Clin Med Jeapordy

Question 1

> 90% of pancreatic function is lost before overt symptoms of this occur

Answer 1

Exocrine pancreatic insufficiency

Question 2

What is typically the first symptom of exocrine pancreatic insufficiency?

Answer 2

Malnourished

Question 3

What causes gallstones?

Answer 3

Cholesterol (lipids)

Question 4

A patient who presents not acutely ill with a positive Murphy’s sign and a porcelain gallbladder on US

Answer 4

Chronic cholecystitis

Question 5

Intense RUQ pain that remains steady for < 6 hrs then resolves

Answer 5

Biliary colic (temporary obstruction)

Question 6

This endocrine disease is present in up to 50% of pancreatic cancer patients

Answer 6

Diabetes

Question 7

Imaging that can be used for any abdominal complaint including infection, injury

Answer 7

CT

Question 8

The most common causes are H. pylori, NSAIDs, alcohol, stress and autoimmune disease

Answer 8

Gastritis

Question 9

Patients with IBS, COPD, pre-existing cardiac disease of PVD are at an increased risk of developing

Answer 9

Ischemic colitis

Question 10

This condition is at the greatest risk for developing toxic megacolon?

Answer 10

Ulcerative colitis

Question 11

The definitive test for this intestinal concern of chronic diarrhea, dyspepsia, and flatulence

Answer 11

EGD mucosal biopsy (celiac disease)

Question 12

Pathology for this condition will show “onion skin” fibrosis

Answer 12

Primary sclerosing cholangitis

Question 13

This cancer cell type is the most common found in CRC and colorectal cancer

Answer 13

Adenocarcinoma

Question 14

Mainstay of treatment in acute pancreatitis are these 3 items

Answer 14

IV Fluids
Pain meds
Nutrition

Question 15

What are the four components of Quad therapy?

Answer 15

PPI, Bismuth, metronidazole, tetracycline

Question 16

What is used to remove stones from the common bile duct?

Answer 16

ERCP

Question 17

These are the two features of small bowel on US

Answer 17

Plicae circulares and central location

Question 18

CT with IV contrast is imaging of choice in this presentation

Answer 18

Acute pancreatitis (should already be NPO so no oral)

Question 19

Esophageal bleeding that onsets after heavy vomiting

Answer 19

Mallory-Weiss tear

Question 20

Rising values for these two blood markers are the best assessment for the evolution of pancreatitis

Answer 20

BUN and HcT

Question 21

Definitive treatment for 150+ polyps found during a screening colonoscopy on a 15yo with a positive family history

Answer 21

protocolectomy

Question 22

This stool-based test can be done every 3 years to screen for CRC

Answer 22

FIT-DNA

Question 23

The predominant screening marker is tested in CRC and pancreatic cancer

Answer 23

CEA and CA 19-9

Question 24

Imaging done to check the patency of anastomosis s/p colon surgery

Answer 24

Double contrast barium enema

Question 25

Abdominal pain and pancreatic insufficiency are the primary manifestations

Answer 25

Chronic pancreatitis

Question 26

The condition causing a child with asthma, allergy and atopy to present with frequent episodes of food impaction

Answer 26

Eosinophilic esophagitis