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[MSN] GI-ENDO SYSTEM > [GI] DX AND LAB EXAMS > Flashcards

[GI] DX AND LAB EXAMS Flashcards

1
Q

A hormone secreted from the distal part of the stomach

A

Gastrin

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2
Q

What hormone stimulate gastric juices secretions

A

Gastrin

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3
Q

Elevated gastrin can indicate what condition

A

Zollinger-Ellison Syndrome

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4
Q

This bacteria is commonly known to cause GI disorder

A

Helicobacter pylori (H. Pylori)

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5
Q

Give 2 common GI problem caused by H. Pylori

A

Chronic Gastritis and PUD

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6
Q

This lab test evaluates digestive efficiency and integrity of stomach and intestine

A

Fecal analysis

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7
Q

What do we check in gross exam of stool

A

color,consistency and odor

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8
Q

A type of fecal analysis to determine GI bleeding

A

FOBT (Fecal Occult Blood test)

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9
Q

What to avoid prior to FOBT

A

Red meat, Liver, Aspirin, NSAIDs, turnips, horseradish

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10
Q

How many hours prior to FOBT test should we avoid contraindicated foods

A

48-72 hrs

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11
Q

What vitamin can cause false negative FOBT result

A

C

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12
Q

A type of fecal analysis to detect intestinal infections caused by parasites and their eggs

A

Ova and parasites

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13
Q

Ova and parasites analysis needs how many stool specimen

A

3 stool specimen to be evaluated

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14
Q

This fecal analysis determines the cause and presence of high fat content in the stool and confirms steatorrhea diagnosis

A

Fecal fat

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15
Q

Under preparation of fecal fat test a normal fat diet of ____ mg per day is given for ____ days before test

A

100, 3 days

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16
Q

Fecal fat needs how many stool specimen in a non waxy container and refrigerated when stored

A

3

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17
Q

This fecal analysis is used to isolate the microorganism that caused clinical infection

A

Stool culture

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18
Q

In stool culture how many hours does it took to grow microorganism

A

24-36 hrs

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19
Q

In stool culture specimen should be sent no more than ___ minutes and is obtained ___ antibiotic therapy

A

30 , prior/before

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20
Q

A test to assess malabsorption

A

D-xylose absorption test

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21
Q

A monosaccharide that is absorbed in the ________ intestine to assess malabsorption

A

D-xylose, small

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22
Q

In D-xylose test NPO of how many hrs is needed

A

10-12

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23
Q

D-xylose level is assessed through ________ and _______ after 2 hrs/5hrs

A

Blood and urine sample

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24
Q

A test to measure HCI acid secretion and pepsin in the stomach

A

Gastric analysis

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25
Q

In gastric analysis avoid these three meds for 3 days:

A

Cholinergics, H2 blocker and antacids

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26
Q

This can be done to check for malignancy during gastric analysis

A

Exfoliative cytology

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27
Q

Normal level of serum amylase and serum lipase

A

0-130 U/L and 0-160 U/L

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28
Q

This serum is secreted in the pancreas and is used to diagnose acute pancreatitis

A

Serum lipase

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29
Q

In liver function test this serum is measured to check liver’s ability to conjugate and excrete bilirubin

A

Serum bilirubin

30
Q

In Serum bilirubin test NPO of 4 hrs or post midnight is implemented except for what type of drink

A

Water

31
Q

If a neonate will undergo serum bilirubin test do they need to fast prior to test?

A

No

32
Q

In chronic liber disease A/G ratio is altered which one is increased

A

Dec albumin - Inc globulin

33
Q

Normal serum ammonia level

A

30-70 mcg/dl

34
Q

Increased ammonia indicates?

A

Severe hepatocellular damage

35
Q

Alkaline phosphatase normal value is

A

30-120 U/L

36
Q

Increased serum enzyme this indicates obstruction in biliary tract

A

Alkaline phosphatase

37
Q

Normal level of AST

A

7-40 U/L

38
Q

Increased Level of AST indicates

A

Liver damage or inflammation

39
Q

ALT normal level which can indicate liver damage and inflammation if increased

A

5-36 U/L

40
Q

This enzyme if not within (0-30 U/L) indicates hepatitis and alcoholic liver disease and is considered more senstivr for liver dysfunction than ALP

A

y-glutamyltranspeptidase

41
Q

Serum cholesterol if increased more than 200 mg/dl indicates what two condition

A

Biliary obstruction and pancreatitis

42
Q

Serum cholesterol if decrease indicates what two condition

A

Liver disease and malnutrition

43
Q

This test shows the size and configuration of organs esp in the abdomen

A

Abdominal UTZ

44
Q

Abdominal UTZ in best used to detect what 3 common problem

A

Gallstone, Appendicitis, cholecystitis

45
Q

Test used to evaluted liver, biliary tract, gall bladder and pancreatic disorders

A

CT scan

46
Q

1.Can CT scan distinguish cyst and tumor 2.Differentiate obstructive from non-obstructive jaundice

A

Yes and Yes

47
Q

CT scan for abdomen requires - hrs of NPO

A

8-12

48
Q

Test used to detect hepatic metastasis and source of gi bleeding and stage of colorectal cancer as it can produce cross sectional image of organ and must follow NPO for 6-8 hrs

A

MRI

49
Q

This upper gi test is used to diagnose steuctural abnormalities of the esophagus, stomach and duodenum

A

Ba-Swallow / Barium Swallow

50
Q

What is administered to expel Barium after Ba- Swallow test aside from inc fluid intake

A

Laxative

51
Q

In Ba test stool becomes white and returns to normal after ___ hrs

A

72

52
Q

A direct visualisation of GI system by means of a light flexible tube

A

Endoscopy

53
Q

EGD is hsed to visualize mucosalnlinig of esophagus, stomach and duodenum which means what

A

Esophagogastroduodenoscopy

54
Q

Post endoscopy NPO is implemented until this reflex return aside from temp monitoring q30

A

Gag

55
Q

Visualisation of lining of the large intestine using a fiber optic endoscope

A

Colonscopy

56
Q

Used to visualize small intestine and diagnose chrons, celiac and source of gi bleeding

A

Capsule endoscopy

57
Q

Npo for capsule endoscopy is how many hrs after swallowing the capsule

A

6

58
Q

Test to visualize rectum and sigmoid

A

Sigmoidoscopy

59
Q

Position used for sigmoidoscopy

A

Knee-chest

60
Q

Cl for how many days for colonoscopy

A

2 days

61
Q

ERCP means

A

Endoscopic Retrograde Cholagiopancreatography

62
Q

ERCP is used to evaluate patency of ____ and ______ and to observe structures, stones and cysts and tumor

A

Pancreas and common bile duct

63
Q

Sedation in ERCP is done when

A

Before and after the test

64
Q

Test used to visualize peritoneal cavity and its content with laparoscope using general anaesthesia

A

Laparoscopy or peritoneoscopy

65
Q

A test that uses radioisotopes to detect functional disorder or structural defects

A

Nuclear imaging scans

66
Q

A biopsy that removes small piece of liver

A

Liver biopsy

67
Q

Liver damage can be assess true biopsy

A

True,yes

68
Q

After liver biopsy patient must lie on the right side for how many hrs

A

2

69
Q

Used to extract fluid accumulation in the peritoneal cavity due to ascites or for culture

A

Paracentesis

70
Q

This is infused for 24 hrs in post paracentesis

A

Albumin infusion

[MSN] GI-ENDO SYSTEM (7 decks)

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