GI

Question 1

This is the next management for a patient exhibiting increased lymphocyte aggregation in the mucosal and epithelial near the pylorus.

Answer 1

Triple tx: PPI+clarithromycin+amoxicillin (or metronazole if allergic)

Question 2

This is the management for a patient who presents with colicky pain, vomiting, distension, positive bowel sounds with moments of high intensity, and dilated bowel loop with multiple air-fluid levels

Answer 2

Conservative measures (bowel rest, decompression with NG tube, fluid resuscitation). If no improvement, worry about stragulation and do urgent surgery

Question 3

A patient with foul smelling bulky stools, weight loss, easy bruising, and mild pallor with a negative IgA anti-tissue transglut but villous atrophy on bx most likely has this.

Answer 3

Celiac disease (negative IgA transglut can happen if have selective IgA deficiency)

Question 4

This produces chronic watery diarrhea and shows mucosal subepithelial collagen deposition on bx but normal mucosa on colonoscopy

Answer 4

collagenous colitis

Question 5

These antibodies are used to predict celiac disease

Answer 5

IgA anti-endomysial and anti-tissue transgluaminase Abs (may be absent if concurrent selective IgA deficiency)

Question 6

A patient with bloody diarrhea and shows flask-shaped colonic ulcers on colonoscopy has this type of infection

Answer 6

Entamoeba histolytica parasitic infection

Question 7

An HIV-patient with profuse, watery diarrhea probably has this.

Answer 7

cryptosporidiosis

Question 8

A patient with smooth round big cyst with daugther cysts on US of liver probably was around this type of livestock.

Answer 8

Sheep (echinococcosis)

Question 9

This is used to treat MALT.

Answer 9

Triple tx (amoxicillin, clarithromycin, PPI)