Management of Upper Gastrointestinal Bleeding Quiz
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Questions and Answers

What is the next step of action following a diagnosis of haemocardia?

  • Order a CT scan of the chest
  • Initiate antiplatelet therapy
  • Perform pericardiocentesis immediately (correct)
  • Administer IV antibiotics
  • In obstructive jaundice and cholangitis, what are the typical liver function test (LFT) abnormalities seen?

  • Raised WCC, CRP/ESR, mildly raised AST and ALT, and lipase only
  • Normal LFT values
  • Raised ALP, gGT, total bilirubin, and conjugated bilirubin (correct)
  • Raised ALP and gGT only
  • What is a conservative approach to treat anal fissures?

  • Perform surgical excision
  • Prescribe oral steroids
  • Administer antibiotics
  • Increase fibre and water intake, and take warm baths (correct)
  • What is the medical treatment approach for gastritis?

    <p>Eradication therapy and discontinuation of NSAIDs</p> Signup and view all the answers

    What is the characteristic finding in a radioisotope scan for medullary thyroid carcinoma?

    <p>Cold spot</p> Signup and view all the answers

    What result from fine-needle aspiration biopsy (FNAB) indicates an insufficient sample for diagnosis?

    <p>BETHESDA 1</p> Signup and view all the answers

    What is the primary benefit of using an NGT in a distressed patient with suspected bleeding?

    <p>To identify continued bleeding and perform gastric lavage</p> Signup and view all the answers

    What is a potential disadvantage associated with using an NGT in a distressed patient?

    <p>Causing aspiration</p> Signup and view all the answers

    Which intervention is typically performed if endoscopic management fails and surgery is deemed necessary?

    <p>Vagotomy</p> Signup and view all the answers

    What is the purpose of initiating oral intake of fluids 6 hours after endoscopic hemostasis?

    <p>To prevent clot lysis</p> Signup and view all the answers

    In what situation would a Billroth I surgery be considered for a patient with bleeding ulcers?

    <p>When there is excessive hemorrhage</p> Signup and view all the answers

    What is the recommended follow-up period for observing high-risk patients for rebleeding after initial treatment?

    <p>72 hours</p> Signup and view all the answers

    What is the appropriate management for gastric outlet obstruction in small bowel?

    <p>Initiating aggressive early fluid resuscitation</p> Signup and view all the answers

    What is the recommended treatment for hyperkalemia presenting as peaked T-waves?

    <p>Administer insulin and calcium gluconate</p> Signup and view all the answers

    For colorectal cancer, what imaging modality is considered the gold standard for staging?

    <p>CT scan</p> Signup and view all the answers

    When should the children of a patient with colorectal cancer start being screened?

    <p>10 years before the onset of the patient's disease</p> Signup and view all the answers

    What does a CT scan showing liver metastases in colorectal cancer indicate?

    <p>Consultation with an HPB surgeon for resectability assessment</p> Signup and view all the answers

    What test is recommended for diagnosing pheochromocytoma?

    <p>Urine metanephrines (24-hour collection)</p> Signup and view all the answers

    What is a common symptom of erythema ab igne, a condition associated with pancreatic pain?

    <p>Burn marks on the skin</p> Signup and view all the answers

    Which imaging technique is limited in diagnosing pancreatic conditions but plays a therapeutic role?

    <p>Endoscopic Retrograde Cholangiopancreatography (ERCP)</p> Signup and view all the answers

    In pancreatitis, what laboratory test may show variable levels due to pancreatic destruction?

    <p>Amylase/lipase levels</p> Signup and view all the answers

    Which surgical procedure is performed when drainage of the pancreatic head is necessary due to an associated inflammatory mass?

    <p>Distal pancreatectomy</p> Signup and view all the answers

    What is a common method for pain control in pancreatitis that involves using high-dose pancreatic enzymes?

    <p>Percutaneous coeliac plexus block</p> Signup and view all the answers

    What causes steatorrhea in patients with pancreatitis?

    <p>Pancreatic insufficiency</p> Signup and view all the answers

    What is a characteristic feature of strangulated hernias?

    <p>Presence of pyrexia and elevated white cell count</p> Signup and view all the answers

    Which type of hernia repair is preferred for primary bilateral inguinal hernia in females with a risk of chronic pain?

    <p>TEP (total extraperitoneal)</p> Signup and view all the answers

    What is a common cause of post-hepatic portal hypertension?

    <p>Right sided heart failure</p> Signup and view all the answers

    In the context of acute pancreatitis, what is a common investigation used to identify the condition?

    <p>Serum lipase</p> Signup and view all the answers

    What is the recommended treatment for breast cancer in a male patient with stage 2 disease?

    <p>Mastectomy</p> Signup and view all the answers

    What can be a complication of cirrhosis that leads to narrowing of veins within the liver?

    <p>Acute alcoholic liver disease</p> Signup and view all the answers

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