gastrointestinal

Question 1

This is the most common allergy to food in adults and children

Answer 1

peanut allergy

Question 2

skin prick testing uses what immunoglobulin to test for an allergy to specific substance?

Answer 2

IgE mediated reaction

Question 3

What is the most important thing to access for in a patient with a peanut allergy?

Answer 3

access to injectable epinephrine

Question 4

Normal mineralization of growth plates requires adequate amounts of what two minerals

Answer 4

calcium and phosphate

Question 5

Deficient mineralization of growth plates results in

Answer 5

rickets

calcipenic rickets or phosphopenic rickets

Question 6

laboratory findings in rickets

Answer 6

Laboratory findings include significantly el0evated serum parathyroid hormone level, normal to low calcium and phosphate, and low vitamin D levels.

Question 7

What lab test is the most sensitive for acute pancreatitis

Answer 7

serum lipase. elevations occur earlier and last longer as compared w/elevations of amylase

Question 8

most common causes of acute pancreatitis

Answer 8

gallstones and alcohol abuse

Question 9

Cullens sign

Answer 9

ecchymotic discoloration (bruise-like) near periumbilical region

Question 10

Grey Turner Sign

Answer 10

ecchymotic (bruise-like) discoloration in the flank area

Question 11

Acute cholecystitis

Answer 11

presents with right upper quadrant pain, fever, and leukocytosis

Question 12

peptic ulcer disease

Answer 12

may present with epigastric pain

Question 13

lower lobe pneumonia

Answer 13

can present with right or left upper quadrant abdominal pain due to irritation of the diaphragm

Question 14

T/F: antibiotics are used routinely in the treatment of acute pancreatitis

Answer 14

False

Question 15

Blount disease

Answer 15

would cause a varus deformity at the knee due to disruption in cartilage formation

Question 16

Achalasia

Answer 16

typically presents with dysphagia to both solids and liquids. symptoms are usually persistent

Question 17

esophageal web

Answer 17

a thin concentric membrane composed of squamous epithelium and is usually located in the cervical region of the esophagus

Question 18

Schatzki ring

Answer 18

most commonly found esophageal ring. Fibrous esophageal ring leads to esophageal stenosis, h0allmark symptom is dysphagia to solids which is often intermittent.

Question 19

Barrett esophagus

Answer 19

at increased risk for adenocarcinoma particularly when squamous epithelium (normal) is being replaced with columnar epithelium (abnormal)

Question 20

what is the role of helicobactor pylori in Barrett’s esophagus?

Answer 20

it is protective against Barrett’s esophagus due to the changes in gastric acidity in the stomach

Question 21

Test for intolerance to dairy products

Answer 21

lactose hydrogen breath test

Question 22

Symptoms of lactose intolerance

Answer 22

abdominal pain in periumbilical area or lower quadrants, bloating, flatulence and bulky, frothy, or watery non bloody diarrhea.

Question 23

Populations lactose intolerance is most frequently seen?

Answer 23

African and Asian populations

Question 24

Best treatment for suspected anorexia nervosa patient

Answer 24

interdisciplinary approach

Question 25

What is refeeding syndrome

Answer 25

an electrolyte and fluid shift, especially hypophosphatemia, that can result in fatal complication when a malnourished patient begins nutritional rehabilitation