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DHA Exam > GIT > Flashcards

GIT Flashcards

1
Q

Ptn with cloudy urine with normal cystoscope and erythema in bladder dome

A

Diverticulitis

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2
Q

Risk of developing chrons

A

Smoking

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3
Q

Ptn with dyspepsia for weeks and can eat solid and liquid

A

Refer to GIT

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4
Q

What’s the part of intestines affected by chrons

A

Ileum

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5
Q

Ptn presented with blood per rectum m NGT was done= greenish fluid, colonoscopy is normal, how to diagnose

A

99 Tec or capsule

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6
Q

Ptn with GERD on maximum dose of PPI with no improvement, upper endoscopy is normal what’s next

A

24 ph monitoring

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7
Q

In hepatitis acute infection = Ig…. While chronic I g…..

A

Acute IgM, chronic IgG

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8
Q

How to confirm infection with HCV

A

PCR for confirmation, antibody for screening

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9
Q

Ptn presented with bilateral lower limb edema and ascites with dilated vein on abdomen ( caput Medusa ) what’s the cause

A

Liver cirrhosis

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10
Q

What causes AST to elevate

A

Alcohol, NSAIDs, acetaminophen, ACEI , ABX

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11
Q

DM ptn on metformin but sugar is not well controlled what do add?

A

Add gliptin

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12
Q

Ptn with pancreatitis and mild elevation of amylase, what’s next

A

US

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13
Q

Risk of hepatitis C after needle stick

A

3% (B30%)

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14
Q

Nurse was bitten with Hepatitis B ptn and she’s vaccinated what to give her ?

A

IG

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15
Q

Old ptn with history of liver cirrhosis and ascites came complaining of significant weight loss what to do next

A

Abdominal US

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16
Q

Ptn with early satiety+ muscle wasting + supraclavicular lymph node , what type of cancer

A

Gastric cancer

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17
Q

Ptn with CHD developed epigastric pain and increased bowel movement, what the cause?

A

Acute mesentric emboli

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18
Q

What do you expect to see on X-ray for celiac ptn

A

Wrist X-ray shows cupping and fraying of metaphysics

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19
Q

Fever + chronic diarrhea for 10 months + paraumbilical pain =

A

Chrons disease

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20
Q

Thumbprint sign is found on X-ray of …..

A

Mesentric ischemia

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21
Q

Ptn presented with multiple ulcers in esophagus and stomach what will you screen for

A

Gastrin ( ZES )

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22
Q

Osteoporosis is ass, with chrons disease and………medications

A

Prednisone long use

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23
Q

In which part of intestine are the vitamin A,K,D are absorbed

A

Jejunum

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24
Q

Ptn develops dark stool after treatment of H.pylori, which drug causes this

A

Bismuth

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25
Q

Heavy smoker with GERD his endoscopy show high grade dysplasia of sq. Cell what’s the next step

A

Endoscopic mucosal resection

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26
Q

How long do you have to take PPI after endoscopy

A

72 hours

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27
Q

Old ptn with intestinal obstruction done sigmoidoscopy with biopsy which shows adenocarcinoma, what the next step

A

Colonoscopy

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28
Q

Ptn presented with Symptoms of achalasia, what’s the most effective treatment

A

Surgical esophageomyotomy

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29
Q

Ptn is diagnosed with MALT lymphoma and H.pylori infection, treatment?

A

Eradication of h.pylori

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30
Q

Ptn vomit with any flight more than 1 hour, treatment?

A

Scopolamine

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31
Q

How to treat old ptn with chronic hepatitis B jaundice, asymptotic with high liver enzymes

A

Entecavir

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32
Q

Contraindication for liver transplant

A

Cirrhosis with active alcohol

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33
Q

Elderly with abdominal pain, jaundice, palpable gallbladder but non tender, diagnosis

A

Pancreatic cancer

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34
Q

Ptn 8 days post cholecystectomy develops corner mouth pain and fever , treatment

A

Antibiotics

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35
Q

What’s to investigate for in ptn with multi GI ulcer disease

A

Fasting gastrin ( ZES )

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36
Q

PUD on 20 mg omeprazole but not improving what to do or ptn with GERD on 20mg omeprazole there’s slight improvement, no dysphasia what to do?

A

Increase dose to 40

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37
Q

Ptn with H.pylori on triple therapy but not improving, management

A

Bismuth, PPI, tetracycline, metro

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38
Q

Advice to ptn with IBS

A

Avoid lentils

39
Q

Ptn with vomiting developed refractory hypokalemia despite KCl what to do

A

IV MG sulfate

40
Q

Ptn diagnosed with celiac, what food to avoid?

A

Barley

41
Q

Lead pipe sign on X-ray is diagnostic of…..

A

Ulcerative colitis

42
Q

Colon cancer usually metastasize to….

A

Liver

43
Q

Ptn with IBS on loperamide and another medication but the treatment is not helping what to do

A

Giver her TSA ( tricyclic antidepressant)

44
Q

Ptn with deudenal ulcer, had endoscopic ulcer clipping surgery, what to give him after

A

IV PPI for 72 h then switch to oral PPI

45
Q

Young male present with bloody diarrhea for 2 month , colonoscopy was done showing multi polyps, what the diagnosis

A

Familial adenomatous polyposis

46
Q

Ptn with liver cirrhosis is having Esophageal bleeding and is about to have endoscopy , what shall we give before endoscopy

A

Octeriotide

47
Q

Ptn with GERD slightly improved on PPI , his endoscopy is normal what’s next test

A

Ambulatory PH monitoring

48
Q

Ptn complaining of epigastric pain, vomiting, low Vit B12, otherwise normal what shall you test?

A

Anti intrinsic factor

49
Q

Ptn with jaundice, kieser fesher ring , low ceroplasmin ( Wilson ) , ( high serum copper ) what’s to give

A

Penicillamine

50
Q

Ptn with history of diarrhea for two weeks, stool test show trophozites, what’s the treatment

A

Metronidazole

51
Q

Ptn with abdominal fullness, with pulsatile abdominal mass, what’s the test to order

A

Amylase

52
Q

At what age screening for colon cancer for average risk group starts

A

50 years

53
Q

What’s the most common cancer to screen in asymptotic ptn

A

Colon

54
Q

Female took 20 tablet of acetaminophen, now present with nausea and vomiting what to give her as anti dot?

A

N-acetylecystine

55
Q

Most common site of chrons is

A

Terminal ileum ( ileucecal region )

56
Q

Hereditary hemochromatosis in asymptotic ptn with normal liver enzymes, ferritin it 850 , what’s the management

A

Start therapeutic phlebotomy

57
Q

hepatitis C type 4 management with drugs

A

Sofobuvir/ledipasvir

58
Q

When to repeat the H.pylori test to check eradication after treatment

A

After 4 weeks

59
Q

……. Antibiotics can cause c.difficile diarrhea

A

Vancomycin

60
Q

Adult with positive urea test was given PPI, metronidazole, what else to add

A

Clarithromycin

61
Q

Ptn with recurrent vomiting can get metabolic……and ……

A

Metabolic alkalosis, hypokalemia

62
Q

How to follow up on ptn with H.pylori?

A

Urea breath test

63
Q

What symptom make you suspect eosinophilic esophagitis?

A

Prolonged chewing

64
Q

Burning chest pain for 6 months, increased with lifting heavy object, with unpleasant taste in the mouth, diagnosis

A

Esophagitis, GERD

65
Q

Asymptotic ptn came for general checkup , his liver enzymes are slightly elevated, his ferritin is 490, his TIBC is high , diagnosis

A

Hemochromatosis

66
Q

Extra intestinal symptoms of Crohn’s disease

A

Erythema nodosum

67
Q

Ptn diagnosed with hemochromatosis, what’s the management

A

Regular phlebotomy every month

68
Q

Ptn with symptoms of hemochromatosis, how to confirm diagnosis

A

Liver biopsy showing iron load

69
Q

Old ptn presents with LLQ abdominal pain ass. with nausea and constripation, what’s your diagnosis

A

Diverticulitis

70
Q

Ptn recently took antibiotics after that she developed redness on the legs then she took another antibiotic ( clindamycin and another antibiotic) and now she has diarrhea and abdominal pain, diagnosis

A

C. Difficile infection

71
Q

History of traveling to meccah, develops watery diarrhea, what’s the organism

A

Giardia

72
Q

A wife said her husband is HBV positive, what’s is the best diagnostic test to do for her?

A

HBs Ag

73
Q

Ptn has pain increases with food with no other symptoms, diagnosis ?? or another Q : abdominal pain relieved by dedicating?

A

IBS

74
Q

Ptn with chronic constipation, all tests are normal, treatment

A

Bulking agents ( psylium )

75
Q

Cholelithiasis 12mm CBD ,management

A

ERCP

76
Q

Name contraindication for liver transplant?

A

Cirrhosis with active alcohol

77
Q

What’s the surgical fix for ulcerative colitis?

A

Proctocolectomy

78
Q

Scenario of celiac asking about dermal symptoms

A

Herpitiform

79
Q

Ptn took 40 pill of paracetamol one day ago what to do ?

A

Give N.acetylecystine

80
Q

Young ptn, known addict is now in coma with RR 8, O2 saturation is 82% and low BP what’s the next step

A

Intubation and mechanical ventilation

81
Q

Ptn with UC developed toxic megacolon, what to give

A

IV steroids

82
Q

Treatment of adult care of intussuseption

A

Surgery

83
Q

Ptn tested for hepatitis C antibodies positive and RNA negative, what to do

A

Re-evaluate after 6 months

84
Q

Ptn with S&S with pancreatitis is asking what is an indication of bad condition?

A

HC >44

85
Q

Young woman with dysphasia to both solid and liquid =

A

Achalasia

86
Q

Ptn with hepatitis B with mass 6cm , treatment

A

TACE ( transarterial chemoembolization )

87
Q

Beriberi disease is caused by deficiency of what vitamin

A

Vitamin B1 ( thiamine )

88
Q

Ptn with fever and other symptoms, on rectal exam there was a boggy swelling with minimal discharge, what is it?

A

Inter-sphincter abscess

89
Q

Ptn with asymptotic hemochromatosis, with high ferritin level , treatment

A

Related phlebotomy

90
Q

Ptn had praham patch surgery because of gastric perforation, after that he developed esophageal bleeding , what’s next

A

Endoscopy

91
Q

Ptn after prolonged ERCP , developed neck, chest, abdominal emphysema. Which part was injured?

A

Duodenum

92
Q

The most accurate method to check esophageal dysfunction is…..

A

Esophageal manometry

93
Q

Spontaneous bacterial peritonitis infection is treated by…

A

IV ceftriaxone

94
Q

Ptn with acromegaly, what should he be screened for

A

Colonoscopy for Colonic polyps and colon cancer

DHA Exam (21 decks)

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