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First Aid CK Rapid Review ❤️ > Gastrointestinal > Flashcards

Gastrointestinal Flashcards

Now Gastrointestinal

1
Q

Pt presents with sudden onset of severe, diffuse abdominal pain. Exam reveals peritoneal signs, and AXR reveals free air under the diaphram. Management?

A

Emergent laparotomy to repair perforated viscus.

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2
Q

The most likely cause of acute lower GI bleed in pt >40 years of age?

A

Diverticulosis

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3
Q

Diagnostic modality used when ultrasound is equivocal for cholecystitis

A

HIDA Scan

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4
Q

Risk factors for Cholelithiasis?

A 
Fat
Female
Fertile
Forty
Flatulent
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5
Q

Inspiratory arrest during palpation of the RUQ

A

Murphy’s Sign, seen in acute cholecystitis

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6
Q

The most common cause of SBO in pt with no history of abdominal surgery

A

Hernia

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7
Q

The most common cause of SBO in pt with a history of abdominal surgery

A

Adhesions

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8
Q

Identify Key Organisms causing Diarrhea:

Most common organism

A
  • Campylobacter
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9
Q

Identify Key Organisms causing Diarrhea:

Recent antibiotic use

A

Clostridium difficile

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10
Q

Identify Key Organisms causing Diarrhea:

Camping

A

Giardia

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11
Q

Identify Key Organisms causing Diarrhea:

Traveler’s Diarrhea

A

ETEC

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12
Q

Identify Key Organisms causing Diarrhea:

Church Picnics / Mayonnaise

A

S. Aureus

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13
Q

Identify Key Organisms causing Diarrhea:

Uncooked Hamburger

A

E.-Coli 0157-H7

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14
Q

Identify Key Organisms causing Diarrhea:

Fried Rice

A

B. Cereus

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15
Q

Identify Key Organisms causing Diarrhea:

Poultry / Eggs

A

Salmonella

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16
Q

Identify Key Organisms causing Diarrhea:

Raw Seafood

A

Vibrio

HAV

17
Q

Identify Key Organisms causing Diarrhea:

AIDS

A

Cryptosporidium

Mycobacterium Avium Complex (MAC)

18
Q

Identify Key Organisms causing Diarrhea:

Pseudoappendicitis

A

Yersinia

19
Q

25 y/o Jewish man presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias

A

Crohn’s Disease

20
Q

Inflammatory disease of the colon with the increase risk of colon cancer

A

Ulcerative colitis

21
Q

Extraintestinal manifestations of IBD

A 
Uveitis
Ankylosing Spondylitis
Pyoderma Gangrenosum
Erythema Nodosum
1 Sclerosing cholangitis
22
Q

Medical treatment for IBD

A

5-ASA

Steroids during acute exacerbations

23
Q

Difference between Mallory-Weiss and Boerhaave Tears

A

Mallory Weiss- Superficial tear in esophgeal mucosa

Boehaave- Full thickness esophageal rupture

24
Q

Charcot’s Triad

A

RUQ Pain
Jaundice
Fever / Chills

in setting of Adscending Cholangitis

25
Q

Reynold’s Pentad

A

Charcot’s Triad plus

Shock
Mental Status Change

26
Q

Medical Treatment for Hepatic Encephalopathy

A

Decrease protein intake
Lactulose
Rifaximin

27
Q

First step in the management of patient with an acute GI bleed

A

Establish the ABCs

28
Q

Four year old child presents with Oliguria, petechiae and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?

A

Hemolytic-Uremic Syndrome (HUS) due to E-Coli 0157-H7

29
Q

Post HBV exposure treatment

A

HBV Immunoglobulin

30
Q

Classic Causes of drug induced hepatitis

A

TB Meds (INH, Rifampin, Pyrazinamide)
Acetaminophen
Tetracycline

31
Q

40 year old obese women with elevated alkaline phosphatase, elevated bilirubin, pruritus, dark urine, and clay coloured stool

A

Biliary tract obstruction

32
Q

Hernia with highest risk of incarceration

  • indirect, direct or femoral
A

Femoral

33
Q

50 y/o man with hx of alcohol abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management?

A

Confirm Acute Pancreatitis with elevated Amylase and Lipase

Make pt- NPO and give fluids, 02, analgesia and Tincture of time

First Aid CK Rapid Review ❤️ (15 decks)

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