Smarty Pance GI questions Flashcards
(56 cards)
Which tests are necessary to diagnose Celiac disease
Anti- tTGA and IgA
Biopsy is defnitive, shows damage to villi, atrophic mucosa, loss of vili
Puretic, papulovesicular rash on extensor surfaces (Dermatitis herpatiformis) due to IgA deposits
Food poisioning with an incubation times
- C. perforgens is 6-24 hrs, related to meat.
- Staph aureus is 1-6 hours, and has vomitting associated with diarrhea
- Salmonella and e. coli are >16 hrs
The most common initial presenting symptom of primary biliary cirrhosis is
Puritis- due to buildup of bile salts
Pruritus, Middle age Females, Autoimmune, IgM
+AMA
Describe Primary Sclerosing Colangitis sx
Most commonly associated with IBD
Male>Female
+pANCA
PBC or PSC autoimmune
PBC is +AMA and autoimmune
Also more common in women
Long term management of esophageal varacies
BBs
Initial pharmacologic treatment of acute hepatic encephalopathy consists of
Lactulose
Dx of Acute mesenteric ischemia
CT Angiography
Which medication is considered the mainstay of therapy for mild to moderate inflammatory bowel disease?
Sulfasalazine and other 5-aminosalicylic acid drugs (Mesalamine) are the treatment
When is azithoprine used in IBD
In severe refractory cases with treatment of sulfasalazine
Describe Hersprung’s disease
Lack of mesenteric plexus in the bowel wall
Leads to lack of GI motility
Bildup of stool
Cant pass stool in first 24-48 hours after birth
Thiamine deficiency symptoms
Ataxia, mental deficits, horizontal nystagmus, muscle weakness and atrophy, and cardiomegaly are all clinical findings in thiamine deficiency.
Ataxia is suggestive of which deficiency
Thiamine
Cheilosis is suggestive of which deficiency
Cheilosis, mucocutaneous lesions at the corners of the mouth, is the result of riboflavin deficiency.
What is the greatest risk factor for pancreatic cancer
Cigarette smoking
dysarthria, resting Tremor, and distracted affect are consistant with which disorder
Wilson’s disease
Also have Kaiser fletcher rings around eye
The drug of choice in an adult for empirical treatment of an ill-appearing patient with infectious diarrhea who has recently returned from Mexico is
Ciprofloxacin
Covers infectious travelers diarrhea
Which of the following is consistent with acute cholangitis?
Fever, Jaundice, biliary colic (abdominal pain)
Hemorrhagic pancreatitis sign
Bilateral flank bruising
Cullen and grey turner sign
Pancreatic hemorrhage
Which of the following is an indication for vaccination against hepatitis A?
NOT: Healthcare workers
Hepatitis A vaccine is recommended for:
illicit drug users
anyone living or traveling to endemic areas
sewage workers
food handlers
homosexual and bisexual men
animal handlers
patients with a history of chronic liver disease or a clotting factor disease
children and workers in day care settings and institutions.
Which of the following can be a very serious consequence of using antidiarrheals in a patient with inflammatory bowel disease?
Toxic Megacolon
Gallstones usually result in biliary symptoms by causing inflammation or obstruction following migration into which structures
Common bile duct
Cystic Duct
Regurgitation and projectile vomitting, hungry all the time, and no diarrhea is consistant with what in children
Pyloric Stenosis
Olive-sized mass in the right upper abdomen
