GI - 6 Diarrhea pt 2

Question 1

Empiric treatment is not meant for

Answer 1

Acute diarrhea. it resolves on its own w/o anything

Question 2

The drugs of choice for empiric treatment of diarrhea:

Answer 2

Fluoroquinolones

Question 3

Try not to treat with antibiotics unless they are already sick, because it can lead to ___

Answer 3

C. diff

Question 4

Drug to treat diarrhea from Shigella, Salmonella, Traver’s diarrhea (E. coli)

Answer 4

Fluoroquinoline

Question 5

2 drugs for Cholera

Answer 5

Doxycycline or Azithromycin

Question 6

Drug for diarrhea from C difficile infection, giardiasis, and amebiasis

Answer 6

Metronidazole

Question 7

What is chronic diarrhea?

Answer 7

Decrease in fecal consistency lasting ≥4 wks

Question 8

How do you estimate stool osmolality?

Answer 8

stool (Na+ + K+) × 2

Question 9

Osmolar gap > __ is indicative of osmotic diarrhea

Answer 9

125 mOsm/kg

Question 10

______ implies diarrhea is caused by ingestion or malabsorption of an osmotically active substance

Answer 10

An increased osmotic gap (>125)

Question 11

What diarrhea RESOLVES during fasting?

Answer 11

Osmotic diarrhea

if you’re not eating, none of these are drawing water into the bowel – no more osmotic diarrhea

Question 12

What diarrhea is CAUSED by fasting?

Answer 12

Secretory diarrhea

Question 13

Giardia, E. histolytica, and Cyclospora are ____ that can cause diarrhea

Answer 13

Chronic parasitic infections

Question 14

People are constipated so they take laxatives or eat prunes, then come in with diarrhea.

Answer 14

Factitious Diarrhea

Question 15

What must be ruled out when evaluating diarrhea?

Answer 15

Acute Diarrhea

Question 16

What does ESR test do?

Answer 16

learns if there is inflammation (doesn’t say why/how)

Question 17

What does Total protein & albumin test do?

Answer 17

look for long-term malabsorption, such as celiac disease

Question 18

Stool pH < 5.6

consistent with:

Answer 18

carbohydrate malabsorption

Question 19

What screens for Stool magnesium, phosphate, and sulfate ?

Answer 19

Stool laxative screen

Question 20

High Gastrin relates to:

Answer 20

ZE syndrome

Question 21

__ only shows distal portion of the colon

Answer 21

Sigmoidoscopy