PANCE Review

Question 1

Primary Biliary cirrhosis treatment

Answer 1

Ursodiol

+AMA

Question 2

Inherited unconjugated bilirubinemia

Answer 2

Gilberts disease

Question 3

Inherited direct bikirubinemia

Answer 3

Dubin Johnson syndrome

Question 4

Reynolds Pentad

Answer 4

Fever
Ruq pain
Jaundice
AMS
Hypotension

Question 5

Autosomal recessive iron overload

Answer 5

Hemochromatosis

Question 6

Kayer fleischer ring

Answer 6

Wilson’s disease, copper accumulation

Tx: penicillamine Cu chelation

Question 7

HCV Tx

Answer 7

Interferon and Ribaviron
OR
Telaprevir, boceprevir, sofosbuvir

Question 8

Crohns tx

Answer 8

Mesalamine
Azothioprine
Imfliximab - Remicade
Corticosteroids
Cipro flagyl

Question 9

Celiac sprue dx

Answer 9

Mucosal biopsy - gold standard

Serology - anti-endomysial AB
tTG AB
Total serum IgA

Question 10

H pylori tx

Answer 10

Amoxicillin
Clarithromycin
PPI
10-14 days

Question 11

Diverticulitis tx

Answer 11

Cipro flagyl

Question 12

Pulmonary hypertension tx

Answer 12

Anticoagulate
CCB
Prodtacycline

Question 13

Budd Chiari syndrome

Answer 13

Portal vein thrombosis

Question 14

Esophageal varices tx

Answer 14

Acute - octreotide drip

EGD/ band ligation

Propranolol

Question 15

Hemochromatosis

Answer 15

Autosomal recessive Iron overload

Weekly phlebotomy

Question 16

Wilson’s disease

Answer 16

Liver fails to filter copper

Kayser fleischer disease

Penicillamine chelation

Question 17

Primary sclerosing cholangitis

Answer 17

Associated with UC