Gastro medical Flashcards

1
Q

effects of environment on GIT disorders

A
Hypaemic hypoxia at altitude
Anti-G countermeasures
sustained G
Gas expansion - tolerable symptoms may become intolerable on ascent
irregular meal times
Dietary limitations/ inconsistency
long haul flights
stress
Toile facilities: fast jet vs transport
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2
Q

Effects of GIT disorders on aviation

A
at best distracting symptoms
at worst incapacitating symptoms or complications
Multisystem involvement
Sleep disturbance and fatigue
Medical side effects
symptoms variable
exacerbations and remission
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3
Q

GORD
environment on condition
condition on aviation

A

Environment on condition

  • gas expansion
  • AGSM
  • G suit
  • Dietary inconsistency

Condition vs aviation

  • distracting symptoms
  • potentially incapacitating
  • possible of anaemia
  • sleep disturbance/fatigue

commonest cause of incapacitation

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4
Q

Ix for GORD

A
Endoscopy +/- biopsy
Imaging
Routine bloods
H=pylori testing
stool sampling
vitamin level
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5
Q

consideration for PPI

A

Esomeprazole, pantoprazole, omeprazole

ground trail 7 days
MECR for maintenance therapy

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6
Q

Consideration for mesasalazine

A

Oral or topical
long term maintenance therapy

ground trail 28 days

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7
Q

Immunomodifiers

A

ground trail 6 months

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8
Q
Which of the following medications used in the tx of GIT require ground trail and UAMECR
A short term OTC antacids
B proton pump inhibitors
C oral corticosteroids
D laxatives
A

B PPI

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