GIT Flashcards
Dietary fat is absorbed readily in?
Jejenum
Drug absorbed through aqueous diffusion?
Digoxin
Resection of ileum and some part of jejunum cause 10 - 20 bowel movements per day is?
Osmotic plus secretory diarrhea
Pt with gastric ulcer, presents with complaints of joint pain, drug safe for her is?
Celecoxib
A pt with history of peptic ulcer disease comes with lower molar pain, analgesia of choice would be?
Acetaminophen
Aspirin shouldn’t be given in?
Peptic ulcer
A pt with CLD suffered hematemesis, vessel involved is?
Left gastric vein
Pain from duodenal ulcer and peptic ulcer is carried by?
Greater splanchnic nerve
A perforating ulcer in posterior wall of stomach most probably leaks into which causing peritonitis to develop initially?
Lesser sac
Anterior duodenal perforation will cause the contents to move into?
right posterior subphrenic space
Gastrin secretion is not affected by?
Alcohol
Which hormone inhibit the action of gastric acid secretion?
Secretin
Insulin secretion is increased due to which?
Secretin
What increases pancreatic secretion and releases Ca2+ from sarcoplasm?
CCK
Gastric mucosal regneration =?
vagotomy
Enzyme secreted by small bowel is?
Enterokinase
Chief pancreatic enzyme that is responsible for protein digestion is?
Trypsin
Gastric acid secretion is mediated by which receptor
H2 receptor
Opening of lower oesophageal sphincter mediated by?
VIP
Pancreatic somatostatin inhibits?
Glucagon and Insulin
Most potent inhibitor of insulin is?
somatostatin
Drug that does not act via receptor in the body?
Aluminium hydroxide
Progressive dysphagia only to solid food is characteristic of what?
Esophageal carcinoma
A pt with Hb 6, blood picture show target cells, and microcytic hypo chromic anaemia, fever and dysphagia, diagnosis?
Iron deficiency anemia
A lady with dysphagia, complain not able to type on keyboard but no other joint problems, she also has wrinkles all over her face developed due to aging, cause?
CREST syndrome
Characteristic feature of the squamocolumnar junction 2cm above LES is?
Barret esophagus
What is the mechanism of dysphagia?
Decreased peristalasis
The gut brain stimulation for myenteric plexus through which hormone?
Acetylcholine
If food bolus gets stuck in the middle third of esophagus during swallowing, by which mechanism will it be pushed down to the stomach?
Secondary peristalasis caused by myenteric plexus
Dysphagia to liquids only is due to?
Neuromuscular incoordination
Secondary peristalsis of esophagus is due to?
Distension of esophagus
A 48yrs old man had a brain stem stroke following a vertebral artery dissection due to sports - related injury. Pt developed dysphagia, which structure is involved?
Nucleus Ambigus
Serous cells have their nuclei?
pushed to the base
The component of salivary secretion containing numerous oligosaccharide component which serve as attachment sites for microorganism is?
Mucin
Most common hemodynamic change after CLD is?
decreased Albumin
Removal of some carbohydrates bound to serum protein result in?
rapid uptake and destruction by liver