6560 Midterm Exam Solved 100% Correct

Hepatitis D {Ans: RNA virus that can only cause infection with Hep B Prevented with Hep B vaccin}Ulcerative colitis: what {Ans: Idioptahic inflammatory disease causing bleeding and erosions of colonic mucosa An IBD}Gout findings, diagnostics {Ans: - acute painful joint, often great toe (warm, swollen) - pain at night - flank pain because of renal calculi - fever - leukocytosis - elevated erythrocyte sedimentation rate - tophi (bump under skin) on ear - limited joint motion - elevated serum uric acid (greater than 7mg/dl) - urate crystals seen with joint aspiration - xr: joint erosion and renal stones}Alcoholic liver disease: etiology, findings, management {Ans: Most common cause of cirrhosis Women twice as sensitive to alcohol toxicity then men Binge drinking High mortality rate Diagnosis on report of alcohol intake, evidence of liver disease, lab abnormalities AST and ALT often high than 2 Score for mortality: Maddreys' score - Abstinence - MDF score greater than 32: prednisone for 4 wks - May require liver transplant}H. Pylori testing {Ans: Detection of H. Pylori: - Endoscopic biopsy (gold standard) - urea breath test (pos is H. Pylori) - PPI can cause false negative - serum H. Pylori antibody