Amedco - Quiz

July JPGN 2018


A   - Episodic attacks of intense nausea and vomiting lasting 1 h–10 days
B   - Episodes occurring every 5 days
C   - Stereotypical pattern and symptoms in the individual patient
D   - Vomiting during attacks occurs at least 4 times/h for at least 1 hour

A   - Reassure her that her child is likely getting recurrent viral infections that are causing her vomiting and no further work up is indicated.
B   - Recommend a KUB to evaluate for obstruction.
C   - Discuss that it is concerning that his vomiting is precipitated by illness and recommend further evaluation.
D   - Recommend immunoglobulins to assess for an immunodeficiency.

A   - BMP
B   - UGI
C   - MRI Brain
D   - Abdominal and pelvic ultrasound

A   - Upper GI series
B   - Abdominal and pelvic ultrasound
C   - Request the following laboratory (serum amino acids, urine organic acids, plasma carnitine and acylcarnitine) to be obtained prior to receiving fluids during the next attack
D   - Upper endoscopy

A   - Ondansetron
B   - Amitriptyline
C   - Cyproheptadine
D   - Coenzyme Q