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aanp exam > GI > Flashcards

GI Flashcards

1
Q
  • HBsAg
  • anti- HBs
  • anti-HBc

What does it mean and what would you advise?

A

No immunity, no infection to Hep B
Advise vaccination

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2
Q
  • HBsAg
    + anti-HBs
  • anti-HBc

What does it mean?

A

Immunity 2nd to immunization

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3
Q

+ HBsAg
- IgM anti-HBc
- Anti-HBs
+ Anti-HBc

A

Chronic Hep B

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4
Q
  • HBsAg
    + Anti-HBs
    + Anti-HBc
A

Immune 2nd to infection

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5
Q

+ HBsAg
+ IgM anti-HBc
- Anti-HBs
+ Anti-HBc

A

Acute Hep B

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6
Q

Hep A markers- what do they indicate?
+ IgM
+ IgG

A

+ IgM = acute Hep A infection
+ IgG = infx gone and now immune

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7
Q

Screen for Hep C with that lab?

A

Anti-HCV- becomes positive as early as 8 weeks after exposure

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8
Q

Do you order HCV RNA if screening test is negative and you don’t know whether the pt has been exposed?

A

Yes.

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9
Q

If Anti-HCV is NEG and the pt may have been exposed within 6 months OR exposure is unknown - order what?

A

HCV RNA

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10
Q

If anti-HCV is + & HCV RNA is + what does that mean?

A

Active Hep C infx

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11
Q

+ anti-HCV
- HCV RNA

A

No infx
False + screen

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12
Q

Patients who are + for Hep C or Hep B- what do you do?

A

Refer to GI

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13
Q

Absent bowel sounds?
1st test?

A

Ileus
Flat & erect abdo x-ray

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14
Q

+ mc Barney’s point?
Definitive diagnostic test?

A

Appendicitis + abdo CT

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15
Q

Pain upper R quadrant
-diagnostic test?
- if 1st test inconclusive?

A

Cholecystitis
US
HIDA Scan

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16
Q

Lower L quad pain + fever
Imaging?
Treatment?

A

Diverticulitis
CT = definitive
Ciprofloxacin + Metronidazole

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17
Q

Abdo pain + dilated loop of bowl=
Imaging?

A

Obstruction
Flat & erect abdo x-ray

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18
Q

Adult with acute periumbilical pain?

A

Appendicitis
Abdo CT

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19
Q

Elevated Billi
Normal LFTs

A

Gilbert’s disease- benign

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20
Q

Inspiration arrest with deep palpating of URQ?
Name of test?

A

Cholecystitis
Murphys sign

21
Q

Painless bleeding with bms differential?

A

Hemorrhoids
Colorectal cancer

22
Q

Painful bleeding with BMs

A

Anal fissures
+/- hemerrhoids
Ulcerative collitis

23
Q

Tinkling bowl sounds + abdo pain/

A

Obstruction

24
Q

Upper left quadrant pain lasting 60 minutes- investigation?

A

ECG

25
Q

3 complications of long term PPI use

A

Increased risk of hip fracture + c.diff + pneumonia

26
Q

Edema and bruising of subcue tissue around umbillicus

A

Cullen sign

27
Q

Bruising/ blu colour of flank area

A

Grey-turners sign
Retroperitoneal hemorrhage

28
Q

Deep palpation of LLQ of abdomen causes referred pain to RLQ
When supineee

A

Rovsings sign

29
Q

How to conduct psoas sign

A

Pt lying flat- lifts right leg against resistance
+ = pain

30
Q

GERD treatment step wise

A

Start with H2 blockers
The PPIs * NOT prn

31
Q

Markle test?

A

Raise heels off of ground and drop onto them suddenly
Illicit pains = peritonitis

32
Q

Patient with decade or more hx of heart burn- what do you do?

A

Refer to GI for endoscopy

33
Q

Fistula formation and anal disease occur in what IBD?

A

Chrones

34
Q

Bloody stools are more common in what IBD?

A

Ulcerative Colitis

35
Q

H. pylori treatment

A

PPI
Metronidazole
Amoxicillin
Clarythromycin
X 14d

36
Q

Which 2 tests are used for test of cure of h.pylori

A

Stool and breathe test

37
Q

Good standard test for dx of ulcers

A

Endoscopy with biopsy

38
Q

Diverticulitis treatment

A

Cipro + metronidazole x 10-14d

39
Q

People with Hep D must first

A

Have Hep B

40
Q

Which is more liver specific ALT vs AST?

A

ALT
AST- in heart and skeletal system

41
Q

Elevated ALP + Elevated GGT =
Solo Elevated GGT=
Solo Elevated ALP=

A
  1. Liver pathology
  2. Etoh
  3. Bone dx
42
Q

A person has active Hep C if what tests-

A

Anti HCV +
HCV RNA +

43
Q

Pt has diarrhea + hx of hospitalization +/- antibiotic use = ?

A

C. Diff

44
Q

Diarrhea, less than 2 y/o, +/- vomit, onset 1-2 days after exposure—-?

A

Rota virus

45
Q

What medication class is preventative for pancreatitis (2nd to elevated triglycerides)

A

Fibrates

46
Q

AST/ALT levels in viral hepatitis vs alcoholic?

A

Viral >1000
Alcoholic rarely >500

47
Q

Test for lactose intolerance

A

Lactose breathe test

48
Q

Atrophic glossitis/ shiny tongue can suggest what

A

ID second to chronic blood loss

aanp exam (11 decks)

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