Hemorragia digestiva
Authored by Gianella Romero
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University
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10 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Px de 56 años, con gastritis y cardiopatía isquémica, acude a EMG con hematemesis. Hb 8.5 g/dL. ¿Qué medidas tomaría?
Hidratación, Omeprazol 40 mg EV STAT, paquete globular
Hidratación, Omeprazol 40 mg EV y luego 40 mg EV c/12 horas
Hidratación, Omeprazol 80 mg EV STAT
Omeprazol 80 mg EV STAT, paquete globular, hidratación
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
¿Qué parametro laboratorial nos ayudaría a diferenciar HDA vs HDB?
BUN : creatinina
> 20:1
Urea : creatinina
> 100:1
Urea : creatinina
> 80:1
BUN : urea
> 30:1
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Llega un px con HDA y PAM 45 mmHg ¿Qué medidas diagnósticas no se deben pasar por alto en el servicio de EMG?
Hemograma, SNG, urea, creatinina
Hemograma, endoscopía, tacto rectal, urea, creatinina
Tacto rectal, hemograma, urea, creatinina
Urea, creatinina, hemograma, rx de tóran
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
¿Cómo se prepara a un paciente a quien se le va a realizar una colonoscopía?
2 sobres de PEG en 1 L de agua c/hora = en total 4 L
1 sobre de PEG en 2 L de agua c/2 horas = en total 4 L
No necesita preparación
1 sobre de PEG en 1 L de agua c/hora = en total 4 L
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
En un px con Forrest IIa, ¿cuál sería el manejo endoscópico inicial?
Inyección de adrenalina
Ligadura
Endoclips + termocoagulación
Adrenalina + endoclips
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
¿Los divertículos localizados en el colon izquierdo son más propensos a sangrar que aquellos en colon ascendente?
Verdadero
Falso
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
¿Cuál de los siguientes factores NO está asociado a riesgo de resangrado?
Úlcera en antro
Inestabilidad hemodinámica
Hb < 10 g/dL
Úlcera > 2 cm
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