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Gastrointestinal
Pance Board Review
39
Other
Graduate
02/23/2011

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Cards

Term
Antineutrophil cytoplasmic antibodies (ANCA) are indicative of what?
Definition
Ulcerative colitis
Term
Anti-Saccharomyces cerevisiae antibodies (ASCA) are indicative of what?
Definition
Crohn's dz
Term
Ethanol is a tx for what?
Definition
For metabolic acidosis due to methanol ingestion
Term
Describe Billroth I:
Definition
the pylorus is removed and the distal stomach is anastomosed directly to the duodenum
Term
Describe Billroth II:
Definition
he lower part of the stomach (antrum) is removed and a loop of small bowel (jejunum) is brought up and joined to it in a (side-to-side manner) for drainage (gastrojejunostomy)
Term
Prophylaxis medication for traveler's diarrhea?
Definition
Cipro or Bactrim
Term
Tx for IBS:
Definition
High fiber diet, bulking agents, and/or antispasmotics or antidepressants
Term
Describe Crigler-Najjar syndrome:
Definition
a very rare inherited disorder in which Unconjugated bilirubin cannot be broken down by the liver. Usually presents w/ symptoms at birth.
Term
Describe Gilbert's syndrome:
Definition
is the most common hereditary cause of increased unconjugated bilirubin. Condition is usually mild & asymptomatic.
Term
Stage I & II hemorrhoids are tx:
Definition
With a high fiber diet & increased fluid intake. (Stage III & IV may qualify for surgery such as sclerotherapy)
Term
Octreotide & Somatostatin are used for what 2 conditions?
Definition
They both inhibit growth hormone, so they are used to treat acromegaly. And used as a vasoactive drug for bleeding from esophageal varices.
Term
Incubation period for Staph aureus (when will N/V/D start?)
Definition
4-6hrs
Term
An infant triples its birth weight at?
Definition
1 year of age
Term
An infant doubles its birth weight at?
Definition
4-5 months of age
Term
An infant returns to birth weight by?
Definition
2 weeks of age
Term
What should be the initial diagnostic study for progressive dysphagia?
Definition
Endoscopy (for biopsy purposes)
Term
Tx for hepatic encephalopathy?
Definition
Lactulose
Term
Elevated Ceruloplasmin is indicative of what dz?
Definition
Wilson's dz (due to disordered copper metabolism)
Term
Anti-mitochondrial antibodies (results are positive in about 95% of what dz?)
Definition
primary biliary cirrhosis
Term
a tremor of the wrist when the wrist is in dorsiflexion, sometimes said to resemble a bird flapping its wings?
Definition
Asterixis (indicative of hepatic encephalopathy)
Term
Tx for Wilson's dz?
Definition
Penicillamine
Term
Describe Hemochromatosis:
Definition
a disorder that results in too much iron being absorbed from the GI tract. the extra iron builds up in the body tissues, particularly the liver, resulting in liver swelling & "bronzing" pigmentation of the skin.W
Term
Tx for Hemochromatosis:
Definition
Phlebotomy
Term
Tx for C. Diff?
Definition
Metronidazole
Term
Courvoisier's sign:
Definition
an enlarged non-tender gallbladder accompanied with jaundice (significant for pancreatic cancer)
Term
Charcot's triad:
Definition
RUQ pain, jaundice, & fever
Term
Tx for acute cholangitis:
Definition
Antibiotics & ECRP
Term
The CEA lab test is used to monitor?
Definition
Colon cancer
Term
The Alpha-feto protein lab test is used to monitor?
Definition
Liver cancer
Term
What is the definitive test for diagnosing celiac dz?
Definition
Small bowel biopsy
Term
The Schilling test is:
Definition
used for pt's with vitamin B12 deficiency. The purpose of the test is to determine if the patient has pernicious anemia.
Term
What food-borne agent causes watery diarrhea about 8-14 hours after ingestion?
Definition
Clostridium perfringens
Term
The most common presenting symptom of primary biliary cirrhosis? & tx:
Definition
Pruritis; tx:
Term
What condition is associated w/ the rash dermatitis herpetiformis?
Definition
Celiac Sprue
Term
1st line Tx for constipation predominant irritable bowel syndrome?
Definition
osmotic laxatives
Term
What is the most sensitive text for visualizing chronic pancreatitis?
Definition
ERCP
Term
What enzyme is generally elevated in alcohol abuse?
Definition
GGTP
Term
Imaging study of choice for suspected appendicitis?
Definition
CT
Term
Meconium should be passed w/i what time period after birth?
Definition
24-48hrs
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