GIT Flashcards

1
Q

gallstones from hemolysis

A

pigmented gallstones

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2
Q

pourcentage of gallstones radio opaque

A

only 10-15 %

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3
Q

definition of diarrhea(2)

A

> 200 g de feces per day

change in stool consistency

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4
Q

most common etiology of infectious diarrhea

A

Campylobacter

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5
Q

what you will often find in in patient with IBS

A

psychiatric disturbances

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6
Q

the leading cause of SBO in adults

A

adhesions

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7
Q

the leading cause of SBO in kids

A

hernia

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8
Q

element which slows GI motility(3)

A

anticholinergics
opiods
hypokaliemia

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9
Q

most common cause of lower GI bleeding in people > 40 ans

A

diverticular disease

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10
Q

risk factors for diverticulosis(5)

A

low fiber diet
high fat diet
conective tissue disease
advanced age

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11
Q

connective tissue disease and diverticulosis(2)

A

marfan

ehler danlos

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12
Q

first cause of lobwer bowel occlusion

A

colon cancer

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13
Q

anemia in ederly microcytic

A

cancer du colon a eliminer

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14
Q

asthma and gerd

A

gerd can mimic asthma

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15
Q

drugs to avoid in patinet with GERD(6)

A
Caffeine
alcohol
garlic
onions
mints 
nicotine
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16
Q

type of gastritis chronic(2)

A

A

B

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17
Q

type A chronic gastritis(3)

A

occurs in fondus
10%
autoantibodies against parietal cells

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18
Q

risk in type A chronic gastritis

A

gastric adenocarcinoma

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19
Q

type B chronic gastritis where

A

occurs in the antrum

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20
Q

cause of chronic gastritis

A

NSAID

H pylori infection

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21
Q

risk of chronic gastritis B(2)

A

PUD

gastric cancer

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22
Q

leading cause of lower GI bleeding

A

upper GI bleeding

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23
Q

complication of PUD(4)

A

HEMORRAGE
OBSTRUCTION
PERFORATION
INTRACTABLE PAIN

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24
Q

SECOND MOST COMMON CAUSE OF LOWER GI BLEEDING

A

diverticulosis

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25
Q

cause of indirect hernia

A

congenital patent processus vaginalis

26
Q

most common hernia in both genders

A

indirect hernia

27
Q

definition of indirect hernia

A

herniation of abdominal content through the internal and then external rings and eventually the scrotum

28
Q

definition of direct hernia

A

herniation of abdominal content through the floor of hesselback triangle

29
Q

quid of hesselback triangle(3)

A

area bounded by the
inguinal ligament
inferior epigastric artery
rectus abdominus

30
Q

site of involvement of UC

A

rectum is always involved

31
Q

rx of UC(2)

A

mesalamine=
5-ASA
sulfasalamine

32
Q

SAAG > 1,1(3)

A

chronic liver disease
massive hepatic metastasis
CHF

33
Q

SAAG < 1,1(3)

A

NEPHROTIC SYNDROME
TB
MALIGNANCY

34
Q

MALIGNANCY IN SAAG< 1,1

A

ovarian cancer

35
Q

quid of wilson’s disease

A

hepatolenticular degeneration

36
Q

wilson diseaseAB5CD

A
asterixis
basal ganglia degeneration
low ceruloplasmin
cirrhosis
copper high
carcinoma hepatocelullar
choreiform mvts
dementia
37
Q

xray in acute pancreatitis(2)

A

sentinel loop

colon cut off sign

38
Q

ranson criteria on admission(5)

A
GA LAW
glucose > 200 md/dl
Age>55 years
LDH> 350
AST>250
WBC> 16000
39
Q

ranson criteria 48 h after admission CHOBBS

A
ca < 8.0\
hematocrit decreased by > 10 %
o2 pao2 < 60 mm de hg
Base excess>4 meg/l
BUN increases> 5 mg/dl
seequestred fluid> 6 l
40
Q

painless progressive jaundice

A

ca du pancreas

41
Q

SCC of esophagus causes(4)

A

alchohol
tobocco
radiation
stasis

42
Q

meaning of ALP

A

bile duct obstruction

43
Q

meaning of cholestasis

A

GGT

44
Q

meaning of AST/ALT

A

DAMAGE TO HEPATIC CELLS

45
Q

DUKE A COLoN CARCINOMA

A

Limited to mucosa

46
Q

DUKE B colon carcinoma

A

extends to serosa

47
Q

Duke C COLON CARCINOMA

A

EXTENDS TO REGIONAL LYMPH NODE

48
Q

Duke D colon carcinoma

A

distant metastasis

49
Q

5 year survival for Duke A

A

> 90 %

50
Q

5 year survival for Duke B

A

50-90%

51
Q

5 year survival for Duke C

A

20-50%

52
Q

5 year survival for Duke D

A

< 5%

53
Q

Widened medistinum in GIT

A

rule out achalasia

54
Q

risk factor for pellagra

A

corn based diets

55
Q

zone with corn based diet(3)

A

india
africa
china

56
Q

other rsik factor for pellagra(3)

A

alcoholics
carcinoid syndrome
hartnup disease

57
Q

when can you have post cholecystectomy pain

A

years to month afetr cholecystectomy

58
Q

dysphagia induced by motility problem next step?(2)

A

baryum esophagram

manometry

59
Q

fievre plus ascites

A

SBP a eliminer

60
Q

RX OF CHRON

A

SULFASALAMINE

61
Q

TYPE b GASTRITIS POURCENTAGE

A

90 %