GI 3 Flashcards

1
Q

hep a virus

A

self limiting, does not become chronic, grants lifelong immunity, transmitted fecal oral by contaminated food or drink, or person to person contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

hepatitis - self limiting, does not become chronic, grants lifelong immunity, transmitted fecal oral by contaminated food or drink, or person to person contact

A

hep a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

hepatitis B virus

A

can be either acute and self limiting or become chronic; transmission via sexual contact, blood, organs; mother to infant transmission; IV drug use transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hepatitis - can be either acute and self limiting or become chronic; transmission via sexual contact, blood, organs; mother to infant transmission; IV drug use transmission

A

hep B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

tx of HBV

A

usually supportive care; consider antiviral therapy if indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

hep c virus

A

can be acute and chronic; transmitted via sharing needles, blood transfusion, needlestick injuries, mother to infant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

hepatitis - can be acute and chronic; transmitted via sharing needles, blood transfusion, needlestick injuries, mother to infant

A

hep c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

recommended screening for hep c

A

one time for all adults 18-79

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

distinguishes abd wall pain from visceral pain

A

Carnett’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

acute hepatitis B is dx based on the detection of what two serum markers

A

HBsAg
IgM anti-HBc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

patients with hepatitis D are always dually infected with hep what

A

hep B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

initial episode of non severe c diff infection should be treated with either
2

A

oral fidaxomicin or oral vanco for 10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

h. pylori positive ulcers - what therapy is recommended for patients with any prior exposure to macrolides for any reason and in areas of local clarithromycin resistance rates

A

bismuth quadruple therapy - bismuth, metronidazole, tetracycline, PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

h. pylori positive ulcers - what therapy is used in patients w/o risk factors

A

clarithromycin, amoxicillin, PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

serologic hallmark of hep B virus infection

A

HBsAg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pain that worsens with eating is suggestive of what ulcer

A

gastric ulcer

17
Q

dx test for PUD

A

upper endoscopy

18
Q

what serum marker represents hep B virus replication and infectivity

A

HBeAg

19
Q

serum marker that indicates acute infection with HBV

A

IgM anti-HBc

20
Q

which test do you order to confirm that an elevated ALP is from a liver source

A

GGT

21
Q

acute diverticulitis is confirmed based on what

A

abd CT scan w/ contrast

22
Q

acute diverticulitis should be suspected in patients with what s/sx
3

A

LLQ abd pain
abd tenderness
leukocytosis

23
Q

the hallmark symptoms of Crohn’s disease include
4

A

crampy abd pain
chronic intermittent diarrhea
fatigue
weight loss

24
Q

mod to severe IBS - for patients with IBS related constipation to have failed a trial with soluble fiber, what can be started

A

polyethylene glycol

25
Q

mod to severe IBS - for patients with IBS diarrhea, what are indicated as 1 and 2nd line

A

1 - antidiarrheals e.g. loperamide
2 - bile acid sequestrants

26
Q

what is the screening test for hep C infection

A

anti-HCV

27
Q

screening test for hep B

A

HBsAg

28
Q

screening test for hep A

A

anti-HAV

29
Q

stool guaiac test determines what

A

presence of blood in stool

30
Q

which med for GERD in patients with erosive esophagitis

A

PPIs e.g. pantroprazole