week 2 assessment

Question 1

what symptoms are unique to crohns disease

Answer 1

weight loss, malabsorption of food, fistulas, strictures

Question 2

what symptoms are unique to UC

Answer 2

rectal bleeding, anemia, tenesmus (feeling like you gotta poop), toxic megacolon

Question 3

what is a unique adverse effect of cyclosporine

Answer 3

serum creatinine

Question 4

what is the thing that is used in all GI diagnostic tests

Answer 4

barium swallow

Question 5

what are the three complications of vomiting

Answer 5

aspiration
Malloy weiss tear
fluid and electrolyte imbalance

Question 6

what are some red flag findings that indicate a Gi perforation/peritonitis

Answer 6

• rigid, board like abdomen
• no bowel sounds
• flatus
• fever
• hypovolemic shock (high HR, low BP)

Question 7

how would vital signs show hypovolemic shock and what GI issue does that indicate

Answer 7

high heart rate and low blood pressure
it indicates peritonitis/perforation

Question 8

what diagnostic procedure needs to be done for a patient with a GI bleed

Answer 8

endoscopy

Question 9

what does melena stool indicate

Answer 9

upper GI bleed, usually PUD

Question 10

what does frank red blood in the stool indicate

Answer 10

lower GI bleed, usually from anal fissures and hemmorhoids

Question 11

what is steatorea

Answer 11

fatty stools

Question 12

what is dilation of a vein that is torturous

Answer 12

varices

Question 13

which vein moves blood from spleen and GI tract to liver

Answer 13

portal vein

Question 14

whats the diff between pain in the liver vs. pain in the gall bladder

Answer 14

liver: dull ache
gall bladder: intense and acute

Question 15

what is the range of LOC for hepatic encephalopathy

Answer 15

can range from sleep disturbances to coma

Question 16

how do you assess for asterixis

Answer 16

hold their arms out with their palms facing you

Question 17

why would someone with liver issues experience palmar erythema and spider angioma?

Answer 17

too much estrogen (liver makes oestrogen less potent, issues with it will cause excess)

Question 18

what does caput madusae indicate

Answer 18

varices in the abdomen

Question 19

which GI issues make you more prone to hepatic encephelopathy

Answer 19

GI bleed and constipation

Question 20

what is puritis

Answer 20

itching from bile salts on the skin

Question 21

why would someone feel shoulder pain with gall bladder issues

Answer 21

the phrenic nerve goes from gall bladder (RUQ) to the left shoulder

Question 22

you experience pain 30 mins after eating a fatty meal, which organ would you suspect?

Answer 22

its the gall bladder!

Question 23

what is Murphys sign

Answer 23

push on RUQ, if they catch their breath it indicates acute Cholecustitis

Question 24

which diagnostic is used for the gall bladder and what is its adverse effect

Answer 24

ERCP, can damage the pancreas

Question 25

what is Cullens sign

Answer 25

bruising around the belly button (pancreas issue)

Question 26

what is turner’s sign

Answer 26

bruising on the flank (pancreas issue)

Question 27

what are some medications that can cause dysrhythmias

Answer 27

• chemo
• antiphsychotoics
• antidepressants

Question 28

what are some things that can cause high BP and high HR

Answer 28

cocane, corticosteroids, NSAIDS

Question 29

what does an echocardiogram help diagnose

Answer 29

EF

Question 30

which symptoms of hypoglycemias should you look out for in a patient taking metoprolol

Answer 30

confusion, weakness fatigue

Question 31

what is the MOA of entresto

Answer 31

blocks enzymes that break down ANP and BNP

Question 32

what drug class is verapamil

Answer 32

CCB

Question 33

what drug class is losartan

Answer 33

ARB