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Gastro Flashcards

1
Q

Crohn’s disease treatment initial therapy

A

Corticosteroids:
Prednisone
Budesonide

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2
Q

Crohn’s disease treatment maintenance therapy 1st line:

A

Immunosuppressants:
Azathioprine
Mercaptopurine

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3
Q

Crohn’s disease treatment maintenance therapy 2nd line

A

Methotrexate

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4
Q

Main symptom of chrohn’s disease

A

Colicky abdominal pain

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5
Q

Aminosalicylates for Chrohn’s d:

A

Sulfasalazine
Mesalazine

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6
Q

Treatment of ulcerative colitis:

A

Aminosalicylates
Steroids (only short term)
Immunosuppressants
Rectal mesalazine in proctitis or distal colitis
Infliximab ?

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7
Q

Life-threatening complication of ulceration colitis

A

Toxic megacolon

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8
Q

Why perianal fissures and other fistulas in Chrohn’s disease?

A

Transmural inflammation

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9
Q

Ulcerative colitis main symptom

A

Bloody diarrhoea

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10
Q

Inv for biliary colic

A

US

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11
Q

Deposition of lipids in gall bladder forming polyps is called

A

Cholesterolosis

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12
Q

Ultimate treatment for primary sclerosing cholangitis

A

Liver transplant

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13
Q

More common type of gastric cancer in developed countries

A

Proximal
Due to GO reflux
Obesity

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14
Q

Hepatitis C treatment

A

Interferon + ribavirin

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15
Q

Hepatitis B treatment

A

Interferon +
lamivudine
tenofovir
Entecavir
For 1 year

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16
Q

Acute Hep B infection marker

A

HBeAg and HBV DNA

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17
Q

Chronic Hep B infection marker

A

HBsAg

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18
Q

Hepatitis C marker

A

HCV antibody
HCV RNA

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19
Q

Familial adenomatous polyposis is inherited

A

Autosomal dominant

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20
Q

Frequent vomiting in a baby

A

GERD
pH monitoring

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21
Q

What size gallstones
don’t require a removal

A

Less than 3 cm

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22
Q

Contraindication to bariatric surgery

A

Cirrhosis with portal hypertension

23
Q

For people at high risk of colon cancer

the screening is

A

iFOBT from 35 years
Colonoscopy from 45

24
Q

Cholesterol screening

A

After 45 every five years

25
Fasting blood glucose screening
Every 3 years after 40
26
Investigation for hiatus hernia
Barium swallow
27
Vomiting and weight loss in a baby between 2 and 6 weeks old
The pyloric stenosis in R uppper quadrant Size and shape of an olive
28
Tender rectal digital exam in a woman
Pelvic appendicitis
29
Post operative management of severe pain
Morphine
30
Left iliac, fossa pain + Rebound tenderness + Per rectal bleeding
Acute diverticulitis
31
Acute pancreatitis treatment
1 step IV fluids and a/b 2 step ECRP with sphincterotomies and stenting within 72 hours
32
Liver cancer marker
Alpha-fetaprotein
33
Post cholecystectomy syndrome investigation
ECRP with billiary manometry
34
Bacterial peritonitis treatment
Albumin + antibiotic
35
Calcified gall bladder treatment
Prophylactic cholecystomy
36
Presbyoesophagus
Dysphagia for solids and liquids for two years Ageing esophagus
37
Jaundice + Painless palpable gallbladder
Periampullary tumour
38
Treatment of mesenteric ischemia
laparotomy with embolectomy, plus warfarin
39
ileus is
Intestinal Tony
40
Spontaneous bacterial peritonitis is common in patients with
Liver disease due to alcohol
41
Hernia that is least likely to strangulate
Direct inguinal hernia
42
For patients with GORD endoscopy is required every
10 years to rule outBarrett’s esophagus
43
Causes of diarrhoea in coeliac disease
Steatorhea Sec lactase deficiency Bile acid malabsorption Endogenous fluid secretion resulting from crypt hyperplasia
44
Epigastric pain for 6 months Food particles in vomitus Weight loss
Stomach cancer
45
Most common cause of gastroenteritis in Australia
Norovirus
46
Most common complication of peptic ulcer disease
GI bleeding
47
Most common complication after cholecystectomy
Diarrhoea Due to bile salts directly and continuously flowing to illeum
48
Most common cause of small bowel obstruction
Post-operative adhesions
49
Most common absorption issue in coeliac disease
Iron absorption
50
If patient on sulfasalazine has thrombocytopenia
Stop sulphasalazine
51
Treatment of eosinophilic esophagitis
PPI
52
Constipation for 3 days + Lump in L inguinal region
Small bowel obstruction
53
Small bowel obstruction investigation
X-ray

Adult Medicine (11 decks)

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