A Tale of Two Tempos
Inflammation without an Invitation
Answer with your "gut-feeling"
C. Diff-initely not what you wanted
Dont DILI-dally
100

IBS-D correlates to a type 6 or 7 on this scale.

What is the Bristol Stool Form Scale?

100

This therapy for moderate-severe Crohn’s should not be used long‑term (maintinance) due to adverse effects.

What are corticosteroids.

100

Despite a short plasma half‑life of 1–2 hours, this drug class provides prolonged acid suppression due to irreversible enzyme inhibition.

What are PPIs (Proton Pump Inhibitors)

100

This is the more damaging toxin produced by some C.diff strains.

What is Toxin B?

100

This common OTC medication is one of the leading causes of DILI?

What is Acetaminophen?

200

This agent availible over the counter is 1st line pharmacological treatment for IBS-C.

What is Polyethylene Glycol (Miralax®)?

200

This biomarker is preferred by both AGA and ACG for noninvasive assessment of intestinal inflammation in IBD.

What is Fecal calprotectin

200

P-CABs (Potassium Competitive Acid blockers) have a (faster/slower) onset of action compared to PPI's?

Faster.

200

C.diff spores are highly transmissible via the ____ route.

What is Fecal-Oral

200

DILI is often categorized as hepatocellular, mixed or _______?

What is Cholestatic?

300

This minimally absorbed antibiotic is recommended to treat global IBS‑D symptoms.

What is rifaximin (Xifaxan®)?

300

This biologic class for moderate-severe IBD, includes infliximab and adalimumab.

What are Anti‑TNF agents?

300

This drug has a CYP2C19 drug metabolism interaction with Clopidogrel (Plavix®)

What is Omeprazole.

300

Symptoms, A positive PCR test and this are required for an active C.diff Infection?

What is a positive Toxin result?

300

What is the treatment for intrinsic DILI secondary to acetaminophen toxicity?

N-acetyl-cysteine (NAC)

400

This mixed opioid receptor modulator is conditionally recommended by both AGA and ACG for IBS‑D.

What is eluxadoline?

400

This nutritional deficiency is common in Crohn’s involving the terminal ileum.

What is Vitamin B12 deficiency?

400

P-CABs (Potassium Competitive Acid blockers) are reccomended for use in ______.

What is H.Pylori erradicaiton. 

400

This discontinued agent used as adjunctive treatment to c.diff infections is now discontinued.

What is Bezlotoxumab?

400

These physicians created the nomogram utilized in Acetaminophen overdoses. 

Who is Rumack and Matthew

500

These TCAs contain a secondary amine group, distinguishing them from their counterparts.

What are Desipramine and Nortriptyline?

500

This biologic class includes vedolizumab and targets gut‑specific lymphocyte trafficking.

What is Anti‑integrin?

500

Approved in the U.S. in 2022, this PCAB is the first in its class to reach the U.S. market.

What is vonoprazan (Voquezna®)

500

This antibiotic class is associated with hypervirulant strains of C.diff

What are the fluoroquinolones?

500

L-Carnitine can be utilized to restore mitochondrial function in this drug induced liver injury.

What is Valproic Acid (Valproate)
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