Diarrhea Flashcards
Which of the following is NOT a cause of chronic diarrhea (duration?)? A. Omsmotic B. Secretory C. Medications D. Inflammatory E. Maldigestive/malabsorptive
Duration: > 4 weeks
C. Medication is a cause of acute infection.
Who requires the most urgent evaluation?
A. 20 y/o male with N/V, diarrhea, low grade fever for the past 12 hours after returning from a picnic
B. 40 y/o female with watery diarrhea ad milde dehydration since returning from a cruise vacation
C. 70 y/o female with recent history of UTI treatment with diarrhea that has some blood streaks, abdominal pain and fever
D. 30 y/o female with watery diarrhea since returning from a camping trip
C. Pt has C dif. inflammatory diarrhea
A. Staph, samanella
B. Norovirus
D. Giardia
Pair the microbe with the correct high risk groups: A. Travelers B. Public water/outdoor C. Cruise ships/enclosed facilities D. Picnic/contaminated foods E. Heathcare facilities
- Norovirus
- Giardia, cryptosporidium
- E. coli, staph aureus, salmonella, bacillus cereus
- E. coli, campylobacter
- C. difficile
A: 4 B: 2 C: 1 D: 3 E: 5
Indications for evaluating diarrhea include all EXCEPT: A. Dehydration/volume depletion B. Lasting >24 hours C. Bloody stools D. Elderly E. Immunocompromised
B. Lasting > 48 hours
Which of the following ischaracteristicofnonenterotoxigenicdiarrhea: A. Bloody stool B. Fever, dehydration C. Short duration D. Symptomatic therapy + stool studies
C.All other characteristics are ofenterotoxigenicdiarrhea
Acute, bloody diarrhea associated with pain and mucus in a patient
inflammatory or infectious
Acute, bloody diarrhea associated with pain and mucus in a patient >50 y/o is most likely ____
diverticulitis, ischemic colitis
All of the following are characteristic ofosmoticdiarrhea EXCEPT? A. Watery B. Resolves w/ fasting C. Bloody stool D. Weight loss E. Bloating
C, D
Which of the following isNOT a causeofosmoticdiarrhea?
A. Magnesium: laxatives, antacids, supplements
B. Carbohydrate malabsorption
C. Celiac Disease
D. Medications
D
Osmotic gap > ___ suggests osmotic diarrhea.
125
Which of the following is NOT a characteristic ofsecretorydiarrhea?
A. No blood in stool
B. Recurrent dehydration
C. Watery larger volume of stools than osmotic
D. Nocturnal diarrhea
E. Relieved w/ fasting
E. Continues with fasting.
Which type(s) of diarrhea resolves with fasting?
Osmotic
Malabsorption/maldigestion
Which of the following is NOT a cause ofsecretorydiarrhea? A. Toxins B. Inflammation C. Medications D. Neuroendocrine tumors E. Inflamatory bowel disease
E. Inflammatory bowel disease is a cause of malabsorption, maldigestion diarrhea
Fecal Na+ and K+
secretory
Which of the following is NOT associated withmalabsorption/maldigestiondiarrhea? A. Continues with fasting B. Associated with steatorrhea C. Associated with weight loss D. Celiac disease
A. Resolves with fasting