RCE Exam Questions With Revised Correct Detailed Answers With Rationales Guaranteed Pass
4 views 0 purchase
Course
RCES
Institution
RCES
RCE Exam Questions With Revised
Correct Detailed Answers With
Rationales
Guaranteed Pass
1) What is the pathophys of malabsorption in ZES?
Gastric Acid volume cannot be reabsorbed by SB or CLN -Gastric acid overcomes pancreatic bicarb neutralizing capacty -->low pH --> panc enzyme...
-Gastric acid impairs Na & water absorption
2) How does SIBO cause malabsorption?
1. CHO
-bacteria damage enterocyte --> impairs disaccharidase &
monosaccarhide transport
2. Fat
-bacteria deconjugate bile acids & decrease normal bile acid pool
3. Protein
-damagse to the epithelial barrier
,-increased intestinal permeability,
decreased mucosal uptake of amino acids,
-intraluminal degradation of protein precursors by bacteria
3) How does TI disease cause malabsorption?
Decreased reabsorption of bile salt malabsorption
--> decreased normal bile salt pool
How does short bowel syndrome cause malabsorption?
1. Length of bowel
2. Site of resection
Ileal
-B12 malabsorption
-Bile salt malabsorption
-loss of ileal cecal calve
4) What are the etiologies for SIBO?
1. Impaired motility
-IBS
-Narcotics
-Pseuoobstruction
-DM
2. Structural
-Adhesions
-IBD
-Tumours
3. Immune disorders
,-HIV
-CVID
-IgA defic
4. Gastric hypochlorhydria
Why is B12 malabsorbed in
1. SIBO
2. ZES
3. Pancreatic insufficiency
4. Gastric surgery
1. SIBO
-anaerobes utilize B12 coupled with IF, competing for absorption
3. Panc Insufficiency
-enzymes dissociate B12 from salivary & food proteins --> allow it to
bind to IF
4. Gastric Surgery
absence of gastric acid & pepsin --> impaired liberation of vitamin B12
from food proteins,
-->the reduced production of intrinsic factor by parietal cells
What metabolites are elevated in B12 deficiency?
-Methylmalonic acid
-Homocysteine
, What are the RF for microscopic colitis?
Meds:
NSAIDS
Lansoprazole
Statins
H2 blockers
SSRIs
Pembrolizumab
Smoking
Female & > 50
What are the treatments for microsopic colitis?
1. Stop offending medication
2. Imodium prn
3. Budesonide 8-12 weeks, then taper q2 weeks
4. Cholestyramine 4 g QID
5. Bismuth Subsalicylate
6. Anti-TNFS, AZA, 6-MCP
7. Resection
What factors increase/decrease chance of HCV clearance/SVR?
SVR = undetectable HCV RNA @ 6 mos after tx completion
Increase
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 NURSINGDICTIONARY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
