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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?

25
3 complications of long term PPI use
Increased risk of hip fracture + c.diff + pneumonia
26
Edema and bruising of subcue tissue around umbillicus
Cullen sign
27
Bruising/ blu colour of flank area
Grey-turners sign Retroperitoneal hemorrhage
28
Deep palpation of LLQ of abdomen causes referred pain to RLQ When supineee
Rovsings sign
29
How to conduct psoas sign
Pt lying flat- lifts right leg against resistance + = pain
30
GERD treatment step wise
Start with H2 blockers The PPIs * NOT prn
31
Markle test?
Raise heels off of ground and drop onto them suddenly Illicit pains = peritonitis
32
Patient with decade or more hx of heart burn- what do you do?
Refer to GI for endoscopy
33
Fistula formation and anal disease occur in what IBD?
Chrones
34
Bloody stools are more common in what IBD?
Ulcerative Colitis
35
H. pylori treatment
PPI Metronidazole Amoxicillin Clarythromycin X 14d
36
Which 2 tests are used for test of cure of h.pylori
Stool and breathe test
37
Good standard test for dx of ulcers
Endoscopy with biopsy
38
Diverticulitis treatment
Cipro + metronidazole x 10-14d
39
People with Hep D must first
Have Hep B
40
Which is more liver specific ALT vs AST?
ALT AST- in heart and skeletal system
41
Elevated ALP + Elevated GGT = Solo Elevated GGT= Solo Elevated ALP=
1. Liver pathology 2. Etoh 3. Bone dx
42
A person has active Hep C if what tests-
Anti HCV + HCV RNA +
43
Pt has diarrhea + hx of hospitalization +/- antibiotic use = ?
C. Diff
44
Diarrhea, less than 2 y/o, +/- vomit, onset 1-2 days after exposure—-?
Rota virus
45
What medication class is preventative for pancreatitis (2nd to elevated triglycerides)
Fibrates
46
AST/ALT levels in viral hepatitis vs alcoholic?
Viral >1000 Alcoholic rarely >500
47
Test for lactose intolerance
Lactose breathe test
48
Atrophic glossitis/ shiny tongue can suggest what
ID second to chronic blood loss

AANP Exam (11 decks)

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