GI 2

Question 1

labs for acute hepatocellular injury

Answer 1

ALT
AST
LDH
Alk Phos

Question 2

labs for hepatic function

Answer 2

albumin
bilirubin
PT

Question 3

MCC cause of death in pts with end stage liver disease

Answer 3

bleeding varices

Question 4

absolute contraindications to liver transplant

Answer 4

portal vein thrombosis
severe medical illness
malignancy
hepatobiliary sepsis
lack of pt understanding

Question 5

pt normal colonoscopy, but has family hx of colon ca. FU in ___ yrs

Answer 5

5

Question 6

options for colon cancer screening

Answer 6

colonoscopy every 10 yrs
flex six every 5 years PLUS fecal occult every 3 yrs
fecal occult every year

Question 7

diarrhea predominant or mixed IBS.. next step?

Answer 7

test for celiac disease

Question 8

what medication induces remission in crohn’s disease patients

Answer 8

corticosteroids

Question 9

pain medication CI in pt with cirrhosis

Answer 9

NSAIDs (might precipitate hepatorenal syndrome)

Question 10

tx for IBS

Answer 10

SSRIs (or TCAs)

Question 11

tx travelers diarrhea

Answer 11

fluoroquinolones (ex Cipro)

Question 12

initial tx of rectal fissure

Answer 12

topical nitroglycerin, diltiazem, nifedipine to dilate internal sphincter

Question 13

indications for surgery in pt with diverticulitis

Answer 13

generalized peritonitis
uncontrolled sepsis
unconfined perforation
undrainable abscess
failure of conservative management

Question 14

enlarged supraclavicular node
painless jaundice
palpable GB

Answer 14

pancreatic CA

Question 15

first line for ulcerative colitis

Answer 15

sulfasalazine

Question 16

how often UC get colonoscopy

Answer 16

start 10 yrs after dx, then every 2-5 years

Question 17

diagnostic imaging for acute pancreatitis

Answer 17

transabdominal ultrasound