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Y1 Drugs + bugs > Emergency GI > Flashcards

Emergency GI Flashcards

1
Q

Couroisiers law

A

presence of painless obstructuctive jaundice is not likely due to gallstones

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2
Q

type of meds to not give a patient with hepatic encephalopathy

A

opiates

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3
Q

what conditions should also be tested for coeliac?

A

graves
type 1 diabetes

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4
Q

tender, smooth hepatomegaly?

A

acute liver disease

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5
Q

GIT med that can make parkinsons worse

A

metoclopramide

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6
Q

Abx causing’pouchitis’ in crohns patients

A

metronidazole

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7
Q

severe campylobacter gastroenteritis

A

clarithromycin

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8
Q

chronic pancreatitis Ix?

A

AXR
CT scan of abdo

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9
Q

diagnostic test for hiatus hernia?

A

barium swallow

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10
Q

test for acute liver disease in presence of hepatic encephalopathy

A

INR > 1.5

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11
Q

pellagra

A

vit B3 deficiency
memory loss

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12
Q

triad of pellagra

A

dermatitis
dementia
diarrhoea

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13
Q

Contraindicated with statin

A

clarithromycin
concentration of statin increases
due to P450 inhibition

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14
Q

electorlyte replacemt causing diarrhoea

A

oral magnesium

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15
Q

first line treatment for gastroparesis

A

doperamide (dopamine receptor antagonist)

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16
Q

macrocytic anemia

A

B12 deficient
commonly seen in coeliac

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17
Q

ischaemic hepatitis

A

occurs in patients who become severly hypotensive
ALT>1000
normal bili
normal ALP

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18
Q

Tx given alongside Abx for spontaneous bacterial peritonitis

A

human albumin solution
protects the kidneys

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19
Q

senna

A

stimulant laxative

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20
Q

macrogol

A

osmotic laxative

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21
Q

what blood test is done for haemochromatosis?

A

transferrin saturation

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22
Q

SAAG <1.1

A

peritoneal carcinoma

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23
Q

what does a SAAG below 1.1 mean?

A

ascites not due to portal hypertension

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24
Q

D-penacillamine

A

copper chelation drug

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25
Q

most appopriate Ix for chrons if colonoscopy was normal

A

MRI small bowel

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26
Q

first line for cholera when needed

A

deoxycyline

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27
Q

what should be done to determine extent of fistula

A

pelvic MRI

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28
Q

rigler sign on AXR

A

air present on both sides of intestine
perforated peptic ulcer

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29
Q

treatment for relapse C.diff (C.diff infection again in less than 12 weeks)

A

fidaxomicin

30
Q

drug cause for acute pancreatitis

A

sodium valproate

31
Q

how does a vit B12 deficiency present

A

inflammation/redness of tongue

32
Q

megoblastic anemia

A

vit b12 def
raised MCV
low Hb

33
Q

Abx for perianal crohns disease

A

metronidazole

34
Q

tx for whipple disease

A

co-tramoxazole

35
Q

acamprosate

A

given in community to maintain alcohol abstainence

36
Q

gram neg curved rods, seagull shape appearance

A

campylobacter

37
Q

abx used for cmapylobacter

A

azithromycin

38
Q

first line for SBP?

A

ascitic tap before Abx

39
Q

risedronate

A

bisphosphonate
makes GORD worse

40
Q

side effects of iron-supplements

A

constipation

41
Q

meds for acute alcohol withdrawal

A

chlordiazepoxide
+ pabrinex

42
Q

redness/crusting of corners of mouth

A

iron deficiency

43
Q

paracetamol overdose sign

A

asterisks (liver flap)

44
Q

paracetamol overdose Tx

A

N-acetylcysteine

45
Q

meds used if triple therapy fails the first time

A

metronidazole
amox
omeprazole

46
Q

trousseau syndrome

A

pancreatic cancer

47
Q

Gastroenteritis presenting with poly-arthralgia, hyperpigmentation, bile malabsorption

A

whiles disease

48
Q

pellagra

A

vit b3 def
alcoholics

49
Q

dementia
dermatitis
diarrhoea

A

pellagra

50
Q

hepatomegaly
hypercoaguability
worsening ascites

A

budd-chiari syndrome

51
Q

cancer associated with plummer-vinsen syndrome

A

squamous cell carcinoma of oesophagus

52
Q

feature of gilbert syndrome

A

unconjugated hyperbilirubineamia

53
Q

ascitic tap showing spontaneous bacterial peritonitis

A

WCC >250

54
Q

prophylaxis for SBP

A

oral ciprofloxacin

55
Q

screening for pancreatic cancer (following chronic pancreatitis)

A

CA-19

56
Q

treatment for H.pylori neg peptic ulcer

A

4-8 weeks PPI

57
Q

treatment for chemo related nausea/vomiting

A

5HT3 antagonist
odansetron

58
Q

ataxia
confusion
opthalmoplegia

A

B1 def
wernickes encephalopathy

59
Q

impaired collagen synthesis

A

vit c def

60
Q

calcium metabolism occurs via

A

PTH
Calcitrol

61
Q

decreases intestinal absorption of iron

A

tannin from tea

62
Q

liquids dysphagia
painful hands
telangiectasia

A

limitied cutaneous systemic sclerosis/crest
+ anti-centromere antibody

63
Q

UTI drug causing pulmonary fibrosis

A

nitrofurantoin

64
Q

CAP Abx inducing cholestasis

A

co-amoxiclav

65
Q

fever
RUQ pain
jaundice

A

charcot’s triad

66
Q

what is charcot’s triad used to diagnose

A

ascending cholangitis

67
Q

Abx causing dyspepsia

A

clarithromycin

68
Q

onion skin fibrosis

A

PSC

69
Q

what is raised in serum for PBC?

A

IgM

70
Q

when should Vit K be given for oesophageal varices?

A

if PT is >14, but BP is stable

71
Q

condition following giardiasis

A

lactose intolerance

72
Q

jaundice + granulomas

A

PBC

Y1 Drugs + bugs (8 decks)

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