GI 1

Question 1

4 strong indications for stress ulcer ppx

Answer 1

Mech vent >48 hrs; coagulopathy;

TBI; GIB or ulcer in past year

Question 2

How often to deflate esophageal tamponade balloons?

Answer 2

Every 12 hrs (and leave deflated if no bleeding)

Question 3

Esophageal tamponade balloons should only be inflated to ___ mmHg.

Answer 3

30-45

Question 4

Parenteral nutrition should be considered if pt receiving <60% calorie/protein goals at day ___.

Answer 4

7-10

Question 5

Give _____ for severe alcoholic hepatitis (per current guidelines).

Answer 5

Steroids!

Question 6

Define “severe” alcoholic hepatitis.

Answer 6

Maddrey score ≥ 32 or MELD ≥ 20

Question 7

Estimated mortality for alcoholic hepatitis w/ MELD ≥ 20

Answer 7

20%

Question 8

Esophageal tamponase balloon should not be left in place longer than _____.

Answer 8

24-48 hrs