CDN (GI)

Question 1

cholera

syn:
ca:
mot:
incu:

Answer 1

syn:
ca: vibrio coma/ cholerae/ el tor
mot: fecal oral, ingestion
incu: few hours to 4 days

Question 2

sx of cholera

Answer 2

• Rice watery stool with fishy odor
• Washerwoman’s appearance
• Oliguria to anuria
• Dehydration
• Aphonia

Question 3

dx test for cholera

Answer 3

stool exam

Question 4

doc for cholera

Answer 4

Tetracycline

Question 5

tx for cholera

Answer 5

Oral Fluids
Tetracycline (DOC)
Co-trimoxazole
Chloramphenicol
Enteric precautions

Question 6

dysentery

syn:
ca:
mot:
incu:

Answer 6

syn: Bacillary dysentery (SHIGELLOSIS), Amoebic dysentery

ca: S. dysenterae (fatal) S. flexneri (common in the Philippines) S. boydii S. Sonnei Entamoeba histolytica

mot: fecal-oral, food-borne

incu: IP: 1-7 days
PC: 1-4 weeks

Question 7

dysentery charac.

Answer 7

• Watery mucoid, bloody with pus feces
• Vomiting
• Fever
• Colicky or cramping abdominal pain
• Tenesmus = rectal prolapse

Question 8

dx test for dysentery

Answer 8

Stool Exam
Rectal Swab Culture

Question 9

drug tx for dysentery

Answer 9

F&E therapy
Antipyretic
Potassium supplements (if required)
Chloramphenicol, Tetracycline

Question 10

typhoid fever

syn:
ca:
mot:
incu:

Answer 10

syn: ENTERIC FEVER, BILIOUS FEVER, YELLOW JACK
ca: SALMONELLA TYPHI
mot: 5 F’s
incu: 1-3 weeks

Question 11

stages of infection

1st wk -
2 -
3 -
4 -
5 -

Answer 11

1st wk - blood
2 - urine and stool
3 - intestinal bleeding
4 - dec s/sx
5 - convalescent

Question 12

manifestation of typhoid fever (onset)

Answer 12

typhoid psychosis
Peyer’s patches of Small Intestine
Headache, chilly sensation and aching all over the body
Nausea, vomiting and diarrhea
Rose spot

Question 13

manifestation of typhoid fever (typhoid state)

Answer 13

Coma vigil
Tongue becomes dry and brown
Subsultus tendinum
slip down to the foot part of the bed

Question 14

dx test for typhoid fever

Answer 14

blood culture
stool and urine

Question 15

doc of typhoid fever

Answer 15

Chloramphenicol

Question 16

tx of choice for typhoid fever

Answer 16

Chloramphenicol (DOC)
Cotrimoxazole (added for severe cases)
Fluids
Plasma expander (blood loss)

Question 17

hepa a

syn:
ca:
mot:
incu:

Answer 17

syn: Infectious hepatitis, Catarrhal-jaundice hepatitis
ca:
mot: fecal-oral, oral-anal sex
incu: 2-7 weeks

Question 18

hepa b

syn:
ca:
mot:
incu:

Answer 18

syn: Serum Hepatitis
ca:
mot: percutaneous, sexual contact, mother to child
incu: 6 weeks- 6 months

Question 19

hepa c

syn:
ca:
mot:
incu:

Answer 19

syn: Post-transfusion hepatitis
ca:
mot: percutaneous
incu: 2 weeks- 6 months

Question 20

hepa d

syn:
ca:
mot:
incu:

Answer 20

syn: delta hepatitis
ca:
mot: direct contact with infected blood
incu: only occurs in conjunction with hepatitis B infection

Question 21

PRE-ICTERIC of hepa

Answer 21

fever, RUQ pain, fatigability, weight loss, anorexia, N/V

Question 22

ICTERIC of hepa

Answer 22

jaundice, itchiness/pruritis-bile salts in skin, tea colored urine, stools-clay-colored, hepatomegaly

Question 23

POST -ICTERIC STAGE of hepa

Answer 23

jaundice subsides

Question 24

dx test of hepa

Answer 24

• Liver function Test
• ALT/SGPT- Alanine Aminotransferase
• Hepatitis Profile

Question 25

tx for hepa

Answer 25

Antiviral: lamivudine
Interferon