Poupouri GI

Question 1

Small bowl bleeding : option de diagnostic

Answer 1

1) OGD et colonoscopy
si on trouve rien :
2) Video capsule endoscopy ensuite CT enterography
3) CTA si saignement actif

Question 2

CD ou UC:
non caseating granulomas transmural

Answer 2

CD

Question 3

CD ou UC
cryptique architectural distorsion, atrophy, abcesssess

Answer 3

UC

Question 4

CD OU UC:
SE COMPLIQUE PAR MEGACOLON TOXIQUE

Answer 4

UC

Question 5

CD or CU
p ANCA

Answer 5

CU

Question 6

CD ou CU
ASCA, anti ompc, antiCBir

Answer 6

CD

Question 7

CD ou CU
tx de maintient:
AZA/MMTX, biologic, steroid, abx

Answer 7

cd

Question 8

CD ou CU
tx de maintient:
5ASA, AZA, biologics, Jak inh, steroids

Answer 8

CU

Question 9

bilirubine ++
ALP++
on devrait suspecter quoi

Answer 9

cholangite

Question 10

bacterial infection of biliary tree due to partial vs complete obstruction
c quoi

Answer 10

cholangite aigu

Question 11

c quoi le charcot triad dans cholangite /renaud’s pentade

Answer 11

• fièvre, abdominal pain, jaunisse, hypotension, confusion
• labs:
  GB>10, <4
  ALP/GGT: 1,5x LSN, ALT>1,5xLSN
  bili>34

Question 12

PEC cholangite aigu ( rx)

Answer 12

Abx: CTX/flagyl, piptazo, cipro/flagyl, carbapenem

Question 13

PEC cholangite aigu ( source control)

Answer 13

ERCP + stone removal +/- sphincterctomy

percutanous transhepatic biliary drainage

surgical biliary drainage

Question 14

2 types de colite microscopique

Answer 14

lymphocytic et collageneuse

Question 15

FR colite microscopique

Answer 15

F>65 ans
mx autoimmune
AINS, IPP, ISRS, pembro

Question 16

dx colite microscopique

Answer 16

colonoscopy et bx pour confirmer le dx

Question 17

tx colite microscopique

Answer 17

Imodium
stop AINS
Budesonide PO

Question 18

manifestation de la maladie IgG-related disease ( 7)

Answer 18

autoimmune pancreatitre
biliary sclerosis
retroperitoneal fibrosis
chronic sclerosing aortitis
thyroiditis
interstitial pneumonitis
tubulointerstitial nephritis

Question 19

autoimmune hepatitis:
laquel touche les jeunes et jeune adulte

Answer 19

type II

Question 20

AIH:
ANA, AAA, antisoluble liver antigen

Answer 20

type I

Question 21

ANti LKM1
antiliver cytosol

Answer 21

type II

Question 22

Hepatic encephalopathy traitement (2)

Answer 22

lactulose
+/- rifaximin ( on l’ajoute si pt deja ss lactulose)

Question 24

Diarrhée sécrétoire
Endocardite a strep bovis
C quoi le dx

Answer 24

Adénome villeux