GI

Question 1

Obdurator sign

Answer 1

tests for appendicitis: + if Inward rotation or flexion of the right hip causes RLQ pain

Question 2

Rovsing’s sign

Answer 2

+ for appendicitis if palpation of LLQ causes pain in RLQ

Question 3

Psoas/iliopsoas

Answer 3

+ for appendicitis if RLQ pain when pt is supine and raises right Leg against resistance provided by NP

Question 4

Markle sign

Answer 4

Heel jar (tests for appendicitis)

Question 5

Blumburg

Answer 5

Palpate RLQ and upon release of hand pain is worse than pushing for appendicitis

Question 6

Triple therapy for H pylori

Answer 6

Clarithromycin + Amox + PPI

Question 7

Quadruple therapy

Answer 7

Flagyl, tetracycline, PPI, pepto-bismol

Question 8

Skip lesions are associated with

Answer 8

Chrohn’s disease

Question 9

If the pt has GERD and osteoporosis then do a

Answer 9

H2 blocker (like famotidine/Pepcid) bc/it is safer for those with osteoporosis

Question 10

Long term use of H2 blockers can cause

Answer 10

1) decreased liver function tests
2) decreased platelet counts