EMQs in Clinical Medicine.pdf - Peshawar Medical College

Treatment of gastrointestinal conditions 165
77 Treatment of gastrointestinal conditions
A
B
C
D
E
F
high-dose lansoprazole
ibuprofen four times daily
clarithromycin, amoxicillin,
lansoprazole
intravenous prednisolone
laparotomy
low-dose omeprazole
G
H
I
J
K
L
intravenous hydrocortisone
mebeverine
morphine
endoscopy
intravenous fluids only
clarithromycin, amoxicillin
For each clinical scenario below, suggest the most appropriate management. Each
option may be used only once.
1 A 50-year-old man presenting with a perforated gastric ulcer.
2 A 55-year-old woman with severe oesophagitis confirmed on endoscopy.
3 A 60-year-old man with cirrhosis presenting with haematemesis.
4 A 30-year-old man with ulcerative colitis presents to A&E with fever,
tachycardia and abdominal distension.
5 A 24-year-old woman with suspected irritable bowel syndrome complains of
colicky pain and bloating.
Answers: see page 191.