GI (NCCPA outline) (Latest 2023 / 2024) Actual Questions and Answers 100% Correct

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1. - Patient will be an overweight (Fat),Fertile,Female in her Forties (4Fs) - Complaining of colicky,steadily increasing RUQ or epigastric pain aftereating fatty foods - PE will show *Murphy's sign... , Boas sign* Diagnosis is made by: -- Initial = US -- Gold standard = HIDA - Most commonly caused by obstruction by a gallstone - Treatment is cholecystectomy Answer: Cholecystitis 2. Initial test for Cholecystitis? Answer: U/S 3. GOLD STANDARDTEST FOR CHOLECYSTITIS Answer: HIDA scan aka Cholescintography 4. - is due to *infection* of the biliary tract - It may present similarly to cholecystitis, but is also associated with *in-creased bilirubin leading to jaundice* - characterized by *Charcot's triad* (right upper quadrant pain + jaundice + fever) and *Reynold's pentad* (Charcot's triad + shock + mental statuschanges). Answer: Cholangitis 5. What is Charcot triad? Answer: - RUQ pain - Jaunice - Fever 6. What is Reynold's pentad? Answer: Charcots (RUQ PAIN, JAUNDICE, FEVER) + SHOCK + AMS 7. For patients presenting with symptoms highly suggestive of gallstones but without gallstones on imaging, a should be per-formed. Answer: cholecystokinin-HIDA scan - Cholecystokinin-HIDA scan, is a variant of the hepatobiliary iminodiacetic (HIDA)scan and can be used in the elective setting to assess gallbladder contractility and calculate an ejection fraction [Show More]

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