Intestin

Question 1

Cauze aderente

Answer 1

1. Interventii chir si laparoscopie
2. Diverticulita acuta
3. Colecistita
4. Apendicita
5. BIP
6. Endometrioza

Question 2

Cauze extrinseci de OIS

Answer 2

1. Aderente
2. Hernia
3. Met peritoneale sau carcinomatoza
4. Volvulus
5. SAMS

Question 3

SAMS caract generale

Answer 3

• ocluzie duodenala
• dupa scadere ponderala rapida
• D3 comprimat
• CT / Artreriografie RM

Question 4

Cea mai frecventa cauza de strictura benigna

Answer 4

Boala Crohn

Question 5

Stricturi maligne

Answer 5

1. Adenocc
2. GIST
3. Limfom
4. Metastaze (melanom malign)

Question 6

Cauze inraluminale de OIS

Answer 6

1. Corp strain
2. Fitobezoare
3. Calculi
4. Invaginatie

Question 7

Indicatori ai riscului de strangulare

Answer 7

1. Febra
2. Tahicardie
3. Leucocitoza
4. Sens abd loc

Question 8

Debutul tipic in OIS

Answer 8

Dureri abd colicative in reg periombilicala

Question 9

Unde apare semnul vartejului

Answer 9

1. Volvulus
2. Ocluzie cu bucla inchisa
3. Hernie interna

Question 10

Cauze majore IMA

Answer 10

1. Embolism AMS
2. Tromboza AMS
3. Tromboza VMS
4. IMNO

Question 11

Durerea clasica in IMA

Answer 11

Disproportionata la examenul fizic

Question 12

Caract princ in IMNO

Answer 12

Instabilitate hemodinamica

Question 13

Std de aur in dg IMA

Answer 13

Arteriografia mezenterica

Question 14

Semne de infarct la CT

Answer 14

1. Ingrosare perete int
2. Pneumatoza
3. Aeroportie

Question 15

Tratament de prima linie in tromboza VMS

Answer 15

Suportv - anticoagulare cu heparina iv

Question 16

Medicamente de evitat in IMNO

Answer 16

Vasopresoare - alfa adrenergice, digoxin

Question 17

Unde apar leiomioamele cel mai des

Answer 17

Jejun

Question 18

Unde sunt mai frecvente lipoamele

Answer 18

Duoden / Ileon

Question 19

Tumori care cauzeaza hemoragie oculta

Answer 19

Hemangioame - multiple
- Osler-Weber-Rendu

(Hamartoamele sunt de obicei asimp si izolate)

Question 20

Care adenoame sunt mai predispuse la transf maligna

Answer 20

Viloase

Question 21

Sindromul carcinoid - ce apare

Answer 21

1. Eritem cutanat episodic
2. Bronhospasm
3. Crampe intestinale + diaree
4. Instabilitate vasomotorie
5. Leziuni piele asemanatoare pelagra
6. Valvulopatie dreapta

Question 22

Unde se gasesc cel mai des limfoamele

Answer 22

Ileon

Question 23

Inhibitorul de tirozin-kinaza din GIST

Answer 23

Imatinib

Question 24

Cele mai frecv manif in diverticulul Meckel

Answer 24

1. Hemoragia
2. Ocluzia
3. Inflam
4. Fistula ombilicala

Question 25

Semnul Rosving

Answer 25

Durere in cadranul inf drept la palparea cadranului inf stg

Question 26

Atb in apendicectomie

Answer 26

Cefalosporina gen 2
Penicilina cu spectru larg
Fluoroquinolona + metronidazol