GI Treatments

Question 1

candidal esophagitits

Answer 1

flucanazole! systemic.

Question 2

CMV Esophagitis

Answer 2

Ganciclovir

Question 3

HSV Esophagitis

Answer 3

Acyclovir

Question 4

Eosinophilic esophagitits

Answer 4

Try to find the allergy, then do topical steroids via inhaler.

Question 5

Antibiotic prophylactic treatment for esophageal varices bleed

Answer 5

Do IV fluoroquinlolone

Question 6

reduce portal blood pressure in patients with eso. varices bleed

Answer 6

somatostatin and octreotide

Question 7

preventing rebleeding of varices

Answer 7

propanolol + ligation

Question 8

botulin toxin can provide temporary relief to

Answer 8

achalasia, 6-9 mo

Question 9

H pylori triple therapy

Answer 9

clarithromycin + amoxicillin + PPI “CAP”

Question 10

treat Hepatitis C Virus

Answer 10

peginterferon 6-24 weeks decreases risk of chronic. Maybe wait 3 mo bc it can clear on its own. Can also do ribavirin + peginterferon

Question 11

cirrhosis–encephalopathy

Answer 11

protein restriction, lactulose, rifaximin for killing ammonia producing bacteria

Question 12

treat ascites

Answer 12

salt restriction, diuretics (spirolactone), paracentisis

Question 13

acute cholecystitis

Answer 13

NPO, iv pain med, 2nd gen cephalo like cefoperazone, laproscopic surgery