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Гастроэнтерология (анг,рус)

Methodological Instruction to Lesson № 5.

 

DISEASES OF SMALL INTESTINE

IRRITABLE BOWEL SYNDROME

Hours: 5.

Working place: classroom, hospital wards.

 

Questions.

 

1.     Give essentials of diagnosis irritable bowel syndrome.

2.     Give the definition of irritable bowel syndrome.

3.     Give pathogenesis of irritable bowel syndrome: abnormal motility, heightened visceral nociception, psychosocial abnormalities.

4.     Give clinical picture in patients with irritable bowel syndrome.

5.     In which case patient can use terms constipation or diarrhea?

6.     Name symptoms you think about organic disease.

7.     Name laboratory findings which will you prescribe to patients with presumptive irritable bowel syndrome.

8.     Name instrumental findings which will you prescribe to patients with presumptive irritable bowel syndrome, according to age.

9.     Treatment in patient with irritable bowel syndrome: first step or general measures.

10.                       Name dietary therapy in patient with irritable bowel syndrome.

11.                       Name flatulogenic foods.

12.                       Pharmacological treatment in patients with irritable bowel syndrome.

13.                       Give the definition of Coeliac disease.

14.                       Give etiology and pathogenesis of Coeliac disease.

15.                       What is T-cells? (enzyme tissue transglutaminaze – TTG)

16.                       Cytokine activity result in:

17.                       Give epidemiology of Coeliac disease.

18.                       Clinical features in infants and adults.

19.                       Investigations in patients with Coeliac disease. (gold standard and other investigations)

20.                       Name treatment in patient with Coeliac disease.

21.                       Name complications in patient with Coeliac disease.

22.                        Give definition, etiology, clinical presentation and treatment in patient with Lactose intolerance.

23.                        Give definition, etiology, clinical presentation and treatment in patient with Tropical sprue.

24.                        Give causes of small bacterial overgrowth.

25.                        Investigations and treatment in patient with small bacterial overgrowth.

26.                        Whipple‘s disease: definition, pathomorphology, clinical presentation, treatment.

 

 

Tests “Irritable bowel syndrome”

  1. Which food is recommended to stimulate peristaltic of the bowel, except:
  1. beet roots
  2. carrots
  3. plums
  4. cheese
  5. rye bread
  1. Enzyme preparation must be taken:
  1. before meal
  2. with food
  3. after meal
  4. at bed time
  1. Dosing regimen of furasolidon:
  1. 0,1 g 4 times a day 5 – 10 days
  2.  0,5 g 4 times a day 5 – 10 days
  3. 0,1 g 4 times a day 2 – 3 days
  4. 0,5 g 4 times a day 2 – 3 days

 

Answers:

    1. D; 2. B; 3. A.

References.

 

1.     Davidson’s Principles and practice of medicine (nineteenth edition)/Christopher Haslett, Edvin R. Chilvers and others. – Edinburgh, 2002. – 792-797 p.

2.     The Merck Manual of Diagnosis and Therapy (seventeenth Edition)/ Robert Berkow, Andrew J. Fletcher and others. – published by Merck Research Laboratories, 1999.

3.     Harrisons Principle if internal medicine (seventeenth Edition)/Fauci, Braunwald, Hasper and other. – Part 13, section 1, Chapter 288, 290.

 

Prepared by Orlovsky A. V., assistant, c. m. s.,

                    Murenets N. A., postgraduate

 

 

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