GI/ GU Flashcards
(79 cards)
1
Q
Inner most layer in ulcerative colitis?
A
submucosa
2
Q
Overusing opiates causes?
A
obstipation seen
3
Q
Cl - transporter protein in cell membrane is?
A
Chronic pancreatitis
4
Q
What has a similar appearance to achalasia?
A
esophageal adenocarcinoma
5
Q
Left flank pain w/ ecchymosis w/ gallstones tx?
A
symptomatic management
6
Q
What is seen w/ achalasia?
A
megaesophagus
7
Q
Perform mon met before ph test in what?
A
gerd
8
Q
Epigastric pain w/ icreased lipase seen in what?
A
acute pancreatitis
9
Q
Blood stools seen what is the next step?
A
Colonoscopy w/ biopsy
10
Q
Diverticular disease is?
A
Pianful or painless rectal bleeding
11
Q
Meckels diverticulitis dx by?
A
T-99 cm
12
Q
Increased colon cancer in what?
A
ulcerative colitis
13
Q
acute diverticulitis dx?
A
Ct abd and pelvis
14
Q
Intusseption presents w/?
A
bloody stools and mucus
15
Q
45 y/o w/ kidney stones needs?
A
normal saline bolus
16
Q
67 y/o w/ worsening incontinece and leaks urine tx?
A
mirabegron
17
Q
Mirabegron inhibits what?
A
detrusor muscle
18
Q
57 y/o w/ ED tx?
A
Finasteride
19
Q
HMG-COA monitor what?
A
LDL
20
Q
Rapid ventricular rate control med?
A
dilitizem
21
Q
50 y/o male w/ acute cystitis tx?
A
cipro
22
Q
What is a medication that can cause ED?
A
Dutasteride
23
Q
PDE5I med that is less effective in fatty meals?
A
sildenafil
24
Q
which of the following has the longest mechanism of acition?
a. alprost.
b. sildenafil
c. tadalafil
d. vardenafil
e. avanadil
A
Tidafil/ cialis
25
23yoF w/ hx of hyperlipemia and hypertension for which she is taking atorvastatin and lisinopril presents today for her well visit without complaints. vitals are stable. nitrate (-), luekesterase 2+, 4 WBCs, urine culture is positive for 100,000 e.coli. what is the next step?
PT education and reassurance
26
what is an absolute contraindication for testosterone replacement therapy?
PSA > 4
27
Decreased LH and FSH next step?
MRI of the brain
28
cardioselective beta blocker?
metoprolol
29
premature ejaculation tx?
paroxetine
30
Nuceliec acid amplification test is for what?
Chlamydia
31
Germinal tumor is seen in what?
cryptorchidism
32
Smoking + bladder infection is?
bladder cancer
33
Side effect of dicyclomine (anticholinergic) is?
blurred vision
34
Mu receptor agonist?
loperamide
35
Epigastric pain for 30 mins after eating 1x a week (GERD) tx?
famotidine
36
47 y/o w/ alcoholic cirrhosis febrile, fluid wave tx?
ceftriaxone
37
67 y/o w/ chronic knee pain and abdominal pain, melanic stool epigastric tender (nsaid ulcer) tx?
PPI
38
63 y/o ER pt 2x day hx of N/V, abd pain, tachy, fever, LLQ pain diverticulitis tx?
ceftriaxone + metro IV
39
H pylori eardication dx?
urea breath test
40
Tx indicated for motion sickness?
Dimenhydrinate
41
medication that causes QTc prolongation?
Dolasetron
42
Medication safe in pregnancy?
Famotidine
43
44 y/o w/ + US for stones + RUQ pain next step?
surgery referral
44
Long term ppi risk
intestinal infection
45
25 y/o w/ blood in stool and pain w/ defecation dull, 5 mm lesion tx?
sitz bath
46
anal fissure location?
posterior midline
47
40 y/o w/ 4 month hx of constipation what is the initial therapy?
methylcellulose
48
Crohns characteristic?
cobblestone mucosa
49
Best inital therapy for vomiting induced stimulation of GI center?
aprepitant
50
45 y/o F w/ abdominal pan, non smoking included in atiemtic tx?
scolopolamine
51
9 y/o ER by mom w/ abd pain, tenderness what is the dx?tx?
ruptured appendix -> pip-tazo
52
Etiology of acute appendicitis?
obstruction
53
Who is most at risk for lactose intolerance?
20 y/o asian or white female
54
6 y/o w/ 24 hrs vomiting and diarrhea tx?
parental education and rest
55
Salmonella enteri who requries tx?
20 y/o w/ lymphoma
56
Enteron E coli monitor what?
creatinine
57
Risk of fall is greater in geriatric pts on what med?
amtriptyline
58
Dys alb in preterm neonates causes drug tox of what to decrease?
protein binding
59
contraindicated in pregnancy?
losartan
60
med propery increased drug concentreation in breast milk is?
unionized @ serum pH
61
Vaccine w/ reduced efficacy w/ chronic immunoglobulin therapy is?
varicella
62
Vaccine w/ immune response similar to natural immunity is?
rotavirus
63
43 y/o w/ 5 day hx of rectal pain in the perianal area of induration tx?
I and D
64
52 y/o M hx of HTN, BPH, and depression w/ enlearging breasts. Most common cause?
Finasteride
65
What is the most appropriate emperic tx for 50 y/o M w/ acute cystitis?
cipro
66
67yoF w/ worsening incontinence x 3months, complaining of urgency. but denies leaking with sneezing or coughing. patient has tried behavioral interventions, pelvic floor and void schedling, all without success. what is the most appropriate treatment?
mirabegron
67
65yoM w/ history of BPH. presents with pain w/ urination, bloody urine, chills, fever, and muscle ache. V/S: 102.4F, elevated BP 134/80. there is suprapubic pain and a warm, firm, tender prostate. what is the most appropriate tx?
levofloxacin
68
what is the most appropriate tx in a female w/ uncomplicated cystitis?
nitofurantoin x5days
69
for first-rate control strategy in a patient with atrial fibrillation and rapid ventricular response, what is the recommended treatment?
diltiazem
70
the adverse drug reactions of oxybutynin are best reduced by?
use of transdermal patches
71
what is an absolute contraindication for testosterone replacement therapy?
PSA > 4
72
23yoF w/ hx of hyperlipemia and hypertension for which she is taking atorvastatin and lisinopril presents today for her well visit without complaints. vitals are stable. nitrate (-), luekesterase 2+, 4 WBCs, urine culture is positive for 100,000 e.coli. what is the next step?
patient education and reassurance
73
which PDE5 inhibitor is least effective when taken w/ a fatty meal?
sildenafil (NOT varenafil)
74
which medication causes erectile dysfunction?
dutasteride
75
70yo presents with abdominal pain and constipation. V/S: 98.6F temp, 87/min pulse, 20/min RR, 134/78 BP, 99% O2. Labs reveals no leukocytosis. Hb 12.3. what is the most likely diagnosis?
small bowel obstruction
76
33yoF presents with abdominal pain and jaundice 1day after recent laparoscopic cholecystectomy. V/S: 101F temp, 113/min pulse, 20/min RR, 171/91 BP, 99% O2 on RA. what is the most likely diagnosis?
acute ascending cholangitis
77
which of the following is a pre-renal cause of acute renal failure (ARF)?
sepsis
78
30yo G1P0 female presents at 18wks gestation experiencing postcoital pelvic pain and vaginal bleeding. pelvic exam reveals scant blood and a close cervical os. fetal US reveals a FHR of 147bpm. what is the most likely diagnosis?
threatened abortion
79
