Ipapburke Gastro Test 1- Day 3

Front 1

RARE MULTISYSTEMIC ILLNESS CAUSED BY INFECTION WITH THE BACILLUS TROPHERYMA WHIPPELLI

Back 1

WHIPPLE'S DISEASE

Front 2

WHIPPLE'S DISEASE

Back 2

ILLNESS CAUSED BY THE INFECTION WITH THE BACILLUS TROPHERYMA WHIPELLI

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SIGNS OF WHIPPLE'S

Back 3

WEIGHT LOSS IN NEARLY ALL PATIENTS, ARTHRALGIAS, LOW GRADE FEVER, LYMPHADENOPATHY, MYOCARDIAL AND VALVULAR INVOLVEMENT--OCULAR SYPTOMS B/C OF VIT A DEF

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WHIPPLE'S MOST COMMON IN WHAT POPULATION

Back 4

WHITE MEN IN 4TH TO 6TH DECADE

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HOW DO YOU DIAGNOSE WHIPPLE'S?

Back 5

HISTOLOGIC EVALUATION OF THE INVOLVED TISSUES; ENDOSCOPIC BIOPSY OF THE DUODENUM

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CONSIDER WHIPPLE'S IN PATIENT'S WITH WHAT?

Back 6

MALABSORPTION

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IF WHIPPLE'S IS LEFT UNTREATED (NORMALLY TREATED WITH ABX 2X PER DAY FOR ONE YEAR), WHAT IS THE RESULT?

Back 7

IF UNTREATED, DISEASE IS FATAL; MAY HAVE PERMANENT NEUROLOGICAL DAMAGE

Front 8

WHAT DOES BACTERIAL OVERGROWTH CAUSE IN THE SMALL INTESTINE?

Back 8

DIRECT DAMAGE TO THE BOWEL MUCOSA CAUSING MALABSORPTION

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HOW DOES BACTERIAL OVERGROWTH CAUSE MALABSORPTION?

Back 9

BACTERIAL OVERGROWTH CAUSES DAMAGE TO THE BOWEL MUCOSA WHICH RESULTS IN AN INABILITY TO ABSORB

Front 10

CONSIDER BACTERIAL OVERGROWTH IN ANYONE WITH WHAT SYMPTOMS?

Back 10

DIARRHEA, STEATORRHEA, WEIGHT LOSS, OR MACROCYTIC ANEMIA

Front 11

LABS AND STUDIES FOR BACTERIAL OVERGROWTH

Back 11

STOOL COLLECTION; SMALL BOWEL BARIUM RADIOGRAPHY OR CT ENTEROGRAPHY TO LOOK FOR MECHANICAL ISSUES; BREATH TEST; CULTURE OF JEJUNAL SECRETIONS (NOT ALWAYS AVAILABLE)

Front 12

TREATMENT FOR BACTERIAL OVERGROWTH

Back 12

CIPRO, AUGMETIN, SEPTRA AND FLAGIL COMBINATION; TREAT DEFECT, NOT JUST THE SYMPTOMS

Front 13

THIS IS A MALABSORPTION CONDITION SECONDARY TO A REMOVAL OF SIGNIFICANT AMOUNT OF S.I.

Back 13

SHORT BOWEL SYNDROME

Front 14

SIGNS OF SHORT BOWEL SYNDROME

Back 14

WEIGHT LOSS AND DIARRHEA

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IN A RESECTION OF THE DUODENUM RESULTING IN MALABSORPTION, WHAT NUTRIENTS WOULD YOU TEST FOR TO DIAGNOSE?

Back 15

FOLATE, CA, MAG, AND IRON

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RESECTION OF THE TERMINAL ILEUM MAY CAUSE MALABSORPTION OF WHAT?

Back 16

BILE SALTS AND B12; TREAT WITH MONTHLY B12

Front 17

RESECTION OF GREATER LENGTHS OF THE SMALL BOWEL SHOULD BE TREATED WITH WHAT SUPPLEMENTS?

Back 17

VITAMIN SUPPLEMENT, LOW FAT DIET, CALCIUM

Front 18

MOST COMMON CAUSES OF SHORT BOWEL SYNDROME

Back 18

CROHN'S DISEASE, MESENTERIC INFARCTION, TUMOR RESECTION, TRAUMA, RADIATION ENTERITIS

Front 19

PREVALENCE OF LACTOSE INTOLERANCE

Back 19

GREATER IN NATIVE AMERICANS, ASIAN AMERICANS

Front 20

MALABSORBED LACTOSE IS FERMENTED BY THE INTESTINAL BACTERIA. WHAT DOES THIS CAUSE?

Back 20

GAS AND ORGANIC ACIDS; INCREASED STOOL OSMOTIC LOAD AND RESULTANT FLUID LOSS

Front 21

SYMPTOMS OF LACTOSE INTOLERANCE

Back 21

GREAT VARIANCE BETWEEN PATIENTS; MOST CAN DRINK 1-2 GLASSES OF MILK W/O ISSUE; BLOATING, ABDOMINAL CRAMPS, FLATULENCE

Front 22

MOST WIDELY AVAILABLE TEST FOR DIAGNOSIS OF LACTOSE DEFICIENCY

Back 22

HYDROGEN BREATH TEST

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WHAT IS A POSITIVE HYDROGEN BREATH TEST?

Back 23

AFTER INGESTION OF 50 G OF LACTOSE, A RISE IN BREATH HYDROGEN OF GREATER THAN 20 PPM WITHIN 90 MINUTES IS A POSITIVE TEST

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INITIAL TX OF LACTOSE INTOLERANCE

Back 24

LACTOSE FREE DIET---SEE IF SYMPTOMS RESOLVE

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WHAT IS LACTASE?

Back 25

A BRUSH BORDER ENZYME THAT HYDROLYZES LACTOSE INTO GLUCOSE AND GALACTOSE

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ETIOLOGY FOR ACUTE PARALYTIC ILEUS

Back 26

IN HOSPITALIZED PATIENTS AFTER SURGERY; SEVERE MEDICAL ILLNESS SUCH AS PNEUMONIA, INTUBATION SEPSIS, SEVERE INFECTIONS; MEDS THAT AFFECT INTESTINAL MOTILITY

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THIS IS NEUROGENIC FAILURE OR LOSS OF PERISTALSIS IN THE INTESTINE WITHOUT MECHANICAL OBSTRUCTION

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ACUTE PARALYTIC ILEUS

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LAB FINDINGS FOR ACUTE PARALYTIC ILEUS

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ABNORMALITIES ARE ATTRIBUTABLE TO AN UNDERLYING CONDITION; DO TONS OF LABS AND TREAT WHATEVER IS FOUND; CAN DO XRAYS AND CT IF NEEDED

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SYMPTOMS AND SIGNS OF ACUTE PARALYTIC ILEUS

Back 29

MILD DIFFUSE CONTINUOUS ABDOMINAL DISCOMFORT; NAUSEA AND VOMITING, ABDOMINAL DISTENTION, DIMINISHED OR NO BOWEL SOUNDS

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ON A PLAIN RADIOGRAPH, WHAT WILL YOU SEE IN ACUTE PARALYTIC ILEUS?

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X RAY WILL LOOK PRETTY NORMAL; WILL BE HARD TO TELL IF IT IS ACUTE PARALYTIC ILEUS OR A PARTIAL SMALL BOWEL OBSTRUCTION

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TREATMENT OF ACUTE PARALYTIC ILEUS

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TREAT THE PRIMARY MEDICAL OR SURGICAL CAUSE; RESTRICT ORAL INTAKE UNTIL BOWEL RETURNS TO NORMAL

Front 32

RARE DISORDER THAT INVOLVES MASSIVE DILATION OF THE CECUM OR RIGHT COLON THAT OCCURS IN POST SURGICAL OR IN PATIENTS WITH SEVERE MEDICAL ILLNESS

Back 32

ACUTE COLONIC PSEUDO-OBSTRUCTION (OGILVE'S SYNDROME)

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SIGNS AND SYMPTOMS OF CHRONIC INTESTINAL PSEUDOOBSTRUCTION AND GASTROPARESIS

Back 33

V/D, ABDOMINAL DISTENTION, ABDOMINAL PAIN IS UNCOMMON; DILATION OF AFFECTED GI TRACT, RULE OUT OBSTRUCTION W/ ENDOSCOPY

Front 34

WHAT WILL RADIOGRAPH IN CHRONIC INTESTINAL PSEUDO-OBSTRUCTION AND GASTROPARESIS?

Back 34

DILATION OF THE AFFECTED GI TRACT; R/O OBSTRUCTION WITH BARIUM OR ENDOSCOPY

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CAUSES OF CHRONIC INTESTINAL PSEUDOOBSTRUCTION AND GASTROPARESIS

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ENDOCRINE (DM, HYPOTHYROID), POST SURGICAL, NEUROLOGIC (MS, MD, PARKINSON'S), RHEUMATOLOGIC, INFECTIOUS (CHAGA'S), ANOREXIA, PARANEOPLASTIC SYNDROMES

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TREATMENT FOR CHRONIC INTESTINAL PSEUDOOBSTRUCTION AND GASTROPARESIS

Back 36

SMALL FREQUENT MEALS; METOCLOPRAMIDE (REGLAN)- INCREASES MUSCLE CONTRACTIONS IN THE UPPER GI TRACT

Front 37

SMALL INTESTINAL LYMPHOMAS ARE MOST COMMON WHERE?

Back 37

IN THE DISTAL SMALL INTESTINE

Front 38

MOST COMMON TYPE OF SMALL INTESTINAL LYMPHOMA

Back 38

NON-HODGKIN'S B CELL LYMPHOMAS

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SIGNS AND SYMPTOMS OF SMALL INTESTINAL LYMPHOMA

Back 39

ABDOMINAL PAIN, WEIGHT LOSS, N AND V, DISTENTION, ANEMIA, OCCULT BLOOD IN STOOL, FEVERS ARE UNUSUAL

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DIAGNOSIS OF SMALL INTESTINAL LYMPHOMA

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BARIUM RADIOGRAPHY, ENDOSCOPIC BIOPSY

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TREATMENT OF SMALL INTESTINAL LYMPHOMA

Back 41

DEPENDS ON STAGE, SURGICAL RESECTION WHEN POSSIBLE, SURGICAL DEBULKING IN ADVANCED CASES (SURGICAL REMOVAL OF PART OF THE TUMOR THAT CANNOT BE REMOVED TO ALLOW RADIATION TO POSSIBLY BE MORE EFFECTIVE); CHEMO W/ OR W/O RADIATION

Front 42

MOST COMMON NEUROENDOCRINE TUMOR

Back 42

CARCINOID TUMOR---MOST OFTEN OCCUR IN THE SMALL INTESTINE

Front 43

WHAT IS THE BEST INDICATOR OF PROGNOSIS FOR CARCINOID TUMORS?

Back 43

INVASIVE GROWTH OR DISTANT METASTASIS

Front 44

TREATMENT OF CARCINOID TUMORS?

Back 44

LOCAL EXCISION IF CONFINED TO THE SMALL INTESTINE (85% CURE RATE--MOST ARE LESS THAN 2 CM IN SIZE); PALLIATIVE TX FOR LATE DISEASE

Front 45

WHAT ARE SARCOMAS?

Back 45

MALIGNANT STROMAL TUMORS THAT MAY BECOME OBSTRUCTIVE IN THE SMALL INTESTINE, CAUSE INTUSSUSCEPTION (INVAGINATION OF PART OF THE SMALL INTESTINE INTO ANOTHER PART OF THE SMALL INTESTINE); OR BLEEDING IN WHICH SURGICAL EXCISION IS THE TREATMENT

Front 46

MOST COMMON ABDOMINAL SURGICAL EMERGENCY

Back 46

APPENDICITIS

Front 47

WHAT CAUSES OBSTRUCTION OF THE APPENDIX?

Back 47

FECALITH, INFLAMMATION, FOREIGN BODY, NEOPLASM

Front 48

IF APPENDICITIS IS UNTREATED WITHIN 36 HOURS, WHAT IS THE RESULT?

Back 48

GANGRENE AND PERFORATION DEVELOP

Front 49

SYMPTOMS OF APPENDICITIS

Back 49

N AND V, VAGUE PERIUMBILICAL PAIN, LOCALIZED RLQ PAIN, FEELING OF CONSTIPATION, LOW GRADE FEVER, REBOUND TENDERNESS, PSOAS SIGN, OBTURATOR SIGN

Front 50

LABS TO DO WITH APPENDICITIS

Back 50

CBC- LEUKOCYTOSIS; URINALYSIS- HEMATURIA OR PYURIA IN 25%; CT PREFERRED

Front 51

TREATMENT FOR APPENDICITIS

Back 51

APPENDECTOMY; IV ANTIBIOTICS

Front 52

TREATMENT OF CARCINOID TUMORS?

Back 52

LOCAL EXCISION IF CONFINED TO THE SMALL INTESTINE (85% CURE RATE--MOST ARE LESS THAN 2 CM IN SIZE); PALLIATIVE TX FOR LATE DISEASE

Front 53

WHAT ARE SARCOMAS?

Back 53

MALIGNANT STROMAL TUMORS THAT MAY BECOME OBSTRUCTIVE IN THE SMALL INTESTINE, CASUE INTUSSUSCEPTION (INVAGINATION OF PART OF THE SMALL INTESTINE INTO ANOTHER PART OF THE SMALL INTESTINE); OR BLEEDING IN WHICH SURGICAL EXCISION IS THE TREATMENT

Front 54

MOST COMMON ABDOMINAL SURGICAL EMERGENCY

Back 54

APPENDICITIS

Front 55

WHAT CAUSES OBSTRUCTION OF THE APPENDIX?

Back 55

FECALITH, INFLAMMATION, FOREIGN BODY, NEOPLASM

Front 56

IF APPENDICITIS IS UNTREATED WITHIN 36 HOURS, WHAT IS THE RESULT?

Back 56

GANGRENE AND PERFORATION DEVELOP

Front 57

SYMPTOMS OF APPENDICITIS

Back 57

N AND V, VAGUE PERIUMBILICAL PAIN, LOCALIZED RLQ PAIN, FEELING OF CONSTIPATION, LOW GRADE FEVER, REBOUND TENDERNESS, PSOAS SIGN, OBTURATOR SIGN

Front 58

LABS TO DO WITH APPENDICITIS

Back 58

CBC- LEUKOCYTOSIS; URINALYSIS- HEMATURIA OR PYURIA IN 25%; CT PREFERRED

Front 59

TREATMENT FOR APPENDICITIS

Back 59

APPENDECTOMY; IV ANTIBIOTICS

Front 60

WHEN WOULD YOU USE A NG TUBE WITH A GASTRIC BLEED?

Back 60

SHOULD BE PLACED IN ALL PATIENTS WITH SUSPECTED ACTIVE UPPER GI SOURCES OF BLEEDING (RED BLOOD/COFFEE GROUNDS- UPPER GI BLEED)

Front 61

WHEN DO YOU NOT USE AN NG TUBE IN THE PRESENCE OF UPPER A GASTRIC BLEED?

Back 61

WHEN THERE IS ESOPHAGEAL INJURY THAT IS SUICIDAL/ACCIDENTAL, SEVERE BURNING, CHEST PAIN, GAGGING, DYSPHAGIA, DROOLING WITH WHEEZING OR STRIDOR OR W/ ASPIRATION

Front 62

TREATMENT FOR IBS

Back 62

REASSURE, EDUCATION, DIET THERAPY- STAY AWAY FROM INTOLERANCES, INCREASE FIBER, DECREASE LACTOSE; MEDS ARE RESERVED FOR PATIENTS WITH SEVERE TREATMENT THAT DO NOT RESPOND TO CONSERVATIVE MEASURES

Front 63

ANTISPASMODIC MED USED FOR IBS

Back 63

BENTYL

Front 64

ANTICHOLINERGIC USED FOR POSTPRANDIAL ABDOMINAL PAIN GIVEN BEFORE MEALS IN IBS PATIENTS

Back 64

LOPERAMIDE AND LOMOTIL

Front 65

WHAT ARE PSYCHOTROPIC MEDS USED FOR IBS?

Back 65

TRICYCLICS FOR DIARRHEA DOMINANT PATIENTS; SSRI'S

Front 66

HOW MUCH FLUID WILL BE PRESENT IN ASCITES BEFORE YOU CAN SEE IT?

Back 66

1500 ML

Front 67

PATHOLOGICAL ACCUMULATION OF FLUID IN THE PERITONEAL CAVITY

Back 67

ASCITES

Front 68

CAUSES WITH A NORMAL PERITONEUM OF ASCITES

Back 68

PORTAL HYPERTENSION IN GREATER THAN 80%--HEPATIC CONGESTION, LIVER DISEASE, PORTAL VEIN OCCLUSION

Front 69

CAUSES OF ASCITES WHEN THE PERITONEUM IS DISEASED

Back 69

INFECTIOUS, MALIGNANCY, INFLAMMATORY DISORDER

Front 70

WHEN WOULD YOU USE A NG TUBE WITH A GASTRIC BLEED?

Back 70

SHOULD BE PLACED IN ALL PATIENTS WITH SUSPECTED ACTIVE UPPER GI SOURCES OF BLEEDING (RED BLOOD/COFFEE GROUNDS- UPPER GI BLEED)

Front 71

WHEN DO YOU NOT USE AN NG TUBE IN THE PRESENCE OF UPPER A GASTRIC BLEED?

Back 71

WHEN THERE IS ESOPHAGEAL INJURY THAT IS SUICIDAL/ACCIDENTAL, SEVERE BURNING, CHEST PAIN, GAGGING, DYSPHAGIA W/ DROOLING WITH WHEEZING OR STRIDOR OR W/ ASPIRATION

Front 72

TREATMENT FOR IBS

Back 72

REASSURE, EDUCATION, DIET THERAPY- STAY AWAY FROM INTOLERANCES, INCREASE FIBER, DECREASE LACTOSE; MEDS ARE RESERVED FOR PATIENTS WITH SEVERE TREATMENT THAT DO NOT RESPOND TO CONSERVATIVE MEASURES

Front 73

ANTISPASMODIC MED USED FOR IBS

Back 73

BENTYL

Front 74

ANTICHOLINERGIC USED FOR POSTPRANDIAL ABDOMINAL PAIN GIVEN BEFORE MEALS IN IBS PATIENTS

Back 74

LOPERAMIDE AND LOMOTIL

Front 75

WHAT ARE PSYCHOTROPIC MEDS USED FOR IBS?

Back 75

TRICYCLICS FOR DIARRHEA DOMINANT PATIENTS; SSRI'S

Front 76

HOW MUCH FLUID WILL BE PRESENT IN ASCITES BEFORE YOU CAN SEE IT?

Back 76

1500 ML

Front 77

PATHOLOGICAL ACCUMULATION OF FLUID IN THE PERITONEAL CAVITY

Back 77

ASCITES

Front 78

CASUES WITH A NORMAL PERITONEUM OF ASCITES

Back 78

PORTAL HYPERTENSION IN GREATER THAN 80%--HEPATIC CONGESTION, LIVER DISEASE, PORTAL VEIN OCCLUSION

Front 79

CAUSES OF ASCITES WHEN THE PERITONEUM IS DISEASED

Back 79

INFECTIOUS, MALIGNANCY, INFLAMMATORY DISORDER

Front 80

TREATMENT OF CARCINOID TUMORS?

Back 80

LOCAL EXCISION IF CONFINED TO THE SMALL INTESTINE (85% CURE RATE--MOST ARE LESS THAN 2 CM IN SIZE); PALLIATIVE TX FOR LATE DISEASE

Front 81

WHAT ARE SARCOMAS?

Back 81

MALIGNANT STROMAL TUMORS THAT MAY BECOME OBSTRUCTIVE IN THE SMALL INTESTINE, CAUSE INTUSSUSCEPTION (INVAGINATION OF PART OF THE SMALL INTESTINE INTO ANOTHER PART OF THE SMALL INTESTINE); OR BLEEDING IN WHICH SURGICAL EXCISION IS THE TREATMENT

Front 82

MOST COMMON ABDOMINAL SURGICAL EMERGENCY

Back 82

APPENDICITIS

Front 83

WHAT CAUSES OBSTRUCTION OF THE APPENDIX?

Back 83

FECALITH (FECAL STONE), INFLAMMATION, FOREIGN BODY, NEOPLASM

Front 84

IF APPENDICITIS IS UNTREATED WITHIN 36 HOURS, WHAT IS THE RESULT?

Back 84

GANGRENE AND PERFORATION DEVELOP

Front 85

SYMPTOMS OF APPENDICITIS

Back 85

N AND V, VAGUE PERIUMBILICAL PAIN, LOCALIZED RLQ PAIN, FEELING OF CONSTIPATION, LOW GRADE FEVER, REBOUND TENDERNESS, PSOAS SIGN, OBTURATOR SIGN

Front 86

LABS TO DO WITH APPENDICITIS

Back 86

CBC- LEUKOCYTOSIS; URINALYSIS- HEMATURIA OR PYURIA IN 25%; CT PREFERRED

Front 87

TREATMENT FOR APPENDICITIS

Back 87

APPENDECTOMY; IV ANTIBIOTICS

Front 88

WHEN WOULD YOU USE A NG TUBE WITH A GASTRIC BLEED?

Back 88

SHOULD BE PLACED IN ALL PATIENTS WITH SUSPECTED ACTIVE UPPER GI SOURCES OF BLEEDING (RED BLOOD/COFFEE GROUNDS- UPPER GI BLEED)

Front 89

WHEN DO YOU NOT USE AN NG TUBE IN THE PRESENCE OF UPPER A GASTRIC BLEED?

Back 89

WHEN THERE IS ESOPHAGEAL INJURY THAT IS SUICIDAL/ACCIDENTAL, SEVERE BURNING, CHEST PAIN, GAGGING, DYSPHAGIA, DROOLING WITH WHEEZING OR STRIDOR OR W/ ASPIRATION

Front 90

TREATMENT FOR IBS

Back 90

REASSURE, EDUCATION, DIET THERAPY- STAY AWAY FROM INTOLERANCES, INCREASE FIBER, DECREASE LACTOSE; MEDS ARE RESERVED FOR PATIENTS WITH SEVERE TREATMENT THAT DO NOT RESPOND TO CONSERVATIVE MEASURES

Front 91

ANTISPASMODIC MED USED FOR IBS

Back 91

BENTYL

Front 92

ANTICHOLINERGIC USED FOR POSTPRANDIAL ABDOMINAL PAIN GIVEN BEFORE MEALS IN IBS PATIENTS

Back 92

LOPERAMIDE AND LOMOTIL

Front 93

WHAT ARE PSYCHOTROPIC MEDS USED FOR IBS?

Back 93

TRICYCLICS FOR DIARRHEA DOMINANT PATIENTS; SSRI'S

Front 94

HOW MUCH FLUID WILL BE PRESENT IN ASCITES BEFORE YOU CAN SEE IT?

Back 94

1500 ML

Front 95

PATHOLOGICAL ACCUMULATION OF FLUID IN THE PERITONEAL CAVITY

Back 95

ASCITES

Front 96

CAUSES WITH A NORMAL PERITONEUM OF ASCITES

Back 96

PORTAL HYPERTENSION IN GREATER THAN 80%--HEPATIC CONGESTION, LIVER DISEASE, PORTAL VEIN OCCLUSION

Front 97

CAUSES OF ASCITES WHEN THE PERITONEUM IS DISEASED

Back 97

INFECTIOUS, MALIGNANCY, INFLAMMATORY DISORDER

Front 98

IF THE SAAG RATIO IS GREATER THAN 1.1 IN ASCITES, WHAT IS THE CAUSE?

Back 98

PORTAL HYPERTENSION

Front 99

IF THE SAAG RATIO IS LESS THAN 1.1 IN ASCITES, WHAT IS THE CAUSE?

Back 99

NON PORTAL HYPERTENSION CAUSES

Front 100

CAUSES OF MALLORY WEISS SYNDROME?

Back 100

BLOODY VOMIT, HX OF VOMITING, WRETCHING