6560 Midterm Exam Questions With 100% Correct Detailed Answers | Updated & Verified

Viral hepatitis risk factors {Ans: Health care providers hemodialysis blood products IV drug use sex men with men underdeveloped countries piercing/ tattoo}Lower GI bleed: what, etiology {Ans: Bleeding in small intestine or colon - divericulosis - cancer - IBD - anorectal blood loss - ischemic colitis}Diagnosing Primary sclerosing cholangitis {Ans: Intra en extra hepatic flow is blocked. Associated with ulcerative colitis Fibrosis of biliary duct seen on cholangiography) Alk Phos elevated Total bili elevated}Large bowel obstruction: what, etiology {Ans: Blockage in large bowel that prevents food from passing through which causes blood supply cut off which can cause a leak and bacteria being spread into body or blood - Cancer - Abd surgery - Abd radiation}Ulcerative Colitis treatment {Ans: Mild/ moderate: Firstline: oral or topical (enema) sulfasalazine or corticosteroids Oral prednisone if not responsive to tx or systemically ill Mild/ moderate extensive: Cornerstone: Sulfasalazine First line: oral sulfasalazine. Start at 500mg/ day then increase to 4-6gm/ day. Give Folate with it. Give corticosteroid if no improvement in 2-3 wks (hydrocortisone enema) If that fails: give oral prednisone/ methylprednisone. INfliximab for pt's refractory to that Severe: hospitalize NPO no opioids/ anticholinergics nlood transfusion if needed 7-10