GASTROENTEROLOGY

Question 1

Plummer Vinson Syndrome

Answer 1

proximal stricture found in association with Fe deficiency anemia. more common in middle aged women. associated with squamous ca

treatment: Fe replacement

Question 2

Schatzki’s rings

Answer 2

distal ring of esophagus that presents with intermittent symptoms of dysphagia
treatment: pneumatic dilation

Question 3

Peptic stricture

Answer 3

results from acid reflux

treatment: pneumatic dilation

Question 4

H pylori

treatment

Answer 4

only treat + H pylori if there’s gastritis, MALT or ulcers

PI, clarithromycin and amoxicillin
if fails try metronidazole and tetracycline + PPI
if still fails w/u for Zollinger Ellison Syndrome

Question 5

when do you prophylaxis for stress ulcer

Answer 5

prophylaxis with PPI, H2 blocker or sucralfate

head trauma, intubation & mechanical ventilation, burns, coagulopathy & steroid use in combination

Question 6

Zollinger-Ellison Syndrome or Gastrinoma

diagnostic testing

Answer 6

endoscopic ultrasound
nuclear somatostatin scan
secretin suppression