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Internal Credit

Second Faculty of Medicine

Subject
No category / Others
Language of creation
English
492 flashcards No ratings yet 0 views
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Cards in this set

Card 221

Question

What diagnostic method do we use in oder to prove achalasia?

Answer

X-RAY WITH SWALLOWING TEST, ESOPHAGEAL MANOMETRY

Card 222

Question

What is the crucial difference between ERCP and MRCP?

Answer

ERCP – ENDOSCOPIC CANNULATION OF VATER’S PAPPILA (INVASIVE VS NON- INVASIVE)

Card 223

Question

What diagnostic method do we use in oder to prove chronic pancreatitis?

Answer

AMYLASE, CHYMOTRYPSIN IN STOOLS, ELASTASE IN STOOLS + US, CT, MRCP. I would say: Contrast enhanced CT, MRCP, Endoscopic - US, Fecal elastase -1 

Card 224

Question

What should we perform during the diagnostic process for functional disorders of GI tract?

Answer

EXCLUDE ORGANIC CAUSES (LABS, X-RAY, US, ENDOSCOPY)

Card 225

Question

What diet should be instituted in a patient with acute exacerbation of idiopathic proctocolitis?

Answer

LOW RESIDUE DIET WITH GRADUAL TRANSITION TO RATIONAL DIET

Card 226

Question

What are the risk factors for transformation of IBD into CRC?

Answer

INFLAMMATORY ACTIVITY + DISEASE DURATION

Card 227

Question

What acute disease could imitate "a new case" of Crohn´s disease?

Answer

APPENDICITIS

Card 228

Question

What kind of drugs is considered as a therapy of choice in a patient with acute exacerbation of idiopathic proctocolitis?

Answer

METHYLPREDNISONE 32-48 MG

Card 229

Question

Which kind of polyp in large intestine is associated with hypokalemia?

Answer

VILLOUS COLON ADENOMA

Card 230

Question

In which parts of GI tract could we find gastrinoma? List at least two organs.

Answer

STOMACH (ANTRUM PYLORI), DUODENUM, PANCREAS

Card 231

Question

What are pharmacological options for the treatment of pseudomembranous enterocolitis? Be specific.

Answer

STOP PREVIOUS ATBs, REPLACE FLUIDS + ELECTROLYTES, METRONIDAZOLE, VANCOMYCIN, STOOL TRANSPLANT

Card 232

Question

What characteristics of antibiotics are considered necessary for succesful treatment of cholangitis?

Answer

ATB EXCRETED IN BILE + AGAINST GRAM + ENTEROCOCCI (PIPPERACILIN + TAZOBACTAM)

Card 233

Question

List drugs used for eradication of Helicobacter pylori.

Answer

METRONIDAZOLE, CLARITHROMYCIN, OMEPRAZOL, AMOXICILLIN

Card 234

Question

List three unequivocal indications for eradication of Helicobacter pylori.

Answer

PEPTIC ULCER, MALT LYMPHOMA, GASTRITIS, GASTRIC CARCINOMA

Card 235

Question

What diagnostic method do we use in oder to evaluate compliance of a patient treated for celiac disease?

Answer

GLIADIN Abs

Card 236

Question

What diagnostic method do we use in oder to prove unequivocally celiac disease?

Answer

ENDOSCOPY, HISTOLOGY, BIOPSY, IMMUNOLOGIC (ANTI-TISSUE TRANSGLUTAMINASE, ANTI-GLIADIN, ANTI-ENDOMYSIUM)

Card 237

Question

When during the day is the highest cortisol level in plasma?

Answer

MORNING (6-8H)

Card 238

Question

What is an usual hydrocortison dose (range) used for substituion in a patient suffering from Addison's disease?

Answer

30 MG/DAY

Card 239

Question

What is the typical laboratory finding in patients with hyperaldosteronism (Conn's syndrome)?

Answer

SERUM – DECR. K (HYPOKALEMIA), URINE – INCR. K, INCR. Na, MET. ALKALOSIS

Card 240

Question

In a patient with Addison's crisis one can expect hypertension, hypotension or a patient is normotensive?

Answer

HYPOTENSION

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