Tintinalli Gastroenterology MCQs
Tintinalli Gastroenterology multiple choice questions MCQs for ACEM Fellowship
Category Gastroenterology
Gastric Residual Volume
Gastric residual volume is the amount aspirated from the stomach following administration of enteral feed. An aspirated amount of ≤ 500ml 6 hourly is safe and indicates that the GIT is functioning
Gut under pressure
A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?
Snookered
You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.
A Lesson in History
A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?
Gut ache or Gordian knot?
A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed? Is this a Gordian knot?
Appendagitis
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
GI Drug Absorption in Critical Illness
GI Drug Absorption in Critical Illness; multi-factorial determinants influence the bioavailability of drugs; governed by factors altering transport of substances across cell membranes (diffusion, active transport, ultrafiltration)
Intubation of the GI bleeder
Massive GI hemorrhage presents multiple challenges during intubation: obscured view of vocal cords; risk of aspiration; risk of haemorrhagic shock and haemodynamic instability; risk to staff from contact with body fluids
Pablo Luis Mirizzi
Pablo Luis Mirizzi (1893 - 1964) was an Argentinian surgeon.
Mirizzi syndrome
Mirizzi syndrome or extrinsic biliary compression syndrome, is a rare complication of cholelithiasis. Mirizzi syndrome is characterised by obstruction of the common bile duct (CBD), secondary to mechanical compression caused by the impaction of one or multiple gallstones in the neck of the gallbladder or cystic duct
Pierre Eugène Ménétrier
Pierre Eugène Ménétrier (1859 – 1935) was a French surgeon, oncologist and pathologist. Eponymously affiliated with Maladie de Ménétrier (1888)