Mental Health/GI

Question 1

Geriatric Screening - 5 items

Answer 1

Are you basically satisfied with your life?
Do you often get bored?
Do you feel helpless?
Stay home rather than going out?
Feel pretty worthless?
2 or more yes is positive

Question 2

Labs for depression

Answer 2

CBC. lytes, glucose, BUN, creat, lives, TSH, b12, folate

Question 3

Major depression

Answer 3

5 or more of the following symptoms present most of the day nearly every day for 2 consecutive weeks. At least one symptom must be depressed mood or loss of interest or pleasure.

Question 4

SIG: E CAPS

Answer 4

Sleep issues
Interest
Guilt
ENergy
Concentration Difficulties
Appetite
Psychomotor agitation or irritation
Suicidality

Question 5

Examples of SSRIs

Answer 5

citalopram, escitalopram
Fluoxetine
Paroxetine
Sertaline
Fluvoxamine

Question 6

Side effects TCAs

Answer 6

Can’t see
Can’t pee
Can’t spit
Can’t defecate

Question 7

TIme frame for taking antidepressants

Answer 7

6-9 months

Question 8

RUQ conditions

Answer 8

cholecystitis, right lower lobe pneumonia, acute hepatitis

Question 9

RLQ conditions

Answer 9

appendicitis, ectopic pregnancy, ovarian cyst, diverticulitis, endometriosis, ureteral calculi

Question 10

LLQ conditions

Answer 10

diverticulitis, RLQ diseases

Question 11

LUQ conditions

Answer 11

gastritis, pancreatitis, MI, left lower lobe pneumonia

Question 12

Murphy’s sign

Answer 12

cholecystitis

Question 13

Psoas sign/Obturator test

Answer 13

appendicitis test

Question 14

Rome III croteria - IBS

Answer 14

Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with 2 or more of the following:
Relief with defecation
Onset associated with a change in frequency of stool
Onset associated with change in form or appearance of stool

Question 15

Sx inconsistent with IBS

Answer 15

rectal bleeding, nocturnal or progressive abd pain, weight loss, anemia, elevated inflammatory markers, lyte disturbances

Question 16

If HCV test result is negative:

Answer 16

Anti HCV not needed, no infection

Question 17

If HCV test is positive and RIBA is negative:

Answer 17

no HCV infection, no further action needed

Question 18

If HCV test is positive, RIBA is positive:

Answer 18

No need for HV RNA test, past/current infection, evaluate for chronic infection and liver enzymes