Gastroenterology & Hepatology — Flashcards

Flashcard 301: What is the curative management of cirrhosis? _____

Answer: Liver transplant

Flashcard 302: On auscultation for paralytic ileus there are _____ bowel sounds

Answer: ↓ or absent

Flashcard 303: The liver damage in alcoholic cirrhosis is mediated by _____

Answer: acetaldehyde

Flashcard 304: What is the lifestyle management of cirrhosis? _____

Answer: AVOID alcohol!!

Flashcard 305: The most common type of peptic ulcers are _____ ulcers

Answer: duodenal

Flashcard 306: 70% of NSAID-induced peptic ulcers present _____

Answer: asymptomatically

Flashcard 307: What is the management for biliary colic? _____

Answer: Elective laparoscopic cholecystectomy

Extra: Biliary colic is caused by temporary cystic duct obstruction by a gallstone. Unlike acute cholecystitis (which requires early/urgent surgery), biliary colic is managed with elective laparoscopic cholecystectomy to prevent recurrence and complications (e.g., cholecystitis, pancreatitis).

Flashcard 308: What is the second-line imaging for biliary colic if US is inconclusive, but the duct is dilated and/or LFTs are abnormal? _____

Answer: MRCP

Flashcard 309: Neuropsychiatric symptoms of cirrhosis include hepatic _____ and asterixis ("flapping tremor")

Answer: encephalopathy

Flashcard 310: What is the most accurate investigation for cirrhosis? _____

Answer: Biopsy