Diagnostic tests for h pylori include all of the

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DIAGNOSTIC TESTS FOR H. PYLORI INCLUDE ALL OF THE FOLLOWING EXCEPT - (AI 99) A) UREA-BREATH TEST B) RAPID UREASE TEST C) GASTRIC BIOPSY & WARTHIN-STARRY STAIN D) SAFA TEST 230
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NON INVASIVE TESTS UREA BREATH TEST - (SENSITIVITY 90-95%) SEROLOGICAL TEST - (SENSIVITY 95%) FAECAL ANTIGEN TEST POLYMERASE CHAIN REACTION 231
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INVASIVE TESTS BIOPSY UREASE TEST - (SENSITIVITY 90-98 %) HISTOPATHOLOGY AND MICROSCOPY -SPECIAL STAINS SUCH AS WARTHIN STARRY STAIN OR GRAM’S STAIN CULTURE - (SENSITIVITV 70-95%) 232
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DIAGNOSTIC TESTS FOR H. PYLORI INCLUDE ALL OF THE FOLLOWING EXCEPT - (AI 99) A) UREA-BREATH TEST B) RAPID UREASE TEST C) GASTRIC BIOPSY & WARTHIN-STARRY STAIN D) SAFA TEST D 233
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Q- TREATMENT WHICH DRUG IS NOT EFFECTIVE AGAINST H.PYLORI- A) COLLOIDAL BISMUTH B) METRONIDAZOLE C) AMOXICILLIN D) ERYTHROMYCIN 234
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INDICATIONS OF TREATMENT:- A) H-PYLORI RELATED DUODENAL AND GASTRIC ULCERATION B) LOW GRADE B CELL MALT LYMPHOMA 235
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HELICOBACTER PYLORI IS SUSCEPTIBLE TO WIDE RANGE OF ANTIBIOTICS BUT ERYTHROMYCIN IS NOT ONE OF THEM. MONOTHERAPY HAS NOT BEEN PROVED USEFUL IN H. PYLORI, MULTITHERAPY IS BEING USED FOR THE T/T OF H. PYLORI. THE MOST SUCCESSFUL MULTITHERAPY ARE TRIPLE AND QUADRUPLE COMBINATIONS THAT PRODUCE H. PYLORI ERADICATION RATE OF > 90% IN MANY TRIALS AND > 75% IN CLINICAL TRIALS. 237
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ALL OF THE FOLLOWING ARE TRUE REGARDING A PATIENT WITH ACID PEPTIC DISEASE EXCEPT - (AI 01) A) MISOPROSTOL IS THE DRUG OF CHOICE IN PATIENTS ON NSAIDS B) DU IS PREVENTABLE BY THE USE OF SINGLE NIGHT TIME H2 BLOCKERS C) OMEPRAZOLE MAY HELP ULCERS REFRACTORY TO H2 BLOCKERS D) MISOPROSTOL IS A PROSTAGLANDIN ANALOGUE 238
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PROTON PUMP INHIBITORS (OMEPRAZOLE):- THEY ARE SUPERIOR TO H2 RECEPTOR ANTAGONISTS AND TO MISOPROSTOL IN THE HEALING OF NSAID INDUCED GASTRIC ULCER. COMPARED TO H2 RECEPTOR ANTAGONISTS, PROTON PUMP INHIBITORS PROVIDE FASTER PAIN RELIEF AND MORE RAPID ULCER HEALING. 241
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ALL OF THE FOLLOWING ARE TRUE REGARDING A PATIENT WITH ACID PEPTIC DISEASE EXCEPT - (AI 01) A) MISOPROSTOL IS THE DRUG OF CHOICE IN PATIENTS ON NSAIDS B) DU IS PREVENTABLE BY THE USE OF SINGLE NIGHT TIME H2 BLOCKERS C) OMEPRAZOLE MAY HELP ULCERS REFRACTORY TO H2 BLOCKERS D) MISOPROSTOL IS A PROSTAGLANDIN ANALOGUE A 242
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THE PROSTAGLANDIN ANALOGUE MISOPROST IS EFFECTIVE IN THE PREVENTION OF NSAID INDUCED GASTRIC OR DUODENAL ULCERS WHEN GIVEN 4 TIMES DAILY HOWEVER, MISOPROST IS LESS COMMONLY USED AS A PROPHYLACTIC AGENT AGAINST NSAID INDUCED COMPLICATIONS. 243
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MISOPROSTOL CAUSES A DOSE DEPENDENT DIARRHEA AND ITS STIMULANT EFFECT ON THE UTERUS MAKES IT CONTRAINDICATED IN WOMEN OF CHILD BEARING AGE 244
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STRESS ULCERS SEEN IN BURNS ARE - (PGIDEC 2000) A) CURLING’ ULCER B) CUSHING’S ULCER C) MELENEY’S ULCER D) RODENT ULCER 245
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STRESS RELATED MUCOSAL INJURY - PATIENTS SUFFERING FROM SHOCK, SEPSIS, MASSIVE BURNS, SEVERE TRAUMA OR HEAD INJURY CAN DEVELOP ACUTE EROSIVE MUCOSAL CHANGES OR FRANK ULCERATION WITH BLEEDING.
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  • Winter '16
  • jean grey
  • chronic hepatitis, chronic liver failure

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