First Aid Step 2: Gi

Front 1

A pt presents w/ sudden onset of severe, diffuse ab pain. Exam reveals peritoneal signs, and AXR shows free air under the diaphragm. Mgt?

Back 1

Emergent exploratory lap to repair perforated viscus.

Front 2

The most likely cause of acute lower GI bleed in pts over 40 years of age

Back 2

Diverticulosis

Front 3

Diagnostic modality used when US is equivocal for cholecystitis

Back 3

HIDA scan

Front 4

Risk factors for cholelithiasis

Back 4

Fate, female, forty, fertile, and flatulent

Front 5

Inspiratory arrest during palaption of RUQ

Back 5

Murphy's sign for acute cholecystitis

Front 6

Most common cause of SBO in a pt w/ no history of ab surg.

Back 6

Hernia (specifically indirect inguinal hernia)

Front 7

Most common cause of SBO in a pt w/ prior hx of ab surg.

Back 7

Adhesions

Front 8

Organism causing diarrhea: most common cause

Back 8

Campylobacter

Front 9

Organism causing diarrhea: Recent ABX use

Back 9

C. diff

Front 10

Organism causing diarrhea: Camping hx

Back 10

Giardia

Front 11

Organism causing diarrhea: Traveler's diarrhea

Back 11

ETEC

Front 12

Organism causing diarrhea: Church picnic/mayonaise

Back 12

S. aureus

Front 13

Organism causing diarrhea: undercooked hamburgers

Back 13

E. coli 0157:H7

Front 14

Organism causing diarrhea: fried rice

Back 14

Bacillus cereus

Front 15

Organism causing diarrhea: Pultry/eggs

Back 15

Salmonella

Front 16

Organism causing diarrhea: raw seafood

Back 16

Vibrio or HAV

Front 17

Organism causing diarrhea: AIDS

Back 17

Isospora, Crptosporidium, MAC

Front 18

Organism causing diarrhea: pseudoappendicitis

Back 18

Yersinia

Front 19

A 25 year old jewish man w/ pain and watery diarrhea after meals. Exam shows fistulas b.w bowel and skin and nodular lesions on his tibias.

Back 19

Chron's disease

Front 20

Inflammatory disease of colon w/ increased risk of colon cancer

Back 20

Ulcerative colitis

Front 21

Extraintestinal manifestations of IBD

Back 21

Uveitis, anhlyosing spongdylitis, pyoderma gangrenosum, erythema nodosum, primary sclerosing cholangitis

Front 22

Medical treatment for IBD

Back 22

5-ASA agents and steroids during acute exacberations

Front 23

Difference b/w Mallory-Weiss tears and Boerhaave tears

Back 23

Mallory-Weiss: superficial tear in the esophageal mucosa.
Boerhaave: full thickness esophageal rupture

Front 24

Charcot's Triad and whats it indicative of

Back 24

Ascending cholangitis: RUQ pain, jaundice and fever/chills.

Front 25

Reynolds pentad and what its indicative of

Back 25

Ascending cholangitis: Charcots triad (RUQ pain, jaundice, F/C) + shock and AMS changes

Front 26

Medical therapy for hepatic encephalopathy

Back 26

Decrease protein intake, give lactulose and rifaximin

Front 27

First step in mgt of a pt w/ acute GI bleed

Back 27

Establish ABC's

Front 28

A 4 yr old presents w/ oliguria, petechiae, and jaundice following an illness w/ bloody diarrhea. Most likeyl dx and cause?

Back 28

HUS secondary to E.coli 0157:H7

Front 29

Post-HBV exposure treatment.

Back 29

HBV immunoglobulin

Front 30

Classic causes of drug-induced hepatitis

Back 30

TB meds(INH, rifampin, pyrazinamide), tylenol, and tetracycline.

Front 31

A 40 yr old obese woman w/ elevated alk phos, elevated bili, pruritus, dark urine, and clay colored stools has what?

Back 31

Biliary obstruction

Front 32

Hernia w/ highest risk of incarceration?

Back 32

Femoral

Front 33

A 50 yr old man w/ hx of alcoholism presents w/ boring epigastric pain that radiates to the back and is relieved by sitting forward? and mgt?

Back 33

Pancreatitis. Tx: NPO, IVF, O2, analgesia, and "Tincture of time"