McGuffin 2

Question 1

Body and fundus. Autoimmune. Parietal cell antibodies, perncious anemia, achlorhydria

Answer 1

Type A non-erosive gastritis

Question 2

Antrum. H pylori

Answer 2

Type B non-erosive gastritis

Question 3

Confusion > coma. Foul smelling breath. Flapping tremor (asterixis). Hx cirrhotic liver disease

Answer 3

Hepatic encephalopathy

Question 4

RUQ pain, N/V, fever, jaundice. Exposure to alcohol, viruses, acetaminophen, hypotension (shock)

Answer 4

Hepatitis

Question 5

Contaminated food sources > Hep

Answer 5

A

Question 6

Sex, tattoos, blood transfusions, IV drugs > Hep

Answer 6

B and C

Question 7

Must have Hep _____ to get Hep D

Answer 7

B

Question 8

Pregnant with bad outcome > Hep

Answer 8

E

Question 9

Hepatitis - AST most elevated

Answer 9

Alcoholism

Question 10

Hepatitis - ALT most elevated

Answer 10

Indicates other liver diseases

Question 11

Fatigue, malaise. Decreased urine output with Hx of cirrhosis. Hypotension. ^ BUN and Cr. Hyponatremia

Answer 11

Hepatorenal syndrome

Question 12

Bloody diarrhea. Mucosal and submucosal inflammation. Barium enema > lead pipe appearance due to loss of haustra

Answer 12

Ulcerative colitis

Question 13

Abdominal pain. Frequent change in stool consistency and frequency. Middle aged women. Anxiety and depression. Pain improves with bowel movements.

Answer 13

Irritable bowel syndrome

Question 14

Abdominal pain worse than what patient appears on exam

Answer 14

Acute mesenteric ischemia

Question 15

Gnawing abdominal pain after eating

Answer 15

Chronic mesenteric ischemia

Question 16

African American males. Abdominal pain radiating to back. Hx tobacco abuse

Answer 16

Pancreatic cancer

Question 17

Severe epigastric and LUQ abdominal pain that radiates to back. Hx of gallstones, alcoholism, hypertriglyceridemia, furosemide, thiazides, HIV meds. Elevated lipase and amylase. KUB - calcifications in chronic pancreatitis, sentinel loop showing localized small bowel ileum. Gallstones.

Answer 17

Acute pancreatitis

Question 18

History of recurrent acute pancreatitis. Symptoms of malabsorption (fatty, foul smelling stools and weight loss). Hyperglycemia. Polyuria. KUB - calcifications in pancreas

Answer 18

Chronic pancreatitis

Question 19

Pain improved with food. Chronic NSAID or steroid use. H. Pylori

Answer 19

Duodenal ulcer

Question 20

Pain worsened with food. Smoker. Weight loss. Increased risk of malignancy

Answer 20

Gastric ulcer

Question 21

Dysphagia. Esophageal (hypopharyngeal) webs. Fatigue and pallor due to iron-deficiency anemia. Tongue pain and burning (glossitis). Fissuring and dry scaling of vermilion surface of lips and angles of mouth (cheilosis). Riboflavin (Vit B12 deficiency)

Answer 21

Plummer-Vinson syndrome

Question 22

Jaundice, Pruritus. Hx of rheumatoid arthritis, Sjogren’s, scleroderma. Usually women. Xanthelasma, Xanthomas. + for antimitochondrial antibodies

Answer 22

Primary biliary cirrhosis

Question 23

Hx of ulcerative colitis. Men. Jaundice. Elevated alkaline phosphatase, GGT. Biopsy may show cholangiocarcinoma

Answer 23

Primary sclerosing Cholangitis

Question 24

Abdominal pain, fever, chills in pt with Ascites. Mental status changes. Rebound tenderness. E. Coli. Paracentesis with > 250 WBC

Answer 24

Spontaneous bacterial peritonitis

Question 25

Abnormal movements and speech (asterixis, dyskinesia, dysarthria). Dementia. Golden brown corneal ring (Kayser-Fleischer ring). Decreased ceruloplasmin

Answer 25

Wilson’s disease (hepatolenticular degeneration)

Question 26

Burning or gnawing abdominal pain worsened with food

Answer 26

Gastritis