Brainscape's Knowledge GenomeTM

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


See full index

NP Family > GI > Flashcards

GI Flashcards

1
Q

High triglycerides increase the risk of?

A

pancreatitis.

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

What will be elevated in a patient with Hep C? AST, ALT, or both?

A

ALT

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

1st line treatment for GERD

A

PPI

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

What does a positive Psoas maneuver indicate? (pain with straightening R leg against resistance)

A

appendicitis.

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

What is a positive Rovsing’s sign and what does it indicate?

A

push LLQ= rebound pain in RLQ. Appendicitis.

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

Next step for a pt with GERD and Barrett’s esophagus?

A

Refer to GI oncologist.

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

5 week old infant with projectile vomiting after feeding, olive-like mass is palpated.

A

Pyloric stenosis.

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

What HTN medication can contribute to GERD?

A

CCB.

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

gastrinomas (tumors) in the intestine or pancreas produce excessive amounts of gastrin which increased stomach acid producing ulcers of the stomach or duodenum. What is it and what is the treatment?

A

Zollinger- Ellison syndrome
TX: 1st line PPIs
then chemo/surgery

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

Screening for colon cancer?

A 
start age 50 (now age 45)
baseline colonoscopy (repeat every 7-10 years)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ribbon-like stool in the older adult with iron-def. anemia. What could this be?

A

Colon cancer

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

normal ALT

normal AST

A

ALT 0-40 (more specific to the liver)
think L for liver and lower number (40)
AST 0-45

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

What does the ast/alt ratio mean

A

ratio of 2.0 and higher indicates alcohol abuse

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

what is higher in hepatitis, alt or ast?

A

ALT

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

Hep A and E

A

vowel comes from the bowel
fecal-oral (contaminated food/water)
Vaccine for Hep A

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

Hep B

A

Bodily fluids (Blood, semen, saliva)
sex, mom-baby
has a vaccine
can be chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hep C

A 
Circulation (blood, semen)
IV drug abuse
refer to GI
NO vaccine
chronic- high rate for cirrhosis and cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

hep D

A

D needs B (Blood)
can’t get hep D without having hep B
prevention with hep B vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

enterobiasis infection

A

pinworms, scotch-tape test
itchy anus, especially at night
treat with oral agent

20
Q

When to refer to GI to rule out Barretts?

A

10+ years of GERD

21
Q

tx for Barretts

A

REFER for biopsy

PPI (pantoprazole) and H2 blocker (ranitidine, famotidine)

22
Q

palpate RLQ midway between umbilicus and superior iliac spine:
Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

A

McBurney’s point

23
Q

push LLQ, rebound pain in RLQ:

Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

A

Rosving’s sign

24
Q

right knee 90*, pain with flexion/rotation of hip:

Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

A

Obturator sign

25
Q

pain with straightening R leg against resistance:

Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

A

Psoa’s sign

26
Q

mild episodic epigastric pain relieved by food or antacids

A

Gastric/Peptic ulcer disease

27
Q

upper abdomen rad. to flank pain

A

pancreatitis

28
Q

LLQ pain with fever, N/V

A

diverticulitis

29
Q

RUQ or epigastric pain after eating a fatty meal

A

cholecystitis

30
Q

RLQ or periumbilical pain that is steadily getting worse

A

appendicitis

31
Q

Diarrhea with mucus

A

Crohn’s Dx

32
Q

What is Murphy’s sign and when is it (+)?

A

pain with deep palpation of RUQ during inspiration

(+) for cholecystitis

33
Q

Cullen and Grey Turner signs

A

Cullen: blue umbilicus
GreyTurner: blue flank
Emergency signs of pancreatitis

34
Q

urea breath test is (+) for?

A

H.pylori

35
Q

PPI + Pepto Bismol + metronidazole + tetracycline is treatment for????

A

H. pylori

36
Q

treatment for acute diverticulitis

A

flagyl + cipro x 10-14 days

37
Q

dietary treatment for diverticulitis

A

increase fiber (metamucil or citrucel)

38
Q

treatment for c.diff

A

PO vanco or flagyl

39
Q

serum GGT

A

indicator of etoh abuse

40
Q

two labs to diagnose pancreatitits

A

amylase and lipase

41
Q

increased weight, BP, sugar, cholesterol

A

metabolic syndrome

42
Q

aphthous stomatitis

A

canker sores

43
Q

HBsAg

A

surface antigen = current infection

44
Q

HBeAg

A

active infection, highly contagious

45
Q

AntiHBs

A

(+) antibodies= person has been exposed to Hep B and has the antibodies or they have been vaccinated

46
Q

cramping and bloody diarrhea

UC or Crohns?

A

UC

47
Q

mucus in diarrhea, and anal fissure

UC or Crohns?

A

Crohns

NP Family (19 decks)

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