GI-

Question 1

Psyllium husk is an example of what kind of fiber?

Answer 1

Soluble

Question 2

Brand is an example of what type of fibre

Answer 2

Indoluble- not preferred in GI mgmt

Question 3

Subjective sensation of difficulty or abnormal swallowing

Answer 3

Dysphasia

Question 4

Pain with swallowing

Answer 4

Odynophagia

Question 5

Non-painful sensation of lump/tightness/foreign body or retained food bolus

Answer 5

Globus sensation

Question 6

T/F- Dysphasia is related to normal ageing

Answer 6

False

Question 7

Type pf dysphagia- Difficulty swallowing several seconds after initiating a swallow

Answer 7

Oesophageal dysphasia

Question 8

Type pf dysphagia- Difficulty initiating swallow

Answer 8

Oropharyngeal dysphasia

Question 9

Loss of normal peristalsis in distal oesophagus and failure of the LES to relax with swallowing.
Progressive dysphasia, both solids and liquids
Regurgitation of undigested foods or saliva

Answer 9

Achalasia

Question 10

Clinically significant weight loss
>2% loss from baseline in ___
>5% loss in ___
>10% in ___

Answer 10

1. 1 month
2. 3 months
3. 6 months

Question 11

Suspected diagnosis-

Older adult with abdo pain out of proportion on physical exam + nqusea, vomiting, diarrhea?

Older adult with long standing post prandial sbdominsl pain or ‘intestinal angina’

Answer 11

1. Sup. Mesenteric artery embolism

2. Sup. Mesenteric artery thrombosis

Question 12

T/f- 80% of people over 85 years old have diverticular dx

Answer 12

True

Question 13

Most common cause of lower G.I. bleed in older adults

Answer 13

Diverticular disease

Question 14

Older adults presents with abdominal pain, fever, nausea, change in bowel regimen, left lower quadrant pain. Suspected diagnosis?

Answer 14

Diverticulitis

Question 15

Most common misdiagnoses when evaluating diverticulitis

Answer 15

Urinary pathology, share similar symptoms

Question 16

Define complicated diverticulitis

Answer 16

Presence of abscess, fistula, obstruction or perforation

Question 17

‘Boring’ epigastric pain radiating into the back with vomiting
What specific labs would you order?

Answer 17

Amylase/ lipase-

Pancraritis!

Question 18

Call older adults who present with new renal colic, back pain, or syncope- what should make the differential list?

Answer 18

AAA

Question 19

After a patient is treated for diverticulitis and has resolution of symptoms, what evaluation is indicated next?

Answer 19

Colonoscopy or sigmoidoscopy 4 to 6 weeks after resolution of symptoms to rule out carcinoma

Question 20

Any patient with a ——— or more history of chronic heartburn should be referred to gastroenterology for endoscopy to rule a——-?

Answer 20

10 years

Barrets esophagus

Question 21

Classic ——- pain Severe mid epigastric pain that radiates to mid back

Answer 21

Acute pancreatitis

Question 22

H. Pylori quad treatment

Answer 22

Clarythromycin, amoxicillin, metronidazole, pantoprazole

Question 23

Symptoms of pain on swallowing early satiety and weight loss indicative of what?

Answer 23

Esophageal cancer

Question 24

Elevation of what lab test indicates high risk for acute pancreatitis

Answer 24

Triglycerides

Question 25

Cullens sign & and gray Turner sign, What are they and what do they indicate

Answer 25

Cullens- Blue discolouration around umbilicus
Grey turner = Blue discolouration around flank
- Haemorrhagic pancreatitis

Question 26

What liver enzyme is more sensitive to liver damage?

Answer 26

ALT

Question 27

Where else is AST found?

Answer 27

Heart and skeletal system