Day 1

Question 1

RUQ Pain

Answer 1

RLL pneumonia
Hepatitis
Pyelonephritis
Duodenal Ulcer
Gallstone Dz
Acute cholecystitis

Question 2

LUQ Pain

Answer 2

Acute pancreatitis
Gastric Ulcer
Gastritis
Splenic dz
LLL Pneumonia

Question 3

RLQ Pain

Answer 3

Renal Colic
Appendicitis
Small bowel obs
Ruptured ectopic pregnancy
Hernia
Testicular torsion
Ureteral Calculi
PID

Question 4

LLQ Pain

Answer 4

Renal colic
Perforated colon
Ulcerative colitis
Crohns
Strangulated hernia
Ruptured ectopic pregnancy
Sigmoid diverticulitis

Question 5

Periumbicular Pain

Answer 5

Dz of transverse colon
Gastroenteritis
Small bowel pain
Early Appendicitis
Early bowel obs

Question 6

Epigastric pain

Answer 6

MI
Gallstone dz
Pancreatitis
Peptic ulcer
Perforates esophagus

Question 7

Qualm

Answer 7

Attack of nausea

You are just sitting there and then BANG! nausea.

Question 8

Adenomatous Polyps

Answer 8

Increase colon cancer risk

Question 9

Things to avoid before FOBT because of false positives.

Answer 9

NSAIDS for 7 days
Vitamin C in excess for 3 days
Red meats for 3 days

Question 10

Insoluble fiber treats?

Answer 10

Constipation

Question 11

Soluble fiber treats?

Answer 11

Diarrhea

Question 12

Layers of GI in to out

Answer 12

Lumen
Mucosa
Submucosa
Circular muscle
Longitudinal muscle
Serosa

Question 13

Segmental movement does what?

Answer 13

Mixes the food

Caused by circular muscle

Question 14

Pepsin and peptidase do what?

Answer 14

Break down proteins in the tummy.

Question 15

Cephalic Phase

Answer 15

Before food enters the mouth, preparatory.

Question 16

What protects gastric mucosa from HCl?

Answer 16

Mucus .. EW GROSS

Question 17

Parietal cells release?

Answer 17

HCl and intrinsic factor

Question 18

Chief cells release?

Answer 18

Pepsinogen

Question 19

G cells secrete

Answer 19

Gastrin into circulation

Question 20

What stimulates gastrin secretion?

Answer 20

Proteins
Distention of stomach
Vagal stimulation (GRP)

Question 21

What inhibits gastrin secretion?

Answer 21

Low pH in stomach

Question 22

Gastrin does?

Answer 22

Promotes H+ secretion
Stimulates growth of mucosa
Increase motility
Relax pyloric sphincter

Question 23

What causes H+ to be released?

Answer 23

ACh (atropine opposes)
Histamine (cimetidine opposes)
Gastrin

Question 24

When does the sphincter of odi open?

Answer 24

Within 30 mins of food intake

Question 25

Pancreatic delta cells produce

Answer 25

Somatostatin

Question 26

Pancreatic alpha cells produce

Answer 26

Glucagon

Question 27

Secretin

Answer 27

Released by duodenum in response to low pH

Question 28

Haustrations

Answer 28

Ring like contractions in the large intestine that mix feces

Question 29

When is ammonia elevated?

Answer 29

Hepatic encephalopathy

Question 30

Alkaline phosphatase increase is due to?

Answer 30

Cholelithiasis

Question 31

Gray feces =

Answer 31

biliary obstruction

Question 32

C diff tx

Answer 32

Flagyl

ORAL Vanc, IV does not work