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Multisystem 2 > Gastro Review > Flashcards

Gastro Review Flashcards

1
Q

young woman, fever/diarrhea for 5 days

freq, ab cramping, passing of mucus/blood

stool positive for occult blood

causal organism

A

shigella sonnei

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2
Q

B cereus

Staph aueus

norovirus

causes of ____

A

vomiting

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3
Q

causes of watery diarrhea

C
C. \_\_\_/\_\_\_\_
E
S/S
C
Y

N/R/A

C
G

A 
campylobacter
c diff/perfringens
ETEC
salmonella
shigella
cholera
yersinia

Noro/rota/adenovirus

cryptosporidium
giardia

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4
Q

causes of infallamtory diarrhea

C__
E/E
S/S
Y

E

A

campylobacter
EHEC/EIEC
Salmonella/shigella
yersinia

Entampeba histolytica

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5
Q

older woman, severe ab pain

fever/pale stools, hypoTN

jaundice, RUQ pain

inc bilirubin/ALP/lipase

cause of sx
impacted ___ in ___

A

gallstone, heteropancraeetic ampulla

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6
Q

stone in the gallbladder dx

gallbladder contracts against __
constant pain after ___
no ___
labs ____

can lead to c/c

A 
cholelithiasis
stone
meal
fever
normal

cholecystitis/cholangitis

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7
Q

obtruction of cystic duct dx __
inflamed/ischemia in ___
severe, prolonged, __ pain
mild ___

__ common, may have inc __

comps: E/G

A

cholecystitis
gallbladder wall
RUQ
fever

leukocytosis
AST/ALT

empyema/gangrenous cholecystitis

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8
Q

obstructed common bile duct dx ___
__ of biliary tree

persistent __/___
high ___
L
elevated ___/__/__/__

comps: Hepatic __ and ___

A

cholangitis
bacterial inection

pain
fever
leukocytosis
ALT/AST/ALP/bilirubin

necrosis, sepsis

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9
Q

FAP

presents at __ yrs
100s-1000s of ___
polyps in __ around F__/D__

mutation is ___

A

10-30y
adenomatous polyps
upper GI
fundus/duodenum

APC

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10
Q

HNPCC
asx until ___ at 45-60y
3 ___, 2 ___, 1 under ___
C/E/S cancers

mutation in ___

A

cancer
family members, geerations, 1 under 50
colon/endometrial/SB cancer

MLH1

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11
Q

MUTYH assc polpyposis
asx until ____ in 40-50
10-100s of ____
__ polyposis syndrome

mutations in ___

A

polyp development
adenomatous polyps
AR

MUTYH

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12
Q

PJS

prsents < ___ w polyps/pigmentation
__ polyps w obstruction/bleeding
lifetime risk of ___

mutation is ___

A

20
hamartomous
colon cancer

STK11

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13
Q

Li fraumeni

presents less than __ w cancer
__/__ sarcoma, __ cancer, __ tumor, ___ adenomas

mutation in ___

A

50
bone/soft tissue, breast, brain, adrenocortical tumor

tp53

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14
Q

alcoholic cirrosis man, vomiting blood

venous origin of hematemesis

A

left gastric vein

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15
Q

elderly man, severe LLQ pain, gas in urine

Fever

cause of condition

A

diverticulitis w fistula

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16
Q

young girl, poor weight gain

diffuse wheezing w interstitial markings, lungs hyperinflated

stool sample w inc fat content

dx is ___
caused by defective __ at __

A

CF

ion transport, epithelial surfaces

17
Q

Celiac dz

sx after __
watery diarrhea and __
FTT, anemia osteopenia

mechanism
histology shows ___

A

gluten
steatorrhea

auotimmune disorder

villous atrophy of jejunum

18
Q

lactase deficiency

rare in __, more common in __
watery diarrhea and __

due to ___

A

kids, adults
cramping

disaccharidase def

19
Q

abetalipoproteinemia

Rare __ disorder
inability to transport __
FTT, __ sx

imability to synthesize __

A

AR
TG
neuro

apolipoprotein B

20
Q

pt w lower ab pain/N/V

vomitus of undigested food/greem

distended abdomen, tenderness, no rebound, post Gi surgery

Xray shows distended bowel w airfluid levels

mechanism: proliferation of ___ forming scar tissue in __

A

fibroblsts, are of operation

21
Q

infant, freq vomting

firm, mobile mass in middlle of abdome

dx is ___

A

pyloric stenosis

22
Q

older woman, chest pain, previous stricture and reflux

vomiting blood/severe pain

crepitus in neck/epigastric tenderness

dx is ____

A

esophageal perforation

23
Q

20 YOW, long history of lower ab cramps/bloating/Nausea

constipation/relieved w bowel movement

dx is ___

A

irritable bowel syndrome

24
Q

anti-HepC virus antibody is positive

pt will have ____

A

lifelong infection

25
Q

HbSag +

HbCAb +

dx is __

A

acute hepB

26
Q

HBcAg + IgM

dx is ___

A

acute hep B window

27
Q

HBsAb+

HBcAg IgM/IgG

dx is ___

A

resolved hep B

28
Q

HBsAb +

dx is ____

A

vaccinated Hep B

29
Q

HBsAg +

HBcAb + IgG

dx is ___

A

chronic hep B

30
Q

HCV ab +

dx is __/__/__ Hep C

A

acute/chronic/resolved

31
Q

pt w freq watery diarrhea post ab

Fever, TTP

dx is __
use __/__ before entering room

A

C diff

gown/gloves

32
Q

elderly woman, long hx of diarrhea, ab pain radiating to back

worse w eating, steatorrhea, wl
history of aclohol abuse

calcification in epigastrium

dx is ___

A

panc insufficiency

33
Q

pt w 3 m history of ab pain that improves w eating

no bleeding/fever

midepigastric tenderness

dx is ___
next step in management

A

duodenal ulcer

H pylori stool testing

34
Q

elderly woman, lower extremity weaknes/tingling

reflexes are exaggerated, reduced sensation

deficient in __

A

VB12, cobalamin

35
Q

woman is vegan

concern for __ deficiency

presents w __

A

B12

anemia w macro-ovalocytes

36
Q

woman w chronic pancreatitis, weakness, walking w unsteadiness

nystagmus, reduced DTR
broad based gait

may be deficient in

A

Vitamin E

37
Q

obese individual
genetic deficiency resulting in famial obesity

subsequent weight loss

pt was originally deficient in __

A

AMSH

38
Q

Feeding center, stimulating food intake

hypothalamic arcuate nucleas are __

uses __/__ which is a __ antag

A

lateral hypothalamic

NPY/AgRP- MC4R

39
Q

Satiety center, inhibits food intake

hypothalamic arcuate nucleus area ___

uses __/__ which is a __ agonist

and ___

A

VM hypothalamic area

POMC/AMSH- MC4R agonist

CART

Multisystem 2 (14 decks)

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