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SMTS > Gastroenterology > Flashcards

Gastroenterology Flashcards

1
Q

Drugs used for IBD management?

A

Sulfasalazine (5-ASA)
Corticosteroids for flare-ups
Azathioprine
Infliximab (TNF-a inhibitor)

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2
Q

Side effect of Sulfasalazine?

A

Infertility in males (reversible)

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3
Q

Hepatic condition assoc. with UC?

A

PSC

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4
Q

What indicates successful hepatitis B vaccination?

A

HbsAb

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5
Q

Testing for coeliac disease?

A

Serological: Anti-TTG, Anti-endomyseal
Jejunal biopsy is definitive - villous atrophy, crypt hyperplasia.
BUT make sure they have been eating gluten for at least 6 weeks prior to either of these investigations.

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6
Q

Foods to be avoided in Coeliac Disease

A 
BROW
Barley
Rye
Oats
Wheat
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7
Q

Sinister differential for a woman over 50 with IBS symptoms?

A

Ovarian cancer

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8
Q

DIagnostic test in Wilson’s disease?

A

Reduced Caeruloplasmin

Increased 24hr urinary copper excretion

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9
Q

Urgent indications for endoscopy?

A

Dysphagia
Upper abdo mass
Weight loss+reflux/abdo pain

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10
Q

Management of reflux with no indications for endoscopy?

A

Review meds for potential cause
lifestyle advice (w. loss, reduce big meals before bed/supine)
Trial of PPI
H.Pylori testing

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11
Q

HbeAg purpose?

A

Marker of infectivity; released from infected hepatocytes

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12
Q

Mx of C.diff infection?

A

Stop offending antibiotic, start metronidazole

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13
Q

Immediate Mx of Varices

A 
ABCDE
Correct clotting abnormality (FFP,pro,vit.K)
Terlipressin/Octreotide
Endoscopic band ligation
TIPS if all else fails
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14
Q

Prevention of Varices?

A

Propranolol

Ligation

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SMTS (16 decks)

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