GIS Flashcards

1
Q

Vomiting:

A
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2
Q

Diarrhoea

A
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3
Q

Irritable Bowel Syndrome (IBS)

A
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4
Q

constipation

A
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5
Q

PEPTIC ULCER DISEASE:

A
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6
Q

liver

A
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7
Q

jaundice and hepatitus

A
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8
Q

Alcohol Liver disease

Cholelithiasis (gallstones)

Acute Pancreatis

A
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9
Q

Upper Abdominal pain immediately after eating can be seen in patients with?

a) appendicitis
b) stomach ulcer
c) duodenum ulcer
d) acute pancreatitis
e) acute hepatitis

A

b) stomach ulcer

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10
Q

severe diarrhoea can cause ALKALOSIS. tue/false?

A

FALSE: severe diarrhoea causes ACIDOSIS

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11
Q

which of following is typical for duodenal ulcer pain?

a) pain normally in left upper quadrant
b) a “pain -food-relief” pattern
c) intense upper right quadrant pain after fatty meal
d) lower abdominal pain
e) pain immediately after eating

A

A “pain-food-relief” pattern

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12
Q

What is the first line of TM for a patient with IBS?

a) a good diet such as adequate fiber intake from the diet and avoid fat, gas producing food, alcohol caffiene
b) counseling to manage stress
c) anti- inflammatory drug
d) anti-spasmodic drug
e) anti cholinergic drug

A

counselling to manage stress

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13
Q

alcohol liver disease is due to?

a) direct cell damage by teh virus
b) indirect damage by the body’s immune responses
c) NAD is used up leading to fatty liver disease
d) increased by dietary fat

A

NAD is used up leading to fatty liver disease

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14
Q

which of following tests is used in determination of liver function in patiet w/ hepatitis?

a) blood urea nitrogen
b) creatine clearance
c) blood AST and ALT levels
d) blood serum amylyse levels

A

blood AST and ALT levels

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15
Q

helicobacter pylori infection is one of the most common risk factors for gastric ulcer disease. true or false?

A

tru3

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16
Q

excessive use of sugar-free chewing gum can lead to?

a) chronic constipation
b) duodenal bleeding
c) osmotic diarrhoea
d) IBS
a) chronic vomitting

A

osmotic diarrhoea

17
Q

hematemesis (brown vomitus) and melena (black stool) are suggestive of?

A

duodenum ulcer

18
Q

classicle pain pattern in patients with acute pancreatis?

a) severe upper left abdominal pain radiatin to back
b) upper right abdominal pain radiating to shoulder
c) lower abdominal rebounded pain
d) blunt epigastric pain appears after intake of fish and chips
e) blunt epigastric pain appears 1 hour after intake of food

A

severe upper left abdominal pain pattern in patients with acute pancreatis

19
Q

if a patient with acute pancreatis shows signs of bruise on lower back area after his admission, he is very likely to have?

a) inflammed gall bladder as well
b) inflamed liver as wll
c) internal bleeding
d) IBS
e) acute appendicitis

A

internal bleedings

20
Q

Jaundice patients with hepititis is due to?

a) increased serum ammonia
b) increased serum bilirubin
c) increase serum albumin
d) increased bile flow
e) increased bile production

A

increased serum bilirubin

21
Q

repeated vomiting can cause alkalosis. True or false?

A

true beans

22
Q

your patient complains about ongoing discomfort in her right upper abdominal area. This situation gets worse when she eats fish and chips. Which of following is most likely to be associated with this symptom?

a) duodenum ulcer
b) acute pancreatis
c) gastric ulcer
d) gall bladder disease

A

gall bladder disease

23
Q

causes vomitting

A

Blood born drug and toxins: dirty food in gut, alcohol overdose

Tibular apparatus: motion sickness

24
Q

effects of diarrhoea

A

GIT motility increases by:

Osmotic effect of luminal contents: increase water retaining subs (ex. Fat, s, DF etc)

IRRITANTS IN FOOD, inflammation, microbial growth/ toxin in bacteria

Vomitting= dehydration

Effects occur quicker and more severly in children

TM:

Fluid replacement

Diet: Starch, simple proteins

Opium like drugs

25
Q

causes of constipation

A

GIT motility decreaseà increase contact time of contents in lumen of colon à increase ABS water and ions à hard stools

Inadequate fibre intake- water retaining subs

Weakened abdominal muscles : IA, BR, P

GIT motility decreaseà increase contact time of contents in lumen of colon à increase ABS water and ions à hard stools

Inadequate fibre intake- water retaining subs

Weakened abdominal muscles : IA, BR, P

26
Q

symptom # 5 of D ulcer

A

Bleeding from DU- HEMATEMISIS, melena

27
Q

Jaundice factors

A

Prehepatic F: disorders causing excess harmolysis of RBD

Intrahepatic factor: impaird hepatocyte function in Bilirubin uptake and conjugated bilirubin

Posthepatic factor: primarily involve blockage in bile flow ( gall stones)

28
Q

Hep A 3 stages

A

PRODOMA (abrupt, insidious) = Fatigue, severe anorexia, ABDOMINAL PAIN MILD RIGHT SIDE, chills, muscle, joint pain, (N, V, D/C), poss od distaste for smoking in smokers

Jaundice: severe pruritis and liver tenderness, increase bilirubin and jaundice

CONVALESCENT: increased sense of well being, decreased jaundice etc

29
Q

cholelithiasis cholesterol

A

Cholesterol: common

RF: Obesity, Middle age, Female starvation, skipping BF, RW/L

Bile supersaturated with cholesterol forms microstones which aggregrate

30
Q

symptoms gall stones

A

Symptoms:

Accompanied by CHOLECYSTITIS: inflammation of gall bladder

Abdominal pain from inflammation

Mild irradiation to right shoulder

Subscap region

Upper back

EXAGERRATED SOON AFTER FATTY DIET

STONE LOCATED IN BILDUCT

31
Q

TM gallstone

A

TM:

History B U.sound

Antibiotics: reduce pain

Laparoscopic cholecystectomy

32
Q

Cause of Acute Pan

A

fatty food, alcohol, gallstone

33
Q

autodigestion of pancreas

A

Severe upper left abdominal pain, radiating to back

Inflammation

FNA : fever, nausea vomiting

Prod. Large volu of exudate into abdom cavity à hypovolemiaà dec. BP

Damage to other organs: lungs, kidneys heart, multiorgan failureà death

34
Q

diagnosis of Acute panc

A

LAB; elevated serum amylase and lipase

CT scan

35
Q

TM for acute pan

A

PAIN RELIEF

Antibiotics

Fasting (incl fluids) pancreas rest

IV fluids, electrolytes, colloid solutions, nutrition

36
Q
A