Colloqium 1

the described pain, which is sharp, the stomach is hard to stiff, and a pair of symptoms are localized from:

I do not know the second question, but the description:

A young boy with dysphagia, what kind of investigation:

A women with atrial fibrillation, a sudden onset of difficulty. After peritoneal necrosis, what is the most likely mechanism?.

Someone is vomiting, then vomiting of the biliary tract (bile), blood pressure is low, abdomen meteoric, palpation is not painful. Which image diagnostic is first?.

Patient who vomited 2 times, abundance of sludge (frequent passing of stool), elevated temperature, pain on the right side, tip resistance (muscle guarding), crp = 150, Ultrasound appendix is not visible. How will you act?.

What is the incidence of eosinophilic oesophagitis.

Prevalence of GERB.

32 year old lady, examined for chest pain, is disturbed by her burning from reflux ¿?. what is the best step in diagnostics?:

Endoscopically detected tumor, for adenocarcinoma.

Women 55 years, with watery diarrhea also daily, what histological changes are we expected to expect?.

Even correct and incorrect claims:

A man taking IPP (proton pump inhibitor) comes after the syncope:

Lady on IPP (proton pump inhibitor), with knee pain.

When does gastric cancer occur?.

The extent of resection depends on:

What does not apply to CT investigation when:

Surgical treatment of cystic pancreatic changes is necessary: At 4 cm large asymptomatic pseudocysts. At 4 cm large serous cystadenoma. With a clear pancreas, a large 2cm, if the CEA in the systolic content is very low. In the intraductal papillary mucinous neoplasm (IPMN) of the main duct. For 1cm, a large cyst, described with transabdominal UZ.

What are the indicators / scores trying to predict the course of acute pancreatitis? (choose a combination of correct answers) T1. Ranson indicators, T2 Glashowski indicators, T3. Apache II, T4. Child-Pugh-Turcott Scores, T5. Harwey- Bradshaw Scorecard. T1, T2, T3. T1, T3, T4. T1, T2, T5. T2, T3, T4. T3, T4, T5.

Which of the following interventions does not reduce the pain in chronic pancreatitis?. Opioid analgesics. None of those. Cessation of ethanol consumption. Proton pump inhibitors. Quitting smoking.

The 76-year-old patient with hyperthyroidism and hypertriglyceridemia came to IPP due to 2 days of persistent vomiting, pain under the DRL (right?), abdominal distension and constipation. He denies fever or jaundice. Laboratory: Levcocytes 13x109; AST 1,07 kW / L; aLT 0.95kat / L; total bilirubin: 16umol / L; alkaline phosphatase 2.67 ukat / l; lipase 1.34 inches / L. CT tummy showed gallstones in the gallbladder and diffusely dilated scurvy of the small intestine. Which complication of gallstones is most likely to be based on history and investigation?. Mirizzi's syndrome. Paralytic ileus. Pancreatitis. Holangitis. Ileus of the small intestine due to gallstones.

For pancreatic cancer, all of these are EXCLUDED: The most common type is tubular adenocarcinoma. It is more common in men than in five women. Most patients are treated surgically. Five-year survival is 4%. If it starts in the tale of the pancreas it usually caused by a icterous jaundice.

Which of the above-mentioned claims about primary sclerosing cholangitis (PSH) hold?. PSH is more common in women than in men. 50% of patients with PSH have a chronic inflammatory bowel disease. Smokers have a higher risk of PSH than non-smokers. In most patients, the disease is bred between 25 and 45 years of age. The close relatives of patients with PSH compared with the general population do not have an increased risk of developing PSH.

A 47-year-old patient performed an abdominal cavity due to prostate problems, describing steatosis of the liver and gallbladder in which a 10mm large polyps are present. Because of the polyps, he is very worried. He asks you for advice. You are proposing treatment with ursodeoxycholic acid. She needs cholecystectomy. The polyps require ultrasound control, initially every 6 months. Treatment is not necessary. Make a CT with a contrast medium.

Which of the following causes is the most common cause of acute pancreatitis. Holedoholitiaza ( holangitis). Hypercalcaemia. Infection. Hereditary pancreatitis. Abdominal injury.

What are the complications of chronic pancreatitis?. Impaired tolerance for glucose and malnutrition. Obesity. Malnutrition. Impaired glucose tolerance. None of those.

In cephalic pancreatoduodenectomy (op. According to Whippl) surgeons do not remove: Distal bile duct. Works of the stomach. Žolčnika. Pancreas tale. Work of the Twelve.

What about acute cholangitis? T1. It is characterized by Charcot's triad (pain, fever, jaundice), T2. This is what we call the sepsis that originates from the bile, T3. It is treated with antibiotics and endoscopic treatment (ERCP), T4. is a consequence of choledocholithiasis, T5. It is a consequence of a tumor of the pancreatic head, T6. is a consequence of portal hypertension, T7. patients are usually treated clinically. T1, T3, T5. T1, T3, T4, T5, T7. T2, T3, T4. T1, T2, T3, T4, T5. T1, T2, T4, T5.

Which of the following can indicate that it is a severe necrosing pancreatitis pancreatitis?. Zlatenica. Fever. Erytromatose skin nodule /node. Hypotension. Hypothermia.

Diagnostic criteria for acute pancreatitis include (select a combination of correct answers); T1. A typical clinical picture: severe acute upper abdominal pain; T2. More than three times elevated serum amylase or lipase; T3. CRP is more than 150mg / L; T4. typical imaging diagnostic on UZ or CT, T5. Characteristic ratio of liver transaminases ALT> 2x AST. T1, T2, T3. T1, T2. T3, T4. T1, T2, T4. 2, T3.

Which of the following symptoms? Characters can be found most often in acute pancreatitis?. Disp. pale skin. Hematemesis. Tense and painful belly. Pain in the throat.

A 24-year-old overweight patient comes to IPP due to pain in the upper right quadrant for 4 hours. Vital signs: temperature 37.2C, pulse 98 / min, RR 118 / 78mmHg. During the examination, we see ancestral skeletons (yellow sclera), the abdomen is a treasure (mildly painful) with deep palpation in the right upper quadrant. Murphy's mark is negative. Laboratory: leukocytes 9x109, ALT 6,8 t / L, AST 10 ukat / L, alkaline phosphatase 4,17 ukat / L, total bilirubin, lipase 0,4 ukat / L. On the ultrasound of the abdomen, holecystrilithiasis is absent without cholecystitis, the total bile duct is 8mm. The next day is completely painless. Control laboratory: ALT 5.9 ukat / L, AST 6.9 ukat / L, alkaline phosphatase 3.6 ukat / L, total bilirubin 30 mmol / L. EUZ (endoscopic ultrasound). CT tummy. Laparoscopic cholecystectomy. ERCP. Odometry spinner manometry.

Which of the following factors is not associated with a higher risk of developing pancreatic cancer. Chronic pancreatitis. Pancreatic cancer in one of the parents. Alcoholism. Eating smoked and canned food. Excessive body weight.

Which drug will not need a patient with chronic alcoholic pancreatitis?. Strong opiate analgesics. Nonsteroidal antirevmatics. Somatostatin. Insulin. Oral preparation of pancreatic enzymes.

The most common form of cholecystitis is: Acute akholulous cholecystitis. Iatrogenic cholecystitis. Gangrenous cholecystitis. Chronic acalkulous cholecystitis. Acute calculous cholecystitis.

Which of the following are the risk factors for the development of chronic pancreatitis?. Obesity and racial attachment. Ethanol and smoking. None of those. Acetylsalicylic acid, ibuprofen, ethanol and smoking. Hypertension.

Choose the correct claims that apply to cholecystolythiasis: T1. is mostly asymptomatic and is detected randomly, T2. it can lead to colic with a obstructive icterous, T3. we find it with ultrasound, T4. Asymptomatic cholecystolytia is treated with surgery, T5. characteristic is the Couvoiser's sign. T1, T2, T4. T1, T2, T3. T3, T4, T5. T2, T3, T4. T2, T4, T5.

Student 20 yo, feces 4-7 times/day, watery diarrhea with no blood. Gastroscopy, colonoscopy and biopsy normal.

Surgery question about perianal fistula:

Chronic IBD what is true. 20-40 yo. ⅓ diagnosed before 18 yo. age is a prognosis factor. never after 65 yo. onset of IBD in child is followed by remission at 30 yo.

Goals of tto of IBD: Endoscopic remission: crohn no ulcer and in ulcerative colitis no erossion. BQ remission: normal inflammatory markers. Fistula in crohn disease healing.

Tto of chronic IBD:

18yo patient with bloody diarrhea for 3 days after finishing treatment with ATB amoxiclav.

23 yo with crohn's comes to outpatient. Has INF- tto and wants pregnancy:

30 yo with ulcerative colitis comes for routine check up. Has stool x1/day with no blood. Also presents with pain in wrist and ankle. What is more likely:

Emergency conditions in proctology.

Anal cancer which is FALSE.

17yo student with regular menstruation has diarrhea and bloating and 6 months ago antibodies where negative for celiac disease. Also biopsy was negative. However with gluten free diet she feels better. What is more likely?.

32yo patient with chronic diarrhea, fatigue, weight loss and anemia. IgA for celiac disease is positive and symptoms are better after gluten free diet.

Regular check up for patient with celiac disease with diarrhea, bloating and abdominal pain. Serology is very positive. What is more likely?.

Check up of patient of 57 yo celiac disease with gluten free diet for 38 years. Now presents for one year with diarrhea, bloating, abdominal pain and weight loss of 7kg. Magnesium is low, Calcium is low, albumin is low and gastroscopy shows granular and hiperemia. Biopsy shows villous atrophy and linfocites. What should be expected?.

Malabsorption most common cause:

24-year-old patient, mucosal biopsy.

18-year-old hospital, diarrhea after tooth treatment.

A 67-year-old alcoholic, what are we replacing?.

A 51-year-old hospital, jaundice, cocaine urine, probably cholestasis. What's the problem?.

IBD.

When drinking mountain water, you may become infected with:

24-year-old patient, mucosal biopsy.

Perianal fistula.

What does not apply to anal carcinoma.

What is the cause of the purulent discharge along the anus?.

First action on suspicion of a perianal fistula?.

The patient is brought for further internist treatment. How do we evaluate nutrition?.

Malabsorption syndrome can lead to:

A 25-year-old patient whose investigations are being carried out in this group of patients?. faecal calprotectinin. a colonoscope. CT.

32-year-old hospital, tense belly, no worse, leukocytes on gastroscopy. celiac disease (positive antibodies). Giardia (negative antibodies).

55-year-old patient, gastric adenocarcinoma, weight loss, medrol. What does it have?. Dumping syndrome (immediately after diarrhea). is dietary threatened.

14 year old hospital, diarrhea, blood vessels, severe, dysmenorrhoea. Measures?. colonoscopy. MR enterography. faecal calprotectinin. diet.

Exocrine pancreatic insufficiency. faecal elastase (for confirmation). Gordon's test (to exclude, shows the pathology of the small intestine).

The goal of the IBD treatment. endoscopic remission (no ulcers and erosions). healing of perianal fistulas. biochemical remission.

Treatment of IBD. thiopurine. avoiding the sun because they have an increased risk of bone cancer.

What about glucocorticoids?. cause healing of the mucous membranes. maintain remission. improve symptoms. improve the clinical response.

What are the possible complications in hospitalized patients with IBD?. a greater chance of thrombosis. we give them anticoagulant therapy.

32 year old hospital, tense, not horrible, on gastroscopy leukocytes. Celiakia and Giardia interstinalis DD. In celiac disease positive antibodies, in giardii no.

about pancreatic exocrine insufficiency.

The test faecal elastase refers to.

Gordon's test shows us the pathology of the SC and is used to exclude pancreatic insufficiency.

.f you drink mountain water,.

24 year old boy - mucosal biopsy.

Perianal fistula.

The goal of the KVCB. endoscopic remission (no ulcers or erosion). healing of perianal fistula + biochemical remission.

Treatment of KVCB is right.

years old student diarrhea after tooth treatment.

25 year old boy who is a combination of examinations for the separation of diseases at this age.

Pulmonary discharge at the anus, what is the cause?.

When taking a perianal fistula, is the first measure?.

You accepted the patient for further internist treatment. How to define the nutrition of a patient.

67 year old alcoholic, what is missing him / her?.

51-year-old woman, “dark Coca-Cola urine.

↑ Direct bilirubin.

What problems of hypovitaminosis most likely?.

A malabsorption syndrome associated with maldigestion can lead to reduced protein absorption 55 year old adenocarcinoma of the stomach, shujsal, medrol, total. Gastroenteromy. Dumping syndrome (immediately after diarrhea).

14 year old pain of diarrhea, worse, blood vessels, dysmenorrhea. Colonoscopy, mR enterography calprotectin, diet. Guccortocorticides do not cause mucous membrane healing, they do not raise the remission, they only improve the symptoms, the clinical response. Kvcb hospitalized increased thrombosis, is an anticoagulant therapy.

Alcohol hepa:

What is the main reason for intrahepat cholestasis.

Cirrhotics with cardiovascular disease are dying.

Whether hypertrophy is hyperlipidemic with cirrhosis; somewhere it is not elevated with cardiovascular complications: itchy skin, tired-primary biliary cirrhosis-holangitis, therefore I conclude that If we find a varicella cider:

How is hepatitis A ?.

Hepatic encephalopathy triggers: