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DHA Exam > GIT > Flashcards

GIT Flashcards

1
Q

Ptn with cloudy urine with normal cystoscope and erythema in bladder dome

A

Diverticulitis

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2
Q

Risk of developing chrons

A

Smoking

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3
Q

Ptn with dyspepsia for weeks and can eat solid and liquid

A

Refer to GIT

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4
Q

What’s the part of intestines affected by chrons

A

Ileum

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5
Q

Ptn presented with blood per rectum m NGT was done= greenish fluid, colonoscopy is normal, how to diagnose

A

99 Tec or capsule

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6
Q

Ptn with GERD on maximum dose of PPI with no improvement, upper endoscopy is normal what’s next

A

24 ph monitoring

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7
Q

In hepatitis acute infection = Ig…. While chronic I g…..

A

Acute IgM, chronic IgG

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8
Q

How to confirm infection with HCV

A

PCR for confirmation, antibody for screening

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9
Q

Ptn presented with bilateral lower limb edema and ascites with dilated vein on abdomen ( caput Medusa ) what’s the cause

A

Liver cirrhosis

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10
Q

What causes AST to elevate

A

Alcohol, NSAIDs, acetaminophen, ACEI , ABX

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11
Q

DM ptn on metformin but sugar is not well controlled what do add?

A

Add gliptin

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12
Q

Ptn with pancreatitis and mild elevation of amylase, what’s next

A

US

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13
Q

Risk of hepatitis C after needle stick

A

3% (B30%)

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14
Q

Nurse was bitten with Hepatitis B ptn and she’s vaccinated what to give her ?

A

IG

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15
Q

Old ptn with history of liver cirrhosis and ascites came complaining of significant weight loss what to do next

A

Abdominal US

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16
Q

Ptn with early satiety+ muscle wasting + supraclavicular lymph node , what type of cancer

A

Gastric cancer

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17
Q

Ptn with CHD developed epigastric pain and increased bowel movement, what the cause?

A

Acute mesentric emboli

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18
Q

What do you expect to see on X-ray for celiac ptn

A

Wrist X-ray shows cupping and fraying of metaphysics

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19
Q

Fever + chronic diarrhea for 10 months + paraumbilical pain =

A

Chrons disease

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20
Q

Thumbprint sign is found on X-ray of …..

A

Mesentric ischemia

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21
Q

Ptn presented with multiple ulcers in esophagus and stomach what will you screen for

A

Gastrin ( ZES )

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22
Q

Osteoporosis is ass, with chrons disease and………medications

A

Prednisone long use

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23
Q

In which part of intestine are the vitamin A,K,D are absorbed

A

Jejunum

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24
Q

Ptn develops dark stool after treatment of H.pylori, which drug causes this

A

Bismuth

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25
Heavy smoker with GERD his endoscopy show high grade dysplasia of sq. Cell what’s the next step
Endoscopic mucosal resection
26
How long do you have to take PPI after endoscopy
72 hours
27
Old ptn with intestinal obstruction done sigmoidoscopy with biopsy which shows adenocarcinoma, what the next step
Colonoscopy
28
Ptn presented with Symptoms of achalasia, what’s the most effective treatment
Surgical esophageomyotomy
29
Ptn is diagnosed with MALT lymphoma and H.pylori infection, treatment?
Eradication of h.pylori
30
Ptn vomit with any flight more than 1 hour, treatment?
Scopolamine
31
How to treat old ptn with chronic hepatitis B jaundice, asymptotic with high liver enzymes
Entecavir
32
Contraindication for liver transplant
Cirrhosis with active alcohol
33
Elderly with abdominal pain, jaundice, palpable gallbladder but non tender, diagnosis
Pancreatic cancer
34
Ptn 8 days post cholecystectomy develops corner mouth pain and fever , treatment
Antibiotics
35
What’s to investigate for in ptn with multi GI ulcer disease
Fasting gastrin ( ZES )
36
PUD on 20 mg omeprazole but not improving what to do or ptn with GERD on 20mg omeprazole there’s slight improvement, no dysphasia what to do?
Increase dose to 40
37
Ptn with H.pylori on triple therapy but not improving, management
Bismuth, PPI, tetracycline, metro
38
Advice to ptn with IBS
Avoid lentils
39
Ptn with vomiting developed refractory hypokalemia despite KCl what to do
IV MG sulfate
40
Ptn diagnosed with celiac, what food to avoid?
Barley
41
Lead pipe sign on X-ray is diagnostic of…..
Ulcerative colitis
42
Colon cancer usually metastasize to….
Liver
43
Ptn with IBS on loperamide and another medication but the treatment is not helping what to do
Giver her TSA ( tricyclic antidepressant)
44
Ptn with deudenal ulcer, had endoscopic ulcer clipping surgery, what to give him after
IV PPI for 72 h then switch to oral PPI
45
Young male present with bloody diarrhea for 2 month , colonoscopy was done showing multi polyps, what the diagnosis
Familial adenomatous polyposis
46
Ptn with liver cirrhosis is having Esophageal bleeding and is about to have endoscopy , what shall we give before endoscopy
Octeriotide
47
Ptn with GERD slightly improved on PPI , his endoscopy is normal what’s next test
Ambulatory PH monitoring
48
Ptn complaining of epigastric pain, vomiting, low Vit B12, otherwise normal what shall you test?
Anti intrinsic factor
49
Ptn with jaundice, kieser fesher ring , low ceroplasmin ( Wilson ) , ( high serum copper ) what’s to give
Penicillamine
50
Ptn with history of diarrhea for two weeks, stool test show trophozites, what’s the treatment
Metronidazole
51
Ptn with abdominal fullness, with pulsatile abdominal mass, what’s the test to order
Amylase
52
At what age screening for colon cancer for average risk group starts
50 years
53
What’s the most common cancer to screen in asymptotic ptn
Colon
54
Female took 20 tablet of acetaminophen, now present with nausea and vomiting what to give her as anti dot?
N-acetylecystine
55
Most common site of chrons is
Terminal ileum ( ileucecal region )
56
Hereditary hemochromatosis in asymptotic ptn with normal liver enzymes, ferritin it 850 , what’s the management
Start therapeutic phlebotomy
57
hepatitis C type 4 management with drugs
Sofobuvir/ledipasvir
58
When to repeat the H.pylori test to check eradication after treatment
After 4 weeks
59
……. Antibiotics can cause c.difficile diarrhea
Vancomycin
60
Adult with positive urea test was given PPI, metronidazole, what else to add
Clarithromycin
61
Ptn with recurrent vomiting can get metabolic……and ……
Metabolic alkalosis, hypokalemia
62
How to follow up on ptn with H.pylori?
Urea breath test
63
What symptom make you suspect eosinophilic esophagitis?
Prolonged chewing
64
Burning chest pain for 6 months, increased with lifting heavy object, with unpleasant taste in the mouth, diagnosis
Esophagitis, GERD
65
Asymptotic ptn came for general checkup , his liver enzymes are slightly elevated, his ferritin is 490, his TIBC is high , diagnosis
Hemochromatosis
66
Extra intestinal symptoms of Crohn’s disease
Erythema nodosum
67
Ptn diagnosed with hemochromatosis, what’s the management
Regular phlebotomy every month
68
Ptn with symptoms of hemochromatosis, how to confirm diagnosis
Liver biopsy showing iron load
69
Old ptn presents with LLQ abdominal pain ass. with nausea and constripation, what’s your diagnosis
Diverticulitis
70
Ptn recently took antibiotics after that she developed redness on the legs then she took another antibiotic ( clindamycin and another antibiotic) and now she has diarrhea and abdominal pain, diagnosis
C. Difficile infection
71
History of traveling to meccah, develops watery diarrhea, what’s the organism
Giardia
72
A wife said her husband is HBV positive, what’s is the best diagnostic test to do for her?
HBs Ag
73
Ptn has pain increases with food with no other symptoms, diagnosis ?? or another Q : abdominal pain relieved by dedicating?
IBS
74
Ptn with chronic constipation, all tests are normal, treatment
Bulking agents ( psylium )
75
Cholelithiasis 12mm CBD ,management
ERCP
76
Name contraindication for liver transplant?
Cirrhosis with active alcohol
77
What’s the surgical fix for ulcerative colitis?
Proctocolectomy
78
Scenario of celiac asking about dermal symptoms
Herpitiform
79
Ptn took 40 pill of paracetamol one day ago what to do ?
Give N.acetylecystine
80
Young ptn, known addict is now in coma with RR 8, O2 saturation is 82% and low BP what’s the next step
Intubation and mechanical ventilation
81
Ptn with UC developed toxic megacolon, what to give
IV steroids
82
Treatment of adult care of intussuseption
Surgery
83
Ptn tested for hepatitis C antibodies positive and RNA negative, what to do
Re-evaluate after 6 months
84
Ptn with S&S with pancreatitis is asking what is an indication of bad condition?
HC >44
85
Young woman with dysphasia to both solid and liquid =
Achalasia
86
Ptn with hepatitis B with mass 6cm , treatment
TACE ( transarterial chemoembolization )
87
Beriberi disease is caused by deficiency of what vitamin
Vitamin B1 ( thiamine )
88
Ptn with fever and other symptoms, on rectal exam there was a boggy swelling with minimal discharge, what is it?
Inter-sphincter abscess
89
Ptn with asymptotic hemochromatosis, with high ferritin level , treatment
Related phlebotomy
90
Ptn had praham patch surgery because of gastric perforation, after that he developed esophageal bleeding , what’s next
Endoscopy
91
Ptn after prolonged ERCP , developed neck, chest, abdominal emphysema. Which part was injured?
Duodenum
92
The most accurate method to check esophageal dysfunction is…..
Esophageal manometry
93
Spontaneous bacterial peritonitis infection is treated by…
IV ceftriaxone
94
Ptn with acromegaly, what should he be screened for
Colonoscopy for Colonic polyps and colon cancer

DHA Exam (21 decks)

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