Gastroenterology

Question 1

Relaxed lower esophageal sphincter, chronic cough, aggravated by caffeine, obesity, EtOH, tobacco, tx with PPI

Answer 1

GERD

Question 2

HIV = Candida

Answer 2

Esophagitis

Question 3

Undigested food

Answer 3

Zenker Diverticulum

Question 4

Birds beak

Answer 4

Achalasia

Question 5

Iron therapy

Answer 5

Plummer vinson symdrome

*also called Paterson–Brown–Kelly syndrome or sideropenic dysphagia, is a rare dz characterized by difficulty in swallowing, iron deficiency anemia, glossitis, cheilosis and esophageal webs.

Question 6

Coughing/vomiting = blood

Answer 6

Mallory weiss tear

Question 7

Bleed = octreotide/fluroquinolone followed by TIPs (Transjugular intrahepatic portosystemic shunt), Beta blockers to prevent bleeding

Answer 7

Esophageal Varices

Question 8

> 55 y/o = scope

Answer 8

Dyspepsia

Question 9

Helicobacter pylori, EtOH, smoking

Palpable mass, gastric ulcers = repeat endoscopy to r/o CA

Answer 9

Gastric CA

Question 10

Projectile vomiting, olive sign

Answer 10

Pyloric stenosis

Question 11

Murphy’s sign, referred pain to R shoulder

Answer 11

Cholecystitis

Question 12

Hep C and EtOH

Answer 12

Cirrhosis

Question 13

Epigastric pain radiating to the back, increased lipase >3x

Answer 13

Pancreatitis

Question 14

Periumbilical then RLQ pain, McBurney’s point, clinical dx

Answer 14

Appendicitis

Question 15

Tissue transglutaminase and endomysial antibody, gluten-free

Answer 15

Celiac Dz

Question 16

Red meat and fat, LLQ pain, Constipation, Colonoscopy

Answer 16

Diverticulosis

Question 17

Infection, CT scan, Augmentin, Ciprofloxacin + Metronidazole

Answer 17

Diverticulitis

Question 18

Skip Lesions, transmural, fistulas, ASCA positive, 5-ASA

Answer 18

Crohn’s

Question 19

Colon, pANCA positive, 5-ASA

Answer 19

Ulcerative Colitis

Question 20

Abd pain, currant jelly stool, vomiting, diagnostic/therapeutic enema

Answer 20

Intussusception

Question 21

Pain relieved with defecation

Answer 21

Irritable Bowel Syndrome

Question 22

Abd XR: dilated loop of bowel with air fluid levels

Answer 22

Small bowel obstruction

Question 23

> 6cm dilation

Answer 23

Toxic megacolon

Question 24

Scrotal mass

Answer 24

Indirect hernia

Question 25

Self resolved by 3 y/o

Answer 25

umbilical hernia

Question 26

Blood, WBC, Campylobacter, Fluoroquinolone

Answer 26

Infectious diarrhea