PUD Flashcards
Which of the following is the most effective treatment of a bleeding peptic ulcer?
A. Endoscopic intervention.
B. Antibiotics.
C. Antiacids.
D. PPI.
A
A 34-year old woman comes to the clinic with fresh bleeding per rectum. What’s the most common cause of her lower gastrointestinal bleeding?
A. Anal fissures.
B. IBD.
C. Hemorrhoids.
D. Angiodysplasia.
C
25-year-old male came in with epigastric burning pain, symptoms are severe 3 hours after eating, and it seems to be severe enough to keep him up at night. Pain is only relieved by food and antiacids. Patient is a smoker and denied history of NSAIDSs use, what is the best next step?
A. Endoscopy.
B. Non-invasive H.pylori investigation tests.
C. Give H2 antagonist or PPI and if symptoms don’t improve screen for H. Pylori.
D. Trial of PPI.
B
A 52 year old man visited you in the clinic because of black stools. He also has occasional abdominal discomfort and nausea but no hematemesis. Food seems to help his pain, so he eats frequently during the day and snacks at night. Consequently, the patient has gained 3 kgs during the past year. He says his diet is lacking vegetables and fruits. The patient drinks 1-2 beers every night but does not smoke. His father died of colon cancer and his mother died from a stroke. Physcial examination revealed a mild epigastric tenderness and right sided carotid bruit. Fecal occult blood is positive.
Which of the following is the most likely diagnosis?
A. Colon cancer.
B. Gastric cancer.
C. Ischemic colitis.
D. Peptic ulcer disease.
A 25 year old male came to the ER due to 3-month history of abdominal pain and diarrhea. Bowel movements occur 3-4 times a day and he has noticed blood in his stool. The patient has no fever but displays ‘low energy’. He was diagnosed with anterior uveitis 3 years ago but has no other medical problems and takes no medications. His parents and 2 siblings are alive and healthy. Vital signs are normal. Abdomen is tender and bowel sounds are hyperactive. The perianal area appears normal. Lab investigations showed anemia and elevated ESR.
Which of the following features would most favor the diagnosis of Crohn’s disease?
A. Absence of perianal abnormalities.
B. Noncaseating granulomas on biopsy.
C. Continuous inflammation on colonoscopy.
D. Inflammatory psudopolyps on colonoscopy.
B
Patient with adnominal pain relieved by eating. And he gained 4kgs. His father died from colorectal cancer and in PE he showed some tenderness in the epigastric area. The most likely diagnosis is?
A. Peptic ulcer disease.
B. Colorectal cancer.
C. Gastric cancer.
A
Case about a patient with crohn’s symptoms (fecal discharge from his skin ‘which means a fistula but wasn’t mentioned’) he underwent an appendectomy 3 months ago since had pain in the RLQ, most likely diagnosis is?
A. Crohn’s disease.
B. Ulcerative colitis.
A
Patient with abdominal pain which is relieved when he eats. Which of the following is affected in his peptic ulcer disease?
A. Duodenal.
B. Esophageal.
C. Gastric.
A
Patient with PUD. What would decrease mortality in a bleeding peptic ulcer?
Endoscopy.
65 years old lady known case of type 2 DM that is complicated with retinopathy presented to the clinic complaining of nausea, abdominal bloating and early satiety for the last several months. Over the past couple of months, she has had several episodes of nausea and hypoglycemic events after meals despite decreasing her premeal insulin dosage. Vital signs are within normal limits. On PE patient has soft abdomen with no tenderness, which of the following would be most helpful in managing her condition?
A. H. Pylori eradication therapy.
B. Megesterol acetate.
C. Ondansterone.
D. Metoclopramide.
E. Promethazine.
D
Common complication of gastric ulcer?
Hemorrhage.
H.pylori is not associated with?
A. Gastrointestinal lymphoma.
B. Gastric cancer.
C. Lymphangiectasia.
D. Peptic ulcer.
B
Female patient wants to undergo gingival procedure, she is allergic to penicillin. What is the next best step?
A. Give clindamycin.
B. Give amoxicillin.
C. Proceeds without giving medications.
A
