Gastrointestinal disorders

Question 1

What medications are used for IBD induction?

Answer 1

Aminosalicylates (mesalamine) and steroids (prednisone and budesonide), infliximab (Remicade), adalimumab (Humira), certolizumab (Cimzia)

Question 2

What is the preferred agents for maintenace of remission of IBD?

Answer 2

Aminosalicylates (azathiprine, mercaptopurine)

Question 3

What agents are first line for Crohns disease?

Answer 3

Steroids

Question 4

What parameters can you consider primary prophylaxis for SBP?

Answer 4

Upper GI bleeding

Or ascitic fluid protein < 1.5 g/dL and at least one: SCr > 1.2 mg/dL, BUN > 25 mg/dL, sodium < 130 mg/d

Question 5

When should you use albumin with antibiotics for SBP?

Answer 5

SCr > 1 mg/dL, BUN > 30 mg/dL and total bilirubin > 4 mg/dL

Question 6

What are first line therapies for HBV?

Answer 6

Entacavir and Tenofovir

*Chronic HCV therapy: peg-interferon + ribavirin