GI 2 Flashcards

1
Q

Which site of bowel obstruction is more common

A

Small Bowel

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2
Q

Simple Bowel obstruction does not interfere with

A

Blood supply

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3
Q

Causes of simple bowel obstruction

A
Gallstones
Impacted Faeces
Congenital Atresia
Crohsn
DIverticular
Malignant
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4
Q

Dynamic Bowel Obstruction

A

Bowel Obstruction with cessation of peristalsis and absence of true waves

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5
Q

Intussception in GI can cause

A

Strangulated Bowel Obstruction

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6
Q

What is the most common associated gene in IBD

A

NOD2

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7
Q

Which IBD Disease does smoking seem to help

A

Ulcerative Colitis

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8
Q

Microscopic Features of ulcerative colitis

A

mucosal ulceration
crypt abscesses
pseudopolyps

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9
Q

How does IBD present on skin

A

Erythema nodosum

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10
Q

Mild IBD Classified as

A

Stools <4 Day

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11
Q

Mod IBD Classified as

A

Stools >4 Day

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12
Q

Severe IBD Classified as

A

Stools <4 day with Bleed

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13
Q

What condition is common associated with Ulcerative Colitis

A

Hypoalbuminaemia

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14
Q

Which part of colon affected in Toxic Megacolon

A

Right and Transverse

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15
Q

Loss of Haustrations on x-ray could mean

A

Toxic Megacolon

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16
Q

Crohns Features

A
Skip Lesions
Strictures
Ulcers
Crypt Abscess
Fistulas
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17
Q

Where does Ulcerative Colitis begin

A

Rectum and Works Proximally

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18
Q

Proctitis is confined to

A

Rectum

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19
Q

Which criteria is used for score of severity in Ulcerative Colitis

A

Truelove and Witts

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20
Q

what can precipitate toxic megacolon

A

low potassium or magnesium

21
Q

Histology of Ulcerative Colitis

A

Crypt Abscesses
Depleted Goblet Cells
Limited to mucosa

22
Q

History of Crohns

A

Transmural Inflammation

23
Q

which type of colitis raises colonic carcinoma risk significantly

A

Pancolitis

24
Q

what does the gallbladder secrete after meal

25
Congenital causes of Benign Biliary Tract Disease (2)
Biliary Atresia | Choledochal Cysts
26
How does Cholangiocarcinoma present
Obstructive Jaundice | Itch
27
Gallblader Cancer prognosis
Poor
28
Chronic Pancreatitis causes
``` Alcohol Cystic Fibrosis Hereditary: Autosomal Dominant Hypercalcaemia Smoking ```
29
Clinical Features of Chronic Pancreatitis
Abdo Pain Exocrine Insufficiency Endocrine Insufficiency
30
If Carcinoma of pancreas is affecting head what symptom
painless obstructive jaundice
31
if carcinoma of pancreas is affecting body and tail what symptom
upper abdo pain
32
Absolute Contraindications to Enteral Feeding
Obstruction Severe Ileus Perforation Prox Fistula
33
What should Nasogastric Tube ph be
0-5
34
When don't use NG tube
Base of Skull Fracture
35
Reasons to use NJ Tube
Delayed Gastric Empty Pancreatitis Intractable Vomit
36
Most common pancreas cancer
Head of Pancreas
37
head of pancreas cancer is related to which endocrine condition
Diabetes
38
what type of jaundice in head of pancreas cancer
obstructive
39
Acute Pancreatitis complications
Pseudocyst Absess Necrosis Fluid
40
Acute Pancreatitis Causes
``` Gallstones Alcohol CMV Mumps Tumours ERCP Hypercalcaemia Scorpion Venom ```
41
Modified Glasgow Criteria for Acute Pancreatitis what would be classified as severe
More than 3 Factors
42
How to treat Cholelithiasis
ERCP and ES
43
Chronic Pancreatitis causes
``` Adenocarcinoma Sphincter of Oddi Dysfunction Duodenal Obstruction Post Nec Radiation Autoimmune Toxins Genetic Environment Recurrent Injuries ```
44
Which genetic factors contribute to Chronic Pancreatitis
Autosomal Dominant (Codon 29 and 122) Autosomal Recessive (CFT, Spink1, Codon A)
45
Chronic Pancreatitis linked to
Pain with Binges Pancreatic Exocrine Insufficiency Jaundice
46
How do we screen for Colorectal Cancer
QFit
47
Most common colorectal tumour location for cancer
proximal
48
Which of these conditions are functional GI Disorders ``` Oesophageal Spasm Non Ulcer Dyspepsia Biliary Dyskinesia IBS Slow Transit Constipation Drug Related ```
All