Peer teaching questions Flashcards

1
Q

What are the symptoms of dyspepsia?

A

Epigastric pain, bloating discomfort, nausea, burping, reflux.

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2
Q

Causes of dyspepsia?

A

Hiatus hernia, Gord, barrets oesophagus, oesophogeal or gastric cancer, peptic ulcer disease

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3
Q

How to manage undiagnosed dyspepsia?

A

1 month PPI (omeprazole)

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4
Q

How to manage endoscopically diagnosed gord?

A

2 months PPI

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5
Q

How to manage peptic ulcer due to H.pylori?

A

Triple therapy:

PPI, amoxicillin and clarithromycin.

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6
Q

Symptoms of an upper gastric bleed?

A

Haematemesis, melaena, epigastric discomfort, collapse.

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7
Q

Causes of upper GI bleeds?

A

Oesophagitis, mallory-weiss tear, cancer, variceal, peptic ulcers.

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8
Q

Whatis the scoring for upper GI bleeds?

A

Rockall score

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9
Q

How to manage variceal bleeding?

A

Terlipressin, prophylactic antibiotics, band ligation

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10
Q

What are the risk factors for gall stones?

A

Fat, female, fertile, family history, forty

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11
Q

Symptoms of biliary colic?

A

Systemically well, collicky RUQ pain, post-prandial and may be worse with fatty food.

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12
Q

Symptoms of cholecystisi

A

Systemically unwell, constant pain, nausea, cholestatic murphys sign positive

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13
Q

Treatment for cholecystitis>

A

Cholecystectomy, IV abx Tazosin, IV fluids, analgesia.

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14
Q

What is charcot’s triad in acute cholangitis>

A

Jaundice, fever, RUQ pain,

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15
Q

What are the treatments for NAFLD>

A

Lose weight, lower BP, treat DM, treat hyperlipidaemia.

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16
Q

How to treat AFLD?

A

Stop drinking, steroids,

17
Q

Which has bloody diarrhoea, crohns or UC?

A

UC

18
Q

How do you maintain remission after a flare of UC?

A

Mesalazine

19
Q

What type of drug is mesalazine?

A

Aminosalicylate

20
Q

1st line treatment for crohns?

A

Steroids (prednisalone)

21
Q

2nd line treatment for crohns?

A

mesalazine

22
Q

How to maintain remission of crohns?

A

azothioprine

23
Q

How to manage acute asthma?

A
O SHIT ME
Oxygen 
Salbutamol 
Hydrocortisone
Ipratropium 
Theophylline 
Magnesium suphate 
Escalate to anaesthetist
24
Q

How to treat COPD?

A
  1. SABA or SAMA
  2. LABA + ICS (switch SAMA to SABA)
  3. LAMA + LABA + ICS
25
Q

How to treat mild CAP?

A

Amoxcillin for 5 days

26
Q

How to treat moderate CAP?

A

Co-amoxiclav, cetriaxone

27
Q

How to treat PE in a haemodynamically stable patient?

A

DOAC (apixaban or rivaroxaban)

28
Q

How to treat PE in haemodynamically unstable patients?

A

Thrombolysis with alteplase.