Liver
What nonspecific complaints are associated with cirrhosis?
anorexia, fatigue, weight loss
What are the ROME IV criteria?
Must include recurrent abdominal pain of at least 1 day per week
for the previous 3 months and be associated with at least two of
the following features:
Related to defecation
Associated with a chance in stool frequency
And/or associated with a change in stool appearance of form
True or false: A colonoscopy should be performed during a diverticular flare to rule out neoplasm
False: should be performed 8 weeks after
Which of the following hepatitis strains have a chronic form
A
B
C
Hep b and c
What is the typical subtype of IBS
3 subtypes (but typically diarrhea alternating with constipation)
‒ Predominant constipation (IBS-C)
‒ Predominant diarrhea (IBS-D)
‒ IBS with mixed bowel habits (IBS-M)
A child pugh score is based on
Based on serum
bilirubin, albumin,
INR, presence of
ascites, and
encephalopathy
True or False: IBS is characterized by weight loss, fever, bloody stools and leukocytosis
False
What criteria are necessary for a mild case of UC
4 loose bm/day
What symptoms can a patient expect during the icteric phase of hepatitis
1 to 2 weeks after prodromal phase, lasts up to 6 weeks
(jaundice, pruritis, tea-colored urine, clay-colored stools, RUQ pain
Name foods to avoid in a low fodmap diet
Fructans (asparagus, wheat, apple, garlic), lactose, galactans (legumes), polyols (apple, blackberry, pepper, corn), artifical sweeteners
A patient is experiencing abdominal pain, nausea, vomiting, malaise and fever after exposure to hepatitis. What phase are they in and when do we think they were exposed?
Pre-icteric: 2 weeks post exposure
What inflammatory bowel disease do you expect if there are skip lesions noted on colonoscopy?
Crohn's
What is 1st line screening for colorectal ca in average risk patients aged 50-74 - how often do we do screening?
Fit testing, if negative repeat in 2 years
What does a reactive Anti-HBs indicate?
Immune from either vaccination or recovery from disease
Where does UC often occur
in the rectosigmoid colon
Which liver enzyme is most specific to liver?
ALT
An NP is assessing a 55 year old patient presenting with IDA, stool positive for occult blood, a change in bowel habits and hematochezia. What does the NP need to rule out a MNM differential?
MNM: Colorectal ca
Diagnostics: CBC, LFTs, CT abd, MRI, colonoscopy
What are you suspicious of if a patient reports ribboning stools?
Colorectal ca
What is the 1 year survival for a Class C child pugh score
45%
In which IBD might we see sulfasalazine? Mesalamine?
CD - sulfasalazine, glucocorticoids, immunomodulating agents, biologics
UC- mesalamine, corticosteroids, antidiarrheals, atropine, biologics, immunomodulating drugs
How long can a liver remain enlarged after hepatitis?
3 months
Subjective and objective findings of bowel obstruction?
Sudden onset colicky abdominal pain, accompanied by
nausea & vomiting
Dehydration, tachycardia, bowel sounds initially
hyperactive and then decreased/absent
True or False: anorexia can be seen as a manifestation of appendicitis
What does the acronym VARICES indicate
- V: varices
‒ A: ascites/anemia
‒ R: renal failure (hepatorenal syndrome)
‒ I: infection
‒ C: coagulopathy
‒ E: encephalopathy
‒ S: sepsis
In which IBD can you see an abdominal mass and a negative pANCA?
Crohn's