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שלב א פנימית 2022 > Gastro > Flashcards

Gastro Flashcards

1
Q

Pill esophagitis

A 
Tetracyclines (doxy)
Quinidine
KCl
NSAIDS
Phenytoin
Iron
Bisphosphonates
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2
Q

H. Pilory eradication

Bismuth quadriple

A 
PPI
Bismuth  subcitrate 120-300 or subsalicylate 300 QID
Tetracycline 500 QID
Metranidazole 500 TID OR QID
14 days
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3
Q

H. Pilory eradication

Levofloxacin triple

A

PPI BID X2
Levofloxacin 500 QD X1
Amoxicillin 1G BID X2
14 days

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4
Q

H. Pilory eradication

Concomitant

A 
PPI BID
Clarythromycin 500 BID
AMOXYCILLIN 1G BID
Nitromidazole 500 BID OR TID
10-14 Days
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5
Q

H. Pilory eradication

Rifabutin triple

A

PPI BID
Rifabutin 300 QD x1
Amoxicillin 1 G BID
10 days

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6
Q

H. Pilory eradication

High dose dual

A

PPI standard to double dose TID OR QID

Amoxicillin 1G TID or 750 QID

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7
Q

H. Pilory eradication

Clarythromycin triple

A

PPI standard or double dose BID
Clarythromycin 500
Amoxicillin 1G TID or metronidazole 500 TID

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8
Q

H. Pilory eradication
No penicillin allergy
No macrolide exposure

A

Bismuth quadruple
Concomitant
Clarythromycin triple with amoxicillin

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9
Q

H. Pilory eradication
No penicillin allergy
Macrolide exposure

A

Bismuth quadruple

Levofloxacin triple

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10
Q

H. Pilory eradication
Penicillin allergy YES
no macrolide exposure

A

Clarythromycin triple with metronidazole

Bismuth quadruple

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11
Q

Penicillin yes allergy

Macrolide exposure

A

Bismuth quadruple

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12
Q

Collagenous colitis

Drugs that cause

A

PPI, NSAIDs, Beta Blockers

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13
Q

Collagenous colitis treatment

A

5ASA, bismuth
Steroids
Aza (imuran)
6MP

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14
Q

Lymphocytic colitis
Drugs that cause
Association

A

Cause: PPI, NSAIDS, Sertraline (NOT BETA BLOCKERS! ! !)

Association with celiac (9-27%)

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15
Q

Fecal osmotic gap:
Formula
Reading

A

FOG= Fecal osmolarity - 2(FecalNa + Fecal K).
Fecal osmolarity ≈ plasma osmolarity ≈ 290

Normal < 50
IF > 50 (100) osmotic diarrhea (lactose)

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16
Q

SAAG

A

Serum ascites albumin gradient

SAAG >=1,1 = portal hypertension

17
Q

Ascites protein

A

If SAAG > 1,1 check ascites protein

>= 2,5 good sinusoids function: 
Heart failure/constrictive pericarditis
Early Budd-chairi
IVC obstruction
Sinusoidal obstruction syndrome

< 2,5
Late Budd-Chiari
Cirrhosis

18
Q

Ribavirin - DO NOT COMBINE WITH:

A

In HIV + HCV

Didanosin - lactic acidosis
Stavudine - lipoatrophy
Zidovudine potentates ribavirin induced hemolytic anemia

19
Q

Drugs that cause pancreatitis

A

azathioprine
6-mercaptopurine

5-aminosalicylic acid [5-ASA]

sulfonamides
tetracycline

estrogens
valproic acid
anti-HIV medications

20
Q

Bariatric surgery indications

A

BMI > 40
OR
BMI > 35 + serious medical condition

21
Q

Occult bleeding test

CRC %
Sensitivity

A

2-10 %

50%

שלב א פנימית 2022 (3 decks)

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