Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DIT Step 2 > GI 4 > Flashcards

GI 4 Flashcards

1
Q

IBS can have urinary frequency and urgency

A

oh ok

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

Rome criteria for IBS?

A

Recurrent abdominal pain 3 days per month for 3 months with 2 of the following

Relief with defecation
Onset associated with change in frequency
Change in form

Need

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

IBS types include constipation type, diarrhea type, and others

A

oh ok

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

IBS has normal labs!

Tx options?

A

makes sense.

Tx:
Physican assurance. Validate patient.

Avoid gas porducing food. Avoid lactose and stuff

Fiber and PEG might help
Antidiarrheals might help. SSRIs (helps comorbid stuff)

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

Fatigue, weight loss, abdominal pain, watery diarrhea?

Fever ,abdominal tendernesss, oral ulcers

A

Consider chrons. WILL HAVE TEST Q ON IT

left out perianal fissures and fistulas b/c too easy

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

Transumural bowel inflammation? Skip lesions?

A

IT IS GUM TO BUM

Imaging shows string sign from inflammation! Skipped areas of bowel

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

Crohns tx?

A

Steroids for exacerbations

Azathioprine is better than methotrexate

Anti TNF alpha agents like infliximab or adalimumab

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

Crohns mnemonic

A

Crohn gives GIFTS

Granuloma
Ileum
Fistula and fissures
Transmural
Skip lesions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Tenesmus and incontinence, bloody diarrhea with weight loss and abdominal pain, think what?

A

UC

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

Aminosalicylate
Glucocorticoids
Immunosuppressive
Supplemental iron

A

oh ok

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

Primary sclerosing cholangitis is associated with what?

A

IBD!

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

serologic markers for IBD?

A

ASCA is crohn

pANCA with UC! (pANCA also found with that Churgg strauss)

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

Most common benign small bowel cancer?

Malignant?

A

Leiomyoma

Carcinoid

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

GI issue with pain out of proportion to their unimpressive exam?

A

Ischemic colitis

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

WBCs on UA can happen with appendicitis how?

A

It irritates ureters. So don’t mess that up!

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

Appendicitis for 5 days before coming in tx/

A

Supportive, schedule removal for 8 weeks from there

17
Q

Drugs for ileum?

A

Erythromycin for motility, neostigmine (makes sense), or metoclopramide

18
Q

Old lady with vague recurrent abdominal pain and vomiting for 5 days?

A

Galltone inlets that repeated lodges and dislodges. IT GETS CAUGHT IN THE ILEUM

19
Q

Volvulus imaging?

A

Double bubble (Air bubbles)

20
Q

Pseudotumor cerebri tx?

A

Acetazolamide, weight loss, serial lumbar puncture

21
Q

Diverticulitis outpatient tx?

A

metronidazole with fluoroquinolone (makes sense)

22
Q

When do you admit diverticulitis?

A

CANT SWALLOW MEDS, old, comorbidities, immunocompromised…

23
Q

Fistula from Crohns tx?

A

get disease to settle down with azothyopryine

24
Q

First treatment of carcinoid?

Remember right sided valvular disease can happen

A

Octreotide to shut down affect

Cyproheptadine again (used for high 5ht)

IFN alpha can be combined with octreotide

25
Q

Silicosis puts you at risk or what infection?

A

tb

26
Q

CRC is 4-5 star topic! Adenocarcinoma is it

Hyperplastic is not precancerous

A

right. Villous is bad

27
Q

What is mutated in gardner syndrome?

A

Lumpy bumpy gardner (colyn polyps, OSTEOMAS, soft tissue tumors)

APC gene (similar FAP)

28
Q

Turcot syndrome has what? And what mutation?

A

APC

CNS tumors, Colonic adenomas

So if brain cancer and colon cancer, look for it!

29
Q

Juvenile polyposis?

A

Polyps in vowels, GI bleeding. They are hamartoma

30
Q

What is Peutz Seghers?

A

Hyper pigmentation of lips. Causes hamartomas!

31
Q

Scary about HNPCC?

A

Nonpolyposis. Starts in proximal colon. Does not start as polyp

32
Q

CEA is high in what?

A

Stomach, pancreatic, colon cancer!

33
Q

Node involvment for CRC makes staging for what? What does it mean for treatment?

A

Stage III, REQUIRES CHEMO

34
Q

CRC surveillance?

A

CEA every 4 months for years

CT every year for mets

Colonoscopy 1, 3, and 5 years

35
Q

How do you decrease blood flow to stomach or esophagus?

A

SOMASTOSTATIN analogue like OCTREOTIDE so give it if acute bleeding!!!

also give PPI

36
Q

GI bleed first step after stabilizing?

A

NG tube to see if stomach contents bloody

DIT Step 2 (77 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions