A1. A 33-year-old man is brought to the Emergency Department with signs of alcohol intoxication. His vital signs are normal, but during his interrogation, he experiences a tonic - clonic seizure with a ventricular fibrillation during the postictal state. He is subsequently hospitalized and becomes intermittently agitated and tremulous. Vital signs include a heart rate of 136 beats per minute, a systolic blood pressure of 128 /65 mm Hg, and a temperature of 38.7°C. Laboratory results show: Ammonia 36 U/L, AST 295 U/L, ALT 110 U/L, ALP 305 U/L, Platelets 76.000 mm3, INR 1.6. Which would be the drug...
Continue readingCategory: Gastrointestinal disorders.
Gastrointestinal disorders.
EDIC Liver Transplant
A1. Four days after a liver transplant a patient presents signs of liver rejection. Which will the most probable cause of this rejection?: a) Vasospasm of hepatic artery. b) Hepatic artery thrombosis. c) Cytomegalovirus infection (CMV). d) Inferior cava vein thrombosis. e) Biliary anastomosis leakage....
EDIC – Toxic Megacolon
K1. A 57 year - old gentleman admitted to Intensive Care with severe pancreatitis and septic shock, develops on his day 21, abdominal distention, diarrhoea, oliguria and fever. CT abdomen reveals a massive dilatation of ascending colon (110 mm). Which of the following statements with this entity is/are CORRECT?: a) Is characterised by total or segmental non-obstructive colonic dilatation plus systemic toxicity: TRUE/FALSE. b) Cytomegalovirus is the most frequent etiological pathogen: TRUE/FALSE. c) Rectal contrast is contraindicated in this patient population: TRUE/FALSE. d) Partial colectomy is indicated: TRUE/FALSE. ....
EDIC Lower GI bleed
Type K. Regarding acute lower gastrointestinal bleeding, which of the following approaches is NOT a therapeutical option?: a) Endoscopy: TRUE/FALSE. b) Pharmacological treatment: TRUE/FALSE. c) Mesenteric angiography: TRUE/FALSE. d) Immediate surgery: TRUE/FALSE. ...
EDIC – Variceal bleeding
Type K. In the prophylaxis of variceal bleeding, which of the following measures is/are CORRECT?: a) Isosorbide mononitrate should be associated to nonselective betablockers in secondary prophylaxis: TRUE/FALSE. b) Banding and nonselective betablockers: TRUE/FALSE. c) Proton pump inhibitors are not recommended for prophylaxis of variceal bleeding: TRUE/FALSE. d) Transjugular intrahepatic portosystemic shunt is recommended after the first bleeding episode: TRUE/FALSE....