Gastroenterology & Hepatology — Flashcards

Flashcard 221: _____ peritonitis is caused by contamination of the peritoneal cavity from a a ruptured viscus or intra-abdominal pathology

Answer: Secondary

Flashcard 222: What is the initial investigation for gastric cancer? _____

Answer: Upper GI endoscopy with biopsy

Flashcard 223: Offer an urgent upper GI _____ to assess for gastric cancer in patients with dysphagia or ≥ 55 years old with weight loss and upper abdominal pain, reflux, or dyspepsia

Answer: endoscopy

Flashcard 224: Helicobacter pylori increases ↑ the risk of developing _____ & gastric MALT lymphoma

Answer: gastric adenocarcinoma

Flashcard 225: The strongest risk factor for gastric cancer is _____

Answer: Helicobacter pylori infection

Flashcard 226: The most common bacteria implicated in Spontaneous Bacterial Peritonitis (SBP) is _____

Answer: Escherichia coli

Extra: The top two organisms causing SBP are: 1. E. coli (Most common) 2. Klebsiella pneumoniae

Flashcard 227: The most common fungal organism implicated in peritonitis is _____ in tertiary / immunocomprimised patients

Answer: Candida spp.

Flashcard 228: What is the management for HER2+ve metastatic gastric cancer?

Answer: Trastuzumab (Herceptin) is added to the standard chemotherapy regimen (Fluoropyrimidine and Cisplatin) for HER2+ advanced or metastatic gastric and gastroesophageal junction adenocarcinoma.

Flashcard 229: _____ is the most common cause of perforation peritonitis

Answer: Peptic ulcer disease

Flashcard 230: Palpation of a peritonitic abdomen may reveal _____, guarding and rebound tenderness

Answer: rigidity