GIB

Question 1

benefits of PPI in PUD?

Answer 1

reduce rebleeding, need for surgery, and death

Question 2

why is IR not grat for UGI bleed?

Answer 2

lots of collaterals

Question 3

when is IR a good option for UGI bleeding>?

Answer 3

if in the biliary tree

Question 4

best initial test for ulcer perforation?

Answer 4

erect CXR

Question 5

most accurate test for perforated ulcer?

Answer 5

CT scan

Question 6

spurting vessel rebleed?

Answer 6

90%

Question 7

oozing vessel rebleed?

Answer 7

60%

Question 8

non bleeding visible vessel rebleed?

Answer 8

50%

Question 9

adherent clot rebleed?

Answer 9

30%

Question 10

Patient with cirrhosis and UGIB, abx choice?

Answer 10

fluoroquinolone or cephalosporin

Question 11

best indications for endoclip therapy?

Answer 11

post polypectomy, duilefoix in conjunction with epi

Question 12

abx used in variceal bleed?

Answer 12

rocephin, levofloxacin, unasyn

Question 13

reason for abx in variceal bleed?

Answer 13

decreases likelihood of rebleed and usually underlying infection

Question 14

3 things that reduce mortality in a variceal bleed?

Answer 14

EGD with banding, TIPS, antibiotics

Question 15

PUD or DUD bleeding not controlled with endoscopic interventions then go to what?

Answer 15

TAE of the gastroduodenal artery

Question 16

if rebleed after initial TAE do what next?

Answer 16

repeat TAE before going to surgery

Question 17

active bleeding ulcer tx?

Answer 17

thermal coagulation