PA301 - GI packet Exam 3 UPDATED
QUESTIONS AND CORRECT ANSWERS
What is diverticulosis? - CORRECT ANSWER - Small, marble-sized pouches that protrude
through the colon wall
- Develop in naturally weak places in the wall
What is diverticulitis? - CORRECT ANSWER Inflammation of the pouches (diverticula) in
colon wall
Describe Meckel's diverticulum - CORRECT ANSWER - Congenital sac in lower ileum (SI)
- Proximal end of yolk stalk
How common is Meckel's diverticulum? - CORRECT ANSWER Only found in 2% of
population
Pathophysiology of diverticulitis? - CORRECT ANSWER - Multiple diverticuli present
- < 10 mm in size
- Most common in sigmoid and descending colon, except in the Asian population (ascending colon)
- 50% of cases found in > 60 y/o
Risk factors for diverticulitis? - CORRECT ANSWER - Age
- Family hx
- Too little fiber
- Lack of exercise
Signs and symptoms of diverticulitis? - CORRECT ANSWER A. LLQ pain
- severe
- relieved with bowel movement
- worse with eating
- associated with bloating and constipation
, B. Fever
C. N/V
D. Palpable mass
What are some differential diagnoses of diverticulitis? - CORRECT ANSWER - Ovarian cyst
- Ectopic pregnancy
- Endometriosis
- PID
- Kidney stone
- Bowel obstruction
- Testicular pain
- Hernia
- Colon cancer
How to diagnose diverticulitis? - CORRECT ANSWER CT of abdomen is test of choice
The type of treatment for diverticulitis depends on the ____________ of the attack - CORRECT
ANSWER severity
Treatment for someone with a mild case of diverticulitis - CORRECT ANSWER Outpatient
- Start antibiotics
- No foods, clear liquids only (put bowel at rest)
- Wait 2 to 3 days: slowly advance diet, continue antibiotics for 7 to 10 days
What are two criteria for someone considered to have significant symptoms/inflammation of
diverticulitis? - CORRECT ANSWER > 85 y/o and cannot keep food down
Treatment for someone with significant symptoms of diverticulitis? - CORRECT
ANSWER Inpatient
1. Admit to hospital
2. Order NPO diet
QUESTIONS AND CORRECT ANSWERS
What is diverticulosis? - CORRECT ANSWER - Small, marble-sized pouches that protrude
through the colon wall
- Develop in naturally weak places in the wall
What is diverticulitis? - CORRECT ANSWER Inflammation of the pouches (diverticula) in
colon wall
Describe Meckel's diverticulum - CORRECT ANSWER - Congenital sac in lower ileum (SI)
- Proximal end of yolk stalk
How common is Meckel's diverticulum? - CORRECT ANSWER Only found in 2% of
population
Pathophysiology of diverticulitis? - CORRECT ANSWER - Multiple diverticuli present
- < 10 mm in size
- Most common in sigmoid and descending colon, except in the Asian population (ascending colon)
- 50% of cases found in > 60 y/o
Risk factors for diverticulitis? - CORRECT ANSWER - Age
- Family hx
- Too little fiber
- Lack of exercise
Signs and symptoms of diverticulitis? - CORRECT ANSWER A. LLQ pain
- severe
- relieved with bowel movement
- worse with eating
- associated with bloating and constipation
, B. Fever
C. N/V
D. Palpable mass
What are some differential diagnoses of diverticulitis? - CORRECT ANSWER - Ovarian cyst
- Ectopic pregnancy
- Endometriosis
- PID
- Kidney stone
- Bowel obstruction
- Testicular pain
- Hernia
- Colon cancer
How to diagnose diverticulitis? - CORRECT ANSWER CT of abdomen is test of choice
The type of treatment for diverticulitis depends on the ____________ of the attack - CORRECT
ANSWER severity
Treatment for someone with a mild case of diverticulitis - CORRECT ANSWER Outpatient
- Start antibiotics
- No foods, clear liquids only (put bowel at rest)
- Wait 2 to 3 days: slowly advance diet, continue antibiotics for 7 to 10 days
What are two criteria for someone considered to have significant symptoms/inflammation of
diverticulitis? - CORRECT ANSWER > 85 y/o and cannot keep food down
Treatment for someone with significant symptoms of diverticulitis? - CORRECT
ANSWER Inpatient
1. Admit to hospital
2. Order NPO diet
