Gastrointestinal Review

Question 1

GERD treatment

Answer 1

PPI

Question 2

Duodenal ulcer relieved with

Answer 2

eating

Question 3

gastric ulcer worsened by

Answer 3

eating

Question 4

H. Pylori treatment

Answer 4

Bismuth subsalicylate
ppi

Question 5

Diverticulitis s/s

Answer 5

LLQ pain, fever, N/V, constipation

Question 6

Diverticulitis treatment

Answer 6

liquid diet
low fiber

Question 7

Pancreatitis symtoms

Answer 7

Epigastric pain radiating to BACK

Question 8

Cullen/Grey turners sign

Answer 8

• signs of pancreatitis

bruising around umbilicus and lower back/flank

Question 9

treatment of pancreatitis

Answer 9

• Supportive, Fluid resuscitation

antibiotics only in necrotizing pancreatitis (Imipenem, meropenem, zosyn)

Question 10

cholecystitis symptom

Answer 10

RUQ pain after a FATTY meal

Question 11

Murphys sign

Answer 11

indicative of cholecystitis

pressing down over RUQ, takes breath away

Question 12

Cholecystitis treatment

Answer 12

NPO, IVF, cholecystectomy, Abx

Question 13

Appendicitis symptoms

Answer 13

RLQ pain

Question 14

Psoas sign

Answer 14

found in appendicitis

hand placed on knee and have patient lift it up

Question 15

Obturator sign

Answer 15

found in appendicitis

have patient bend knee and move knee side to side

Question 16

small bowel obstruction

Answer 16

epigastric pain, high pitch BS

Fluid resuscitation, G-tube

Question 17

large bowel obstruction s/s

Answer 17

hypoactive BS or Absent

Fluid resuscitation, decompress with G-tube

Question 18

Ulcerative colitis s/s

Answer 18

bloody diarrhea , abdominal cramping

Question 19

UC treatment

Answer 19

PO/ IV prednisone
cyclosporine IV x 7 days

Question 20

Crohns dx s/s

Answer 20

generalized abd pain, weightloss

Question 21

Crohns treatment

Answer 21

steroids- Budesonide (mild)
prednisone (moderate)

ABX- cipro+ flagel
Amox clauvulate