Gastroenterology

Question 1

What’s the most likely bug causing gastritis

Answer 1

H. pylori

Question 2

how would you treat a peptic ulcer disease

Answer 2

with antibiotics and antacids (triple therapy 2 abx and PPI)

Question 3

whats the most common cause of peptic ulcer diseaes

Answer 3

H pylori

Question 4

List some examples of gallbladder infections

Answer 4

acute cholecystitis, cholangitis and biliary sepsis.

Question 5

whats the most common cause of cholecystitis

Answer 5

obstruction of bile duct (stones)

Question 6

An obese female in her mid 40’s presents with RUQ pain and has some fever, chills, N&V…whats the likely Dx?

Answer 6

acute cholecystitis

Question 7

whats the most common pt population affected with acute cholecystitis

Answer 7

fat females in their 40’s

Question 8

where on the body would one have tenderness and pain with acute cholecystitis

Answer 8

RUQ

Question 9

What are some hallmarks for hepatitis

Answer 9

*Jaundice, fatigue, malaise, N&V

Question 10

Whats most common cause for hepatic abscess

Answer 10

*a biliary tract infection usually enterobacteria

Question 11

most common cause of gallbladder infections (pathogen)

Answer 11

Enterobacteria (gram - rods)

Question 12

Acute pancreatitis can be caused by 3 major things

Answer 12

biliary tree disease, gallbladder infections, or alcohol use

Question 13

This patient presents with diffuse upper abd pain to back and flank, what is a likely dx

Answer 13

acute pancreatitis

Question 14

Name the pathogens associated with appendicitis

Answer 14

Enterobacteria, bacteroides, enterococci, and Pseudomonas aeruginosa

Question 15

What are the 3 stages of appendicitis

Answer 15

1. anorexia

2. abd pain (starting periumbilical, to RLQ) 3. N&V, occasional diarrhea/constipation

Question 16

What’s a hallmark physical exam finding for Appendicitis

Answer 16

rebound tenderness in RLQ @ McBurney’s

Question 17

This is a hallmark infection with LLQ pain

Answer 17

Diverticulitis

Question 18

name the 3 types of diarrhea

Answer 18

secretory, inflammatory, and antibiotic-associated

Question 19

this type of diarrhea would be bloody and accompanied with fever, indicating a pathogen or IBD

Answer 19

Inflammatory diarrhea

Question 20

How would you treat Giardia lambia

Answer 20

Metronidazole

Question 21

Cyclospora an infectious diarrhea caused by uncooked foods which present with watery low grade fever would be tx

Answer 21

Trimethoprim/sulfamethoxazole 2x daily for 7 days.

Question 22

How would you tx infectious diarrhea caused by E-coli

Answer 22

Support, AVOID Abx (risk of HUS) hemolytic uremic syndrome

Question 23

How would you tx Traveler’s Diarrhea (Empiric)

Answer 23

Cipro 500 mg po 3-5 days

Question 24

How would u tx diarrhea caused by shigella

Answer 24

Supportive (cipro if immunocompromised)

Question 25

These invasive pathogens would cause purulent, bloody diarrhea and cramping

Answer 25

Ecoli, shigella, campylobacter…