40 Questions
What clinical finding is associated with blind loop syndrome?
Steatorrhea
What clinical manifestation is seen in acute mesenteric ischemia?
Hypocalcemia
Which clinical finding is characteristic of short bowel syndrome?
Malnutrition
In small intestine obstruction, which clinical finding is more likely to be associated with a proximal (high) obstruction?
Frequent and early vomiting
What clinical manifestation may be observed in blind loop syndrome due to fatty acids entering the colon?
Diarrhea
Which blood test finding is more likely to be detected in cases of small intestine obstruction?
Electrolyte abnormalities
Which clinical finding is associated with malabsorption of carbohydrates and proteins?
Malnutrition
What imaging finding is characteristic of strangulation in small intestine obstruction?
Free air (perforation)
Which clinical finding is more likely to be associated with distal (low) small intestine obstruction?
Colicky pain
What investigation is used to identify bowel ischemia in cases of small intestine obstruction?
CT with contrast
What is the clinical presentation of acute mesenteric ischemia (AMI)?
Sudden diffuse abdominal pain out of proportion to the clinical exam
Which imaging technique is commonly used to diagnose acute mesenteric ischemia?
CT/MRI angiography
What is the initial treatment for acute mesenteric ischemia?
Fluid resuscitation
What is the recommended surgical intervention for acute mesenteric ischemia with necrotic bowel?
Necrotic bowel resection
What is the most appropriate antibiotic management for acute mesenteric ischemia?
Metronidazole
What is the initial treatment for acute mesenteric ischemia?
Fluid resuscitation
What type of pain is typically associated with acute mesenteric ischemia?
Non-specific diffuse abdominal pain
What is the most likely clinical finding in a patient with small intestine obstruction due to strangulation?
Early shock
What is the preferred imaging modality for evaluating acute mesenteric ischemia?
CT angiography
Which blood test result is most likely to be observed in a patient with small intestine obstruction due to strangulation?
Lactic acidosis
In the case of necrotic bowel, what is the recommended surgical procedure?
Necrotic bowel resection
What imaging finding is most indicative of small intestine obstruction due to strangulation?
Free intraperitoneal fluid
What is the most common cause of acute mesenteric ischemia?
Atherosclerosis
What is the recommended surgical treatment for a patient with small intestine obstruction suspected to be due to strangulation?
Resection of non viable intestine and anastomosis
What is the most appropriate initial treatment for a patient with small intestine obstruction suspected to be due to strangulation?
Fluid and electrolyte resuscitation
What is the primary method of absorption for monosaccharides in the jejunum and proximal ileum?
Active transportation
In short bowel syndrome, if more than 1m of distal ileum is resected, what malabsorption occurs?
Bile salt malabsorption
What is the clinical finding associated with blind loop syndrome resulting from bacterial deconjugation and dihydroxylation of bile salts?
Hypocalcemia
What is the predominant cause of acute mesenteric ischemia?
Arterial embolism
What is the survival rate at 5 years for patients with acute mesenteric ischemia?
18 - 50%
Which of the following blood test findings is characteristic of strangulation in small intestine obstruction?
Presence of free intraperitoneal fluid
What is a characteristic imaging finding indicative of perforation in small intestine obstruction?
Free air on plain abdominal film
Which of the following clinical findings is most likely associated with perforation in small intestine obstruction?
Early shock
In perforation associated with small intestine obstruction, what imaging finding suggests the presence of free air?
Gas within bowel wall on CT with contrast
Which blood test finding is characteristic of perforation in small intestine obstruction?
Marked leukocytosis
What imaging finding is characteristic of perforation with free air in small intestine obstruction?
Gas within bowel wall on CT with contrast
In cases of perforation associated with small intestine obstruction, what blood test finding indicates an inflammatory response?
Marked leukocytosis
Which clinical finding is most likely to be associated with perforation in small intestine obstruction?
Abdominal tenderness and rigidity
What imaging finding is indicative of free air due to perforation in small intestine obstruction?
Air-fluid levels on CT with contrast
What clinical finding is most likely to be observed in cases of perforation associated with small intestine obstruction?
Early shock
Test your knowledge of the physiological processes involved in the absorption of carbohydrates, proteins, fats, and vitamins in the gastrointestinal tract. This quiz covers the breakdown of macronutrients by enzymes and their absorption mechanisms in different parts of the small intestine.
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