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Summative > GI/ GU > Flashcards

GI/ GU Flashcards

1
Q

Inner most layer in ulcerative colitis?

A

submucosa

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2
Q

Overusing opiates causes?

A

obstipation seen

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3
Q

Cl - transporter protein in cell membrane is?

A

Chronic pancreatitis

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4
Q

What has a similar appearance to achalasia?

A

esophageal adenocarcinoma

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5
Q

Left flank pain w/ ecchymosis w/ gallstones tx?

A

symptomatic management

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6
Q

What is seen w/ achalasia?

A

megaesophagus

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7
Q

Perform mon met before ph test in what?

A

gerd

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8
Q

Epigastric pain w/ icreased lipase seen in what?

A

acute pancreatitis

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9
Q

Blood stools seen what is the next step?

A

Colonoscopy w/ biopsy

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10
Q

Diverticular disease is?

A

Pianful or painless rectal bleeding

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11
Q

Meckels diverticulitis dx by?

A

T-99 cm

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12
Q

Increased colon cancer in what?

A

ulcerative colitis

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13
Q

acute diverticulitis dx?

A

Ct abd and pelvis

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14
Q

Intusseption presents w/?

A

bloody stools and mucus

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15
Q

45 y/o w/ kidney stones needs?

A

normal saline bolus

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16
Q

67 y/o w/ worsening incontinece and leaks urine tx?

A

mirabegron

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17
Q

Mirabegron inhibits what?

A

detrusor muscle

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18
Q

57 y/o w/ ED tx?

A

Finasteride

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19
Q

HMG-COA monitor what?

A

LDL

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20
Q

Rapid ventricular rate control med?

A

dilitizem

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21
Q

50 y/o male w/ acute cystitis tx?

A

cipro

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22
Q

What is a medication that can cause ED?

A

Dutasteride

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23
Q

PDE5I med that is less effective in fatty meals?

A

sildenafil

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24
Q

which of the following has the longest mechanism of acition?
a. alprost.
b. sildenafil
c. tadalafil
d. vardenafil
e. avanadil

A

Tidafil/ cialis

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25
Q

23yoF w/ hx of hyperlipemia and hypertension for which she is taking atorvastatin and lisinopril presents today for her well visit without complaints. vitals are stable. nitrate (-), luekesterase 2+, 4 WBCs, urine culture is positive for 100,000 e.coli. what is the next step?

A

PT education and reassurance

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26
Q

what is an absolute contraindication for testosterone replacement therapy?

A

PSA > 4

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27
Q

Decreased LH and FSH next step?

A

MRI of the brain

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28
Q

cardioselective beta blocker?

A

metoprolol

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29
Q

premature ejaculation tx?

A

paroxetine

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30
Q

Nuceliec acid amplification test is for what?

A

Chlamydia

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31
Q

Germinal tumor is seen in what?

A

cryptorchidism

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32
Q

Smoking + bladder infection is?

A

bladder cancer

33
Q

Side effect of dicyclomine (anticholinergic) is?

A

blurred vision

34
Q

Mu receptor agonist?

A

loperamide

35
Q

Epigastric pain for 30 mins after eating 1x a week (GERD) tx?

A

famotidine

36
Q

47 y/o w/ alcoholic cirrhosis febrile, fluid wave tx?

A

ceftriaxone

37
Q

67 y/o w/ chronic knee pain and abdominal pain, melanic stool epigastric tender (nsaid ulcer) tx?

A

PPI

38
Q

63 y/o ER pt 2x day hx of N/V, abd pain, tachy, fever, LLQ pain diverticulitis tx?

A

ceftriaxone + metro IV

39
Q

H pylori eardication dx?

A

urea breath test

40
Q

Tx indicated for motion sickness?

A

Dimenhydrinate

41
Q

medication that causes QTc prolongation?

A

Dolasetron

42
Q

Medication safe in pregnancy?

A

Famotidine

43
Q

44 y/o w/ + US for stones + RUQ pain next step?

A

surgery referral

44
Q

Long term ppi risk

A

intestinal infection

45
Q

25 y/o w/ blood in stool and pain w/ defecation dull, 5 mm lesion tx?

A

sitz bath

46
Q

anal fissure location?

A

posterior midline

47
Q

40 y/o w/ 4 month hx of constipation what is the initial therapy?

A

methylcellulose

48
Q

Crohns characteristic?

A

cobblestone mucosa

49
Q

Best inital therapy for vomiting induced stimulation of GI center?

A

aprepitant

50
Q

45 y/o F w/ abdominal pan, non smoking included in atiemtic tx?

A

scolopolamine

51
Q

9 y/o ER by mom w/ abd pain, tenderness what is the dx?tx?

A

ruptured appendix -> pip-tazo

52
Q

Etiology of acute appendicitis?

A

obstruction

53
Q

Who is most at risk for lactose intolerance?

A

20 y/o asian or white female

54
Q

6 y/o w/ 24 hrs vomiting and diarrhea tx?

A

parental education and rest

55
Q

Salmonella enteri who requries tx?

A

20 y/o w/ lymphoma

56
Q

Enteron E coli monitor what?

A

creatinine

57
Q

Risk of fall is greater in geriatric pts on what med?

A

amtriptyline

58
Q

Dys alb in preterm neonates causes drug tox of what to decrease?

A

protein binding

59
Q

contraindicated in pregnancy?

A

losartan

60
Q

med propery increased drug concentreation in breast milk is?

A

unionized @ serum pH

61
Q

Vaccine w/ reduced efficacy w/ chronic immunoglobulin therapy is?

A

varicella

62
Q

Vaccine w/ immune response similar to natural immunity is?

A

rotavirus

63
Q

43 y/o w/ 5 day hx of rectal pain in the perianal area of induration tx?

A

I and D

64
Q

52 y/o M hx of HTN, BPH, and depression w/ enlearging breasts. Most common cause?

A

Finasteride

65
Q

What is the most appropriate emperic tx for 50 y/o M w/ acute cystitis?

A

cipro

66
Q

67yoF w/ worsening incontinence x 3months, complaining of urgency. but denies leaking with sneezing or coughing. patient has tried behavioral interventions, pelvic floor and void schedling, all without success. what is the most appropriate treatment?

A

mirabegron

67
Q

65yoM w/ history of BPH. presents with pain w/ urination, bloody urine, chills, fever, and muscle ache. V/S: 102.4F, elevated BP 134/80. there is suprapubic pain and a warm, firm, tender prostate. what is the most appropriate tx?

A

levofloxacin

68
Q

what is the most appropriate tx in a female w/ uncomplicated cystitis?

A

nitofurantoin x5days

69
Q

for first-rate control strategy in a patient with atrial fibrillation and rapid ventricular response, what is the recommended treatment?

A

diltiazem

70
Q

the adverse drug reactions of oxybutynin are best reduced by?

A

use of transdermal patches

71
Q

what is an absolute contraindication for testosterone replacement therapy?

A

PSA > 4

72
Q

23yoF w/ hx of hyperlipemia and hypertension for which she is taking atorvastatin and lisinopril presents today for her well visit without complaints. vitals are stable. nitrate (-), luekesterase 2+, 4 WBCs, urine culture is positive for 100,000 e.coli. what is the next step?

A

patient education and reassurance

73
Q

which PDE5 inhibitor is least effective when taken w/ a fatty meal?

A

sildenafil (NOT varenafil)

74
Q

which medication causes erectile dysfunction?

A

dutasteride

75
Q

70yo presents with abdominal pain and constipation. V/S: 98.6F temp, 87/min pulse, 20/min RR, 134/78 BP, 99% O2. Labs reveals no leukocytosis. Hb 12.3. what is the most likely diagnosis?

A

small bowel obstruction

76
Q

33yoF presents with abdominal pain and jaundice 1day after recent laparoscopic cholecystectomy. V/S: 101F temp, 113/min pulse, 20/min RR, 171/91 BP, 99% O2 on RA. what is the most likely diagnosis?

A

acute ascending cholangitis

77
Q

which of the following is a pre-renal cause of acute renal failure (ARF)?

A

sepsis

78
Q

30yo G1P0 female presents at 18wks gestation experiencing postcoital pelvic pain and vaginal bleeding. pelvic exam reveals scant blood and a close cervical os. fetal US reveals a FHR of 147bpm. what is the most likely diagnosis?

A

threatened abortion

79
Q
A

Summative (14 decks)

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