definition of heat stroke

Answer 10

temp ≥40 + neuro dysfunction

Question 11

complications of heat stroke

Answer 11

pulmonary edema, seizure, renal failure, rhabdomyolisosi, electrolyte abnomrlaities

Question 12

what symptoms do you see 12-24 hours from the last alcoholic drink?

Answer 12

increased HR, tremors, anorexia, insomnia

Question 13

What symptoms may occur 24-72 hours from the last drink?

Answer 13

seizures

Question 13

what may occur 3-5 days after the last alcoholic drink?

Answer 13

delirium tremens causing disorientation, fever, hallucinations

Question 14

what medicine can be used to treat cholinergic toxicity?

Answer 14

atropine

Question 15

DSMV criteria for SUD

Answer 15

Cut down - desire or unsuccesful attempts to cut down
Health/harm - continued use despite impact on health/psych
Excessive use - increasing amounts over time
Withdrawal - or use to avoid withdrawal
Time - increased time spent to procur/use substances
Hazardous use- use when physically hazard (driving)
Activities - decreased social/recreational activities
Tolerance - need increased amounts for intoxication
Craving - strong desires to use
Obligations - failure to fulfill obligations at work, school, home
Personal problems- use despite social/interpersonal problems

Question 16

what symptoms occur with delerium tremens?

Answer 16

-hallucinations
-agitation
-low grade fever
-diaphoresis
-disorientation
-hypertension
-tachycardia

Question 17

what PAWSS score requires INPATIENT management of alcohol withdrawal?

Answer 17

4 or more

Question 18

what are CI to outpatient alcohol withdrawal management?

Answer 18

-hx of seizure during medical management of withdrawal
-concominant opioid/benzo use disorder
-age <19 or >65
-severe liver disease
-uncontrolled comorbidities (HTN, DM)
-hx of drinking non beverage alcohols

Question 19

what are two medications used for alcohol craving management ?

Answer 19

naltrexone
acomprosate

Question 20

what are the medications used in acute withdrawal management from alcohol?

Answer 20

-benzo’s
-carbemazapine
-gabapentin
-clonidine

Question 21

what is the term for someone who consumes more than the recommended alcohol amounts but does not meet criteria for AUD?

Answer 21

An ‘at risk drinker’