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GI Wk 2 Flashcards

1
Q

HbsAg+
Anti-Hbc+
IgM anti-Hbc negative

A

Chronic HBV Infection

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2
Q

HbsAg+
Anti-Hbc+
IgM anti-Hbc +

A

Acutely infected

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3
Q

HbsAg -
Anti-Hbc +
Anti-Hbs +

A

Immune due to infection

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4
Q

Just Anti-Hbs +

A

Immune due to vaccine

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5
Q

How long does it take for HbsAg to show up after transmission?

A

About 4 weeks on average

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6
Q

In a patient without an acute infection, when should they test HbsAg negative?

A

Around 14 weeks

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7
Q

PPI’s cause which 2 SE’s

A

HA and Nausea

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8
Q

Promethazine

A

Phenergan

Phenothiazine class

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9
Q

pANCA antibodies =

A

Ulcerative Colitis

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10
Q

Which infammatory bowel dz is transmural?

A

Crohns

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11
Q

NOT smoking makes which IBD worse?

A

Ulcerative colitis

Smoking makes crohns worse.

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12
Q

Charcots Triad

A

Of Acute Cholangitis
RUQ pain
Jaundice
Fever and chills

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13
Q

Which IBD had cobblestoning

A

Crohns

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14
Q

String sign =

A

Crohns

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15
Q

Murphys sign =

A

Acute Cholecystitis

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16
Q

Why should porcelain GB be removed?

A

GB Adenocarcinoma

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17
Q

AMA antibody =

A

PBC (Primary BIliary Cirrhosis)

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18
Q

ANCA Antibody =

A

Primary Sclerosing Cholangitis

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19
Q

Drugs to tx Ulcerative Colitis

A

Sulfasalazine
Mesalazine
Steroids

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20
Q

Skip lesions =

A

Crohns

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21
Q

Which IBD is more likely to have bloody diarrhea?

A

Ulcerative Colitis

22
Q

ASCA Test =

A

Crohns

23
Q

IBS is a dx of?

A

Exclusion

24
Q

IBS abd pain is relieved by?

A

defacation

25
Q

Cholecystitis is usually caused by?

A

Gallstones

26
Q

HIDA Scan

A

Cholescintography

Checks out biliary tree

27
Q

If GB doesnt fill in HIDA scan, whats the dz?

A

Obstructive, acute cholelithiases

28
Q

Abx for acute cholecystitis?

A

Cipro and Flagyl

29
Q

Why should porcelain GB be removed?

A

Risk for GB Adenocarcinoma

30
Q

What is inflammation of the bile duct system called?

A

Cholangitis

31
Q

Primary sclerosing cholangitis is associated with?

A

Ulcerative colitis

80% crossover

32
Q

Definitive tx for primary sclerosing cholangitis?

A

Transplant

33
Q

Main 2 symptoms of Primary BIliary Cirrhosis

A

Fatigue and Pruritis
Also Portal HTN
Hyperpigmentation

34
Q

UDCA is used to tx?

A

PBC`

35
Q

Gilberts shows elevation in which liver lab?

A

Unconjugated BIli (Indirect .Bili)

36
Q

Bronzing, diabetes and cirrhosis =

A

Hemochromatosis

37
Q

Excess of copper in early life =

A

Wilsons dz

Liver dz and neuropsych

38
Q

Keiser-Fleicher rings =

A

Wilsons dz

39
Q

What is the AST:ALT ratio in alcoholic hepatitis?

A

Greater than 2

40
Q

Chronic HBV Tx

A

Interferon

41
Q

Which hep causes HCC?

A

HCV

42
Q

HCV Tx

A

Peginterferon

43
Q

Waterborne RNA Virus

A

HEV

44
Q

Encephelopathy Tx

A

Lower Ammonia Levels with …
Lactulose
Enemas

45
Q

HDV is associated with?

A

HBV

46
Q

85% of all GI bleeds are?

A

Upper

PUD Most common, then varices, gastritis

47
Q

Most common site for LGI Hemorrhage?

A

Colon

Usually diverticulosis

48
Q

Which component in gluten causes celiacs?

A

Gliadin

49
Q

IgA Antibodies to Endomysium

A

Pathognomonic for Celiacs Dz

50
Q

Dermititis Herpitiformis

A

Associated with Celiacs

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