1
Recommended tips for success:
• Studying
View/review the material a minimum of three times:
• Read assigned chapters, view module content and take notes by filling in the grid below.
• Create 5x8 flash cards for each disease using your notes and the grid. Test yourself or ask
your friends and co-workers to test your knowledge using the flashcards. Success is a
team sport.
• Review the flash cards and grid within 24hrs of the exam.
• Testing
• Do not change your answer unless you are very sure that it is wrong.
• Before answering, carefully read the root of the question.
• Eliminate at least two of the answers and then use your critical thinking to narrow the
choices. There may be two correct answers. Your job is to distinguish which of the
answers is the MOST correct.
• Make sure that you are rested, nourished and in a good environment for test taking.
Directions:
For each condition, fill in:
• risks associated with the condition (e.g. alcoholism and pancreatitis)
• significant subjective and objective findings especially those unique to the condition (e.g.
appendicitis and RLQ abdominal pain)
• the best diagnostic test used to confirm or diagnose
• first line treatment with a second line option for the condition
• most important patient education regarding the treatment (answers should follow EBM
guidelines)
, 2
c Risk Subjective Objective Diagnostics Treatment Educa
Finding Findings tion
, 3
GI DISORDERS
Appendici acute may have A complete treatment of The
tis-The onset of hypertensio blood count appendicitis ispatient
appendix in older adults mild to n and usually surgical; will be
is a and is often severe tachycardia reveals a therefore, given
fingerlike associated with colicky proportionat mild to once a standard
projection higher morbidity (sharp, e to the moderate definitive postoper
located at within these age- sudden, degree of leukocytosis, diagnosis is ative
the apex groups because epigastric, fever and Urinalysis made, promptinstructi
of the of delayed or pain, shows referral to a ons from
cecum just diagnosis and periumbili Palpation of microscopic surgeon should the
below the intervention cal pain, the hematuria follow surgeon,
ileocecal pain is abdomen or pyuria, no which
valve- often early in the radiological should
Appendici vague at process may exam is of include
tis is the first, but reveal diagnostic advice to
inflammati within 24 diffuse importance return to
on of the hours tenderness early in the
vermiform usually it over the appendicitis hospital
appendix shifts and umbilicus if
caused by localizes and mi anorexia,
an over the epigastric nausea,
obstructio RLQ and is areas, vomiting,
n and/or exacerbat tenderness abdomin
infection. ed by localizes al pain,
It is the walking or over the RLQ fever, or
most coughing, and may be chills
common mildly accompanie develop.
cause of elevated d by Patients
acute right temperat guarding should
lower ure of be
quadrant 99°F to instructe
(RLQ) 100°F is d to
abdominal common avoid
pain vomiting heavy
requiring lifting for
surgical at least 2
interventio weeks.
n.
Celiac factors for celiac Many The physical serologic treatment Patient
disease- disease include a patients exam may testing for of choice educatio
also family history of are be normal. anti-tTG IgA for n about
known as celiac disease, asympto In severe antibodies patients gluten-
gluten- Down’s matic. cases, there should be with celiac free diets
sensitive syndrome, HLA- Patients may be signs done, upper disease is a is
enteropat DQ2 or HLA-DQ8, may of GI strict essential
, 4
hy or Turner’s complain malabsorpti endoscopic gluten-free to
celiac syndrome, or of on such as small bowel diet. A preventi
sprue, is a other genetic diarrhea, muscle biopsy and referral to ng the
gluten- based weight wasting, histologic a dietician cellular
sensitive autoimmune loss, pallor examination, or changes
autoimmu disease such as dyspepsia (anemia), nutritional nutritionist that lead
ne type 1 diabetes , and reduced deficiencies who to
disorder mellitus and flatulence subcutaneo associated specializes malabsor
that thyroiditis. . Atypical us fat, with the in celiac ption of
affects the Bone loss. ... complaint ataxia, and malabsorpti disease is nutrients
small Lactose s may be peripheral on related to helpful. . This is
intestinal intolerance. . fatigue neuropathy celiac best
villous .. (resulting disease. done by
epithelium from These a
in Irritability anemia), include dietitian
individuals and joint pain, hemoglobin, who
with a depression. and iron, folate, specializ
genetic depressed vitamin B12, es in
predisposi mood; in calcium, and celiac
tion and women, vitamin D. disease.
exposure amenorrh With the
to the ea, expansio
cereal difficulty n of
protein getting gluten-
gluten pregnant, free
(gliadin) in and early products
wheat, menopau on the
rye, and se may market,
barley. occur. there is
concern
about
contamin
ation
with
gluten in
processi
ng, and
minimizi
ng the
use of
highly
processe
d,
convenie
nce
foods
should
be
Recommended tips for success:
• Studying
View/review the material a minimum of three times:
• Read assigned chapters, view module content and take notes by filling in the grid below.
• Create 5x8 flash cards for each disease using your notes and the grid. Test yourself or ask
your friends and co-workers to test your knowledge using the flashcards. Success is a
team sport.
• Review the flash cards and grid within 24hrs of the exam.
• Testing
• Do not change your answer unless you are very sure that it is wrong.
• Before answering, carefully read the root of the question.
• Eliminate at least two of the answers and then use your critical thinking to narrow the
choices. There may be two correct answers. Your job is to distinguish which of the
answers is the MOST correct.
• Make sure that you are rested, nourished and in a good environment for test taking.
Directions:
For each condition, fill in:
• risks associated with the condition (e.g. alcoholism and pancreatitis)
• significant subjective and objective findings especially those unique to the condition (e.g.
appendicitis and RLQ abdominal pain)
• the best diagnostic test used to confirm or diagnose
• first line treatment with a second line option for the condition
• most important patient education regarding the treatment (answers should follow EBM
guidelines)
, 2
c Risk Subjective Objective Diagnostics Treatment Educa
Finding Findings tion
, 3
GI DISORDERS
Appendici acute may have A complete treatment of The
tis-The onset of hypertensio blood count appendicitis ispatient
appendix in older adults mild to n and usually surgical; will be
is a and is often severe tachycardia reveals a therefore, given
fingerlike associated with colicky proportionat mild to once a standard
projection higher morbidity (sharp, e to the moderate definitive postoper
located at within these age- sudden, degree of leukocytosis, diagnosis is ative
the apex groups because epigastric, fever and Urinalysis made, promptinstructi
of the of delayed or pain, shows referral to a ons from
cecum just diagnosis and periumbili Palpation of microscopic surgeon should the
below the intervention cal pain, the hematuria follow surgeon,
ileocecal pain is abdomen or pyuria, no which
valve- often early in the radiological should
Appendici vague at process may exam is of include
tis is the first, but reveal diagnostic advice to
inflammati within 24 diffuse importance return to
on of the hours tenderness early in the
vermiform usually it over the appendicitis hospital
appendix shifts and umbilicus if
caused by localizes and mi anorexia,
an over the epigastric nausea,
obstructio RLQ and is areas, vomiting,
n and/or exacerbat tenderness abdomin
infection. ed by localizes al pain,
It is the walking or over the RLQ fever, or
most coughing, and may be chills
common mildly accompanie develop.
cause of elevated d by Patients
acute right temperat guarding should
lower ure of be
quadrant 99°F to instructe
(RLQ) 100°F is d to
abdominal common avoid
pain vomiting heavy
requiring lifting for
surgical at least 2
interventio weeks.
n.
Celiac factors for celiac Many The physical serologic treatment Patient
disease- disease include a patients exam may testing for of choice educatio
also family history of are be normal. anti-tTG IgA for n about
known as celiac disease, asympto In severe antibodies patients gluten-
gluten- Down’s matic. cases, there should be with celiac free diets
sensitive syndrome, HLA- Patients may be signs done, upper disease is a is
enteropat DQ2 or HLA-DQ8, may of GI strict essential
, 4
hy or Turner’s complain malabsorpti endoscopic gluten-free to
celiac syndrome, or of on such as small bowel diet. A preventi
sprue, is a other genetic diarrhea, muscle biopsy and referral to ng the
gluten- based weight wasting, histologic a dietician cellular
sensitive autoimmune loss, pallor examination, or changes
autoimmu disease such as dyspepsia (anemia), nutritional nutritionist that lead
ne type 1 diabetes , and reduced deficiencies who to
disorder mellitus and flatulence subcutaneo associated specializes malabsor
that thyroiditis. . Atypical us fat, with the in celiac ption of
affects the Bone loss. ... complaint ataxia, and malabsorpti disease is nutrients
small Lactose s may be peripheral on related to helpful. . This is
intestinal intolerance. . fatigue neuropathy celiac best
villous .. (resulting disease. done by
epithelium from These a
in Irritability anemia), include dietitian
individuals and joint pain, hemoglobin, who
with a depression. and iron, folate, specializ
genetic depressed vitamin B12, es in
predisposi mood; in calcium, and celiac
tion and women, vitamin D. disease.
exposure amenorrh With the
to the ea, expansio
cereal difficulty n of
protein getting gluten-
gluten pregnant, free
(gliadin) in and early products
wheat, menopau on the
rye, and se may market,
barley. occur. there is
concern
about
contamin
ation
with
gluten in
processi
ng, and
minimizi
ng the
use of
highly
processe
d,
convenie
nce
foods
should
be
