GI - 6 Diarrhea pt 3

Question 1

What is Whipple’s disease?

Answer 1

a bacterial disease that can cause malabsorption

Question 2

2 imaging tests that are Sensitive for the diagnosis of chronic pancreatitis and pancreatic cancer

Answer 2

Abdominal CT and endoscopic ultrasonography

Question 3

What is Useful in patients with bile salt-induced diarrhea secondary to intestinal resection or ileal disease?

Answer 3

Cholestyramine

Question 4

Fats are broken down by ____ to monoglycerides and fatty acids that form micelles with bile salts

Answer 4

pancreatic lipase

Question 5

Proteins are hydrolyzed by ___ to di- and tripeptides and amino acids

Answer 5

pancreatic proteases

Question 6

Name 4 fat soluble vitamins. What can happen?

Answer 6

A,D,E,K. If malabsorbed, causes bleeding, osteoporosis, and hypocalcemia

Question 7

Insufficient intraluminal concentrations of pancreatic enzymes or bile salts

Answer 7

Impaired intraluminal digestion

Question 8

What is Impaired intraluminal digestion?

Answer 8

Insufficient intraluminal concentrations of pancreatic enzymes or bile salts

Question 9

large, greasy, foul-smelling stools are signs of what diarrhea disease?

Answer 9

Steatorrhea

Question 10

Wt loss, gaseous distention and flatulence, Steatorrhea are symptoms of

Answer 10

Pancreatic insufficiency (causing impaired digestion)

Question 11

Malabsorption of specific nutrients may occur as a result of deficiency in an isolated brush border enzyme. What Phase? What enzyme deficiency is caused by this?

Answer 11

Mucosal phase. Lactase deficiency

Question 12

What phase? Obstruction of the lymphatic system results in impaired absorption of chylomicrons and lipoproteins
Steatorrhea and significant enteric protein losses or “protein-losing enteropathy”

Answer 12

Absorptive phase

Question 13

Permanent dietary disorder caused by an immunologic response to __

Answer 13

gluten

Question 14

Celiac disease is 100X more present in whom?

Answer 14

Whites of North Europe ancestry

Question 15

“Classic” symptoms of malabsorption (of celiac disease) includes:

Answer 15

including diarrhea, steatorrhea, weight loss, abdominal distention, weakness, muscle wasting, or growth retardation

Question 16

Physical examination
May be normal in mild cases
May reveal signs of malabsorption

Answer 16

Celiac disease

Question 17

Cutaneous variant of celiac disease
Characteristic skin rash consisting of pruritic papulovesicles over the extensor surfaces of the extremities and over the trunk, scalp, and neck

Answer 17

Dermatitis herpetiformis

Question 18

Limited proximal involvement anemia involves what problems?

Answer 18

Iron deficiency

Question 19

More extensive anemia involves

Answer 19

Vit B deficiency

Question 20

prothrombin time tests for:

Answer 20

Fat soluble vitamin absorption

Question 21

Which patients get tests for celiac disease?

Answer 21

Anyone whom there is a suspicion of celiac disease