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Step 3 > OME - Day 15 > Flashcards

OME - Day 15 Flashcards

1
Q

PUD etiology, Curling ulcer

A

Burnt Patient

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2
Q

PUD tx

A
  • Stop smoking, ETOH, NSAIDs

- Give PPI

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3
Q

Cancer in H. Pylori

A

MALToma

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4
Q

H. Pylori Triple therapy

A
  • Clarithromycin
  • Amoxicillin (MTZ if allergic)
  • PPI
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5
Q

H. Pylori dx

A
  • Serology
  • Urea breath test
  • Stool Ag
  • EGD with biopsy
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6
Q

Best initial test for H. Pylori

A

Urea breath test

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7
Q

Gastroparesis Pt

A
  • Chronic nausea vomiting
  • Abdominal pain with eating
  • Peripheral neuropathy (diabetes, effects distal before proximal)
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8
Q

Gastroparesis dx

A
  • EGD to r/o other diseases

- Emptying study

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9
Q

Gastroparesis tx

A
  • No opiates or anticholinergics
  • Small meals
  • Good glucose control
  • Prokinetics
    • Metoclopramide long term
    • Erythromycin for flares
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10
Q

Cyclical vomiting syndrome etiology

A

Habitual marijuana

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11
Q

Document H. Pylori with:

A

Stool studies

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12
Q

Gastrin level 700, next best step

A

Secretin stimulation test, looking for gastrin increase

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13
Q

Gnawing epigastric pain that radiates to the back, and changes with food. Diagnosis

A

Peptic Ulcer Disease

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14
Q

How do you diagnose H. Pylori (best test)?

A

EGD with biopsy

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15
Q

How do you diagnose peptic ulcer disease?

A

EGD with biopsy

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16
Q

How do you localize a gastrinoma?

A

Somatostatin Receptor Scintillography

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17
Q

Multiple shallow gastric ulcers, you’re thinking?

A

NSAID’s (px with chronic arthritis)

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18
Q

Multiple refractory ulcers, H. Pylori negative. Diagnosis?

A

Gastrinoma (Zollinger-Ellison)

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19
Q

Options for a patient that needs NSAID’s but has ulcers.

A

Add misoprostol (cardiac risk) and then switch to celecoxib (no cardiac risk)

20
Q

Prophylaxis for a stress ulcer for a patient in the ICU on the ventilator.

A

PPI

21
Q

Diagnosis for Japanese man with early satiety and weight loss.

A

Gastric cancer

22
Q

MALToma treatment

A

Treat H. Pylori

23
Q

Supraclavicular lymph node gastric association

A

Gastric cancer (Virchow’s node)

24
Q

AIDS and diarrhea, diagnosis?

A

Cryptosporidium

25
Q

Bloody diarrhea after uncooked hamburgers, diagnosis?

A

E. Coli O157:H7

26
Q

Bloody diarrhea and renal failure in a child, diagnosis?

A

TTP/HUS and Shiga-like toxin

27
Q

Diarrhea after a picnic, diagnosis?

A

Staph Aureus

28
Q

Diarrhea after ABX use, diagnosis?

A

C. Diff

29
Q

Diarrhea and camping, diagnosis?

A

Campylobacter

30
Q

Diarrhea from Chinese food buffet line, diagnosis?

A

Bacillus Cereus

31
Q

Diarrhea travel to Mexico or Caribbean, diagnosis?

A

Traveler’s diarrhea (E. Coli enterotoxic)

32
Q

Poultry, eggs and diarrhea, diagnosis?

A

Salmonella

33
Q

Most common cause of diarrhea with no risk factors

A

Viral gastroenteritis

34
Q

Treatment for refractory C. Diff

A

Fidaxomycin

35
Q

Treatment for regular C. Diff

A

Oral Metronidazole

36
Q

Treatment for severe C. Diff

A

Oral Vancomycin + IV Metronidazole

37
Q

25 year old man with watery diarrhea, weight loss and fistulas, diagnosis?

A

Crohn’s disease

38
Q

Flushing, wheezing, diarrhea, and right sided cardiac fibrosis, diagnosis?

A

Carcinoid tumor

39
Q

Foul smelling, difficult to flush diarrhea that slows down at night, diagnosis?

A

Osmotic diarrhea

40
Q

How do you diagnose a carcinoid tumor?

A

5-HIAA in the urine

41
Q

How do you localize a carcinoid tumor?

A

Somatostatin receptor scintillography

42
Q

If you suspect lactase deficiency, what should you do?

A

Eliminate dairy (not breath test)

43
Q

To confirm lactase deficiency, what would you do?

A

Lactose breath hydrogen test

44
Q

Watery diarrhea with no change in frequency with sleeping or NPO, diagnosis?

A

Secretory diarrhea

45
Q

RBC and WBC in diarrhea that lasts over 8 weeks, diagnosis?

A

Inflammatory diarrhea, get a colonoscopy

Step 3 (26 decks)

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