Gastrointestinal Physiology Flashcards

1
Q

How can long term use of PPIs cause osteoporosis?

A

Decreased calcium absorption

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2
Q

Long term PPIs can cause hypomagnesaemia, what are symptoms of this?

A

Seizures
Arrhythmias
Hypotension
Tetany

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3
Q

What infections come from long term PPI use?

A

C. difficile

Community-acquired pneumonia

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4
Q

What is a treatment for achalasia?

A

Botox

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5
Q

What is gastroparesis?

A

Muscles of the stomach that cause motility are paralyzed

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6
Q

What happens to stomach emptying time in gastroparesis?

A

It increases greatly

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7
Q

Pernicious anemia symptoms?

A

Fainting
Chest pain
Angina
Heart attack

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8
Q

What is highly specific for pernicious anemia?

A

Serum antibodies for intrinsic factor or parietal cells

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9
Q

What is intrinsic factor needed for?

A

Absorption of Cobalamin

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10
Q

What is Haptocorrin?

A

Protects Cobalamin from stomach acid

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11
Q

What encodes for proteins on the surface of cells needed for immune system regulation?

A

Human leukocyte antigen (HLA)

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12
Q

What is intussusception?

A

When one section of intestines slides into an adjacent section (telescoping)

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13
Q

What does Hirschsprung’s disease affect?

A

A piece of the colon

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14
Q

What occurs in Hirschsprung’s disease?

A

SM on a section of the colon does not have innervation and thus cannot pass stool

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15
Q

What does a mu-opioid agonist cause?

A

Constipation

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16
Q

What binds to mu-opioid receptors?

A

Opioids

17
Q

What does a mu-opioid antagonist cause?

A

Reversal of constipation

18
Q

What is a mu-opioid antagonist?

A

Alvimopan (Entereg)

19
Q

What is the most common gene associated with celiac disease?

A

HLA-DQ2