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GI Qs Flashcards

(21 cards)

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1
Q

Non-drug treatment for IBS

A

CBT

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2
Q

When would you refer a pt for Urgent endoscopic investigation

A
  • dysphagia
  • acute GI bleeding
  • over 55 with weight loss and upper abdo pain, reflux or dyspepsia
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3
Q

Drugs that cause GORD

A
  • A/b blockers
  • Bisphosphonates
  • Diuretics
  • CS
  • NSAIDs
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4
Q

Ulcerative colitis - patchy or continuous?

A

Continuous

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5
Q

Crohn’s disease - patchy or cotinuous?

A

Patchy

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6
Q

UC symptoms

A
  • Recurring diarrhoea
  • Blood or pus
  • Abdominal discomfort, urgent need to defacate
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7
Q

UC prevalence

A

Age 15-30

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8
Q

Aminosalicylates CI - important

A
  • Aspirin: due to cross sensitivity
  • Assessment of patients allergy status
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9
Q

Colestyramine counsellling

A

1 hr before and 4-6hrs after other meds

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10
Q

Orlistat criteria

A
  • BMI: >28
    • associated RF: diabetes, HT, hypercholesterolaemia
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11
Q

Which type of anaemia does sulfasalazine cause?

A

Aplastic anaemia

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12
Q

Malabsoprtion syndrome

A
  • Diarrhoea bloating
  • Frothy and floating stools – suggests fats are not being properly absorbed
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13
Q

In persistent diarrhoea and vomiting what drugs should you stop?

A

ACEi/ARBs
Spironolactone
Ivabradine
Dapa

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14
Q

Sulfasalazine common SE

A

Hepatotoxicity

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15
Q

How long do you have to wait before doing H.pylori diagnostic test to avoid unreliable results?

A

2 weeks PPI
4 weeks abx

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16
Q

laxative to clear bowels prior to colonoscopy =

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A

magnesium citrate with sodium picosulfate (works within 3 hours of 1st dose)

17
Q

Pancreatin counselling

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A

Adequate hydration at all times in pt taking high strength

18
Q

macrogol should not be combined with a starch based thickener

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A

as the two can counteract the thickening action = watery liquid = risk of aspiration of thinner liquids in those with dysphagia

19
Q

N + V in pregnancy

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A
  1. Lifestyle + diet
  2. Antiemetic e.g. prochlorperazine, cyclizine
  3. Mod-severe: IV fluids
20
Q

Linaclotide

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A
  • Pt who have not responded to laxatives from different classes
  • Constipation for at least 12 months
21
Q

Opioid induced constipation

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A

Osmotic + stimulant

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