1.HOW IS PAIN SEVERITY DIFFERS

END OF BLOCK GI--12/ : 40 Actual Questions with 100%

1.HOW IS PAIN SEVERITY DIFFERS

IN INTESTINAL OBSTRUCTION VS

PARALYTIC ILEUS

ILEUS- Mild to moderate BOWEL OBST- Moderate to severe

2.HOW IS LOCATION OF PAIN DIF-

FERS IN INTESTINAL OBSTRUC-

TION VS PARALYTIC ILEUS

ILEUS- diffuse BOWEL OBST- may localize

3.HOW IS PHYSICAL EXAMINATION

FINDINGS DIFFERS IN INTESTI-

NAL OBSTRUCTION VS PARALYT-

IC ILEUS

ILEUS- mild distension +/- tender- ness, decreased bowel sound BOWEL OBST-mild distension, ten- derness, high pitched bowel sound

4.HOW IS LAB FINDINGS DIFFERS

IN INTESTINAL OBSTRUCTION VS

PARALYTIC ILEUS

ILEUS- possible dehydration BOWEL OBST- leukocytosis

5.HOW IS IMAGING DIFFERS IN IN-

TESTINAL OBSTRUCTION VS PAR-

ALYTIC ILEUS

ILEUS- may be normal BOWEL OBST- abnormal

6.HOW IS TREATMENT DIFFERS

IN INTESTINAL OBSTRUCTION VS

PARALYTIC ILEUS

ILEUS- observation,hydration

BOWEL OBST- ngt, surgery:

7.DESCRIBE FOREST CLASSIFICA-

TION OF GI BLEEDING?

IA- active spurting of blood ..IB- active oozing of blood IIA- non bleeding visible vessel...IIB- adherent clot IIC- flat pigmented clot..III- an ulcer with a clean base

8.WHAT ARE RISK FACTORS FOR

UGIB?

• helicobacter pylori rates
• socio economic conditions
• prescription pattern of ulcer promot-

ing medications 9.NGT ROLE IN UGIB?diagnostic or therapeutic purposes 10.

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Correct Verified Answers/ Rate 1 / 2

POSSIBLE QNS - END OF BLOCK GI- /12/ :

NGT ROLE IN UGIB?- Why is it not recommended?uncomfortable potentially time-consuming it does not reliably predict the source of hemorrhage it does not significantly affect patient outcomes.It has potential complications 11.NGT ROLE IN UGIB?- what are the potential complications of ngt?pneumothorax, aspiration, and injury to nasopharyngeal or GI tract struc- tures.

12.NGT ROLE IN UGIB?- when can it be performed and who should make that decision? whai is the advan- tage of ngt in that procedure?endoscopy endoscopist NGT lavage performed before en- doscopy may improve visualization by removing blood and clots, 13.what is the role of glasgow blatch- ford score?To assess the likelihood that a *patient with UGIB will need an intervention*

(PRIMARY GOAL)

To predict the need for admission, blood transfusion,surgery, and mortal- ity. (SEC GOALS) 14.what are the components of glas- gow blatchford score?

BUN, HB IN MALE, HB IN FEMALE,

SBP, OTHERS {HR,HF, SYNCOPE,

HEPATIC DS, MELENA}

15.when is glasgow blatchford score high sensitive for prediction of en- doscopic need?

• or greater

16.when is glasgow blatchford score high sensitive for prediction of 30 days mortality?a score of 5 or greater 17.less than or equal to 1

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