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General Surgery > Malabsorption > Flashcards

Malabsorption Flashcards

1
Q

What is cobalamin

A

Vitamin B12

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2
Q

What causes pernicious anaemia

A

Deficiency of intrinsic factor - needed to absorb vitamin B12

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3
Q

The fat soluble vitamins

A

ADEK

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4
Q

Deficiency in this causes acrodermatitis enteropathica

A

Zinc

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5
Q

Treatment of tropical sprue

A

Tetracycline and folic acid

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6
Q

Diarrhoea, steatorrhoea, weight loss, nausea, anorexia, anaemia

A

Tropical sprue

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7
Q

Weight loss, diarrhoea, steatorrhoea, abdominal distension, arthritis, fever, nutritional deficiency symptoms

A

Whipple’s disease

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8
Q

Treatment of giardia

A

Metronidazole for 1 week

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9
Q

How to diagnose giardia?

A

Examine stool for ova and parasites

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10
Q

Markers of small bowl bacterial overgrowth

A

Low cobalamin and high folate levels

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11
Q

Treatment for small bowel bacterial overgrowth

A

Surgical correction and tetracyclines for 2-3 weeks

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12
Q

Which deficiencies cause easy bruising?

A

Vitamin C and K

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13
Q

Subepithelial IgA deposition

A

Dermatitis herpetiformis

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14
Q

Which deficiencies cause glossitis and angular stomatitis?

A

B vitamins and iron

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15
Q

What causes spooning of nails

A

iron

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16
Q

Which medication would you use to maintain magnesium

A

Alpha hydroxycholecalciferol

17
Q

What does octreotide do?

A

Mimics somatostatin

18
Q

What is short bowel syndrome?

A

When the bowel is <200cm

19
Q

Indication for home parenteral nutrition

A

When the small bowel is less then 50cm

20
Q

How long can a peripherally inserted catheter be left in for?

A

14 days

21
Q

Complications of inserting a central line for parenteral nutirition

A

Penumothorax
Arterial puncture
Misplacement

22
Q

Treatment for short bowel syndrome?

A

Teduglatide (glucagon-like 2 peptide)

23
Q

222 rule of Meckel’s diverticulum

A

2 feet from the IC valve, in 2% of the population, presents before 2 years of age

24
Q

Scoring system you can use for appendicitis

A

Alvarado/MANTRELS

General Surgery (25 decks)

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