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Gastro 6 (lg.Int)
Step-2
| Question | Answer |
|---|---|
| What is the drug of choice for trigeminal neuralgia? | Carbamazepine |
| What is the initial treatment for a child presenting with an acute asthma attack? | IV steroids, albuterol, Oxygen |
| A normalizing PCO2 is a pt having an asthma exacerbation may indicate what problem? | impending respiratory failure |
| What radiological studies can be used to diagnose appendicitis? | CT scan with oral contrast, CT with rectal contrast +/- IV contrast, CT scan without contrast, US good first study in kids |
| What is the tx for appendicitis? | NPO, IVF, pain control, Abx, if presentation w/in 24-72 hours of sx onset then surgical removal of appendix. If sx present for >5 days then Abx, IVF, bowe rest, then interval appendectomy about 8 weeks later. |
| What is the treatment for appendiceal abscess? | percutaneous drainage(interventional radiology) |
| What is the classic presentation of gallstone ileus? | episodic subacute obstruction in an elderly woman-->vague, recurrent abdominal pain and vomiting that recurs as the stone repeatedly lodges and dislodges. |
| What is the classic characteristic of acute mesenteric ischemia? | Pain out of proportion to exam |
| In a woman with history and labs suggestive of acute appendicitis, what additional lab should be done first before surgery? | pregnancy test |
| Elderly patient presents to the ER with vomiting and abdominal pain and distention. AXR revels 2 distinct but sequential portions of bowel in the sigmoid colon that are distended with air. What's the tx? | Colonoscopy |
| What might you see on CT scan of the abdomen in a pt suspected of having ischemic colitis? | bowel wall thickening, air w/in bowel wall(pneumatosis coli) |
| What is the classic time-fram for which post-op ileus resolves in the following part of the gut: small bowel | <24 hours |
| What is the classic time-fram for which post-op ileus resolves in the following part of the gut: stomach | 48-72 hours |
| What is the classic time-fram for which post-op ileus resolves in the following part of the gut: colon | 3-5 days |
Created by:
shelybel
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