MCCQE Study Set| 100 questions| With Complete Solutions
4 views 0 purchase
Course
MCCQE1
Institution
MCCQE1
What conditions should be considered in an adult presenting with an upper GI bleed? correct answer: 1. Peptic ulcer disease: Duodenal ulcers or Gastric ulcers
2. Varices
3. Mallory-weiss tears
4. Gastritis/esophagitis
5. Aortoenteric fistula
6. Malignancy
7. Angiodysplasia
What factors ...
mccqe study set| 100 questions| with complete solu
Written for
MCCQE1
All documents for this subject (77)
Seller
Follow
Classroom
Reviews received
Content preview
MCCQE Study Set| 100 questions| With
Complete Solutions
What conditions should be considered in an adult presenting
with an upper GI bleed? correct answer: 1. Peptic ulcer disease:
Duodenal ulcers or Gastric ulcers
2. Varices
3. Mallory-weiss tears
4. Gastritis/esophagitis
5. Aortoenteric fistula
6. Malignancy
7. Angiodysplasia
What factors should be considered in the triage of upper GI
bleeding? correct answer: 1. Hemodynamic stability: pulse,
SBP
2. Hemoglobin level
3. BUN:Creatinine ratio
4. Symptoms: melena, syncope
5. Comorbidities: hepatic disease, cardiac failure
*Glasgow Blatchford score
*AIMS65: albumin, INR, AMS, SBP, age
What classes of medical therapy have a role in the treatment of
upper GI bleeds? correct answer: 1. PPIs (e.g., omeprazole,
pantoprazole): prevent rebleeds
2. Prokinetics (e.g., erythromycin): improve visualization
3. Stomatostatin analogs (e.g., octreotide): variceal bleeds
4. Antibiotics : patients with cirrhosis
,What benign causes of dark stool should be ruled-out before
considering a GI bleed? correct answer: 1. Iron supplementation
2. Recent Pepto-bismol use
What laboratory investigations should be ordered for a patient
with a suspected GI bleed? correct answer: 1. CBC
2. Coagulation: PTT/INR
3. Blood transfusion: group + screen (cross & type)
4. BUN/Cr (ration >10:1 suggests UGIB)
5. LFTs
*repeat labs in 4-6 hours to follow clinical course
Upper GI bleed + Epigastric or right upper quadrant pain
is suggestive of ________________________ correct answer:
Peptic ulcer disease
Upper GI bleed + Odynophagia, gastroesophageal reflux,
dysphagia
is suggestive of ________________________ correct answer:
Esophageal ulcer
Upper GI bleed + Emesis, retching, or coughing prior to
hematemesis
is suggestive of ________________________ correct answer:
Mallory-Weiss tear
(partial thickness tear)
Upper GI bleed + Jaundice, weakness, fatigue, anorexia,
abdominal distention
, is suggestive of ________________________ correct answer:
Variceal hemorrhage or portal hypertensive gastropathy
Upper GI bleed + Dysphagia, early satiety, involuntary weight
loss, cachexia
is suggestive of ________________________ correct answer:
Malignancy
What are signs of hemodynamic instability on physical exam?
correct answer: 1. Orthostatic hypotension (progressing to
supine)
2. Resting tachycardia
For most patients, at what hemoglobin level should transfusion
be initiated? correct answer: Hb 70 g/L
Why should transfusing patients with suspected variceal
bleeding to a hemoglobin >10 g/dL (100 g/L) be avoided?
correct answer: Overtransfusion in patients with suspected
variceal bleeding may precipitate worsening of the bleeding
What score is used to predict prognosis in chronic liver disease
and cirrhosis? correct answer: The Child-Pugh score:
1. Bilirubin (total)
2. Albumin
3. PTT
4. Ascites
5. Hepatic encephalopathy
*MELD score is used in End-stage liver disease
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
