Gastroenterology

Question 1

M/C cause of indigestion

Answer 1

GERD

Functional Dyspepsia

Question 2

2nd most common cause of chronic cough

Answer 2

GERD, Post nasal drip no. 1

Question 3

Chest pain + Dysphagia, Test?

Answer 3

Endoscopy

Question 4

Alarming manifestations Requiring Endoscopy

Answer 4

Bleeding
Anemia
Weight Loss
Dysphagia

Question 5

Dyspepsia > 55 y/o, with Alarming manifestations

Answer 5

Upper Endoscopy to r/o malignancy

Question 6

Unresponsive to acid suppression

Answer 6

Upper Endoscopy

Question 7

Test to do if surgery for GERD is considered

Answer 7

Esophageal manometry

Question 8

Inhibits gastric H-K-ATPase

Answer 8

PPI

Question 9

Gold Standard Tx for High Grade Dysplasia

Answer 9

Esophagectomy

Question 10

Most Sensitive Test for GERD

Answer 10

24h ambulatory pH monitoring

Question 11

Most severe histologic consequence of GERD and major risk factor for Adeno CA

Answer 11

Barrett’s esophagus

Question 12

GOLD Standard for confirmation of barrets esophagus

Answer 12

Endoscopic biopsy

Question 13

Initial diagnostic test if mechanical obstruction is suspected

Answer 13

Endoscopy

Question 14

Characteristic symptom of infectious esophagitis

Answer 14

Odynophagia

Question 15

Both diagnostic and therapeutic

Answer 15

PPI

Question 16

Pain that awakens patient at sleep, relieved by meals

Answer 16

Duodenal Ulcer

Question 17

More common PUD, Precipitated by food intake, Risk of Malignancy

Answer 17

Gastric Ulcer

Question 18

Standard indications for testing H. pylori

Answer 18

Active History of Uninvestigated MALTreatment
Active PUD
History of PUD
Uninvestigated dyspepsia
MALT

Question 19

Test of choice for documenting eradication of H. pylori

Answer 19

Urea breath test - gastric

Stool antigen - intestine

Question 20

Assesses susceptibility of H. pylori to Clarythromycin

Answer 20

PCR assay

Question 21

GOLD Standard H. pylori infection

Answer 21

Endoscopic biopsy

Question 22

Benign GU most commonly found

Answer 22

Distal to the junction of antrum and mucosa

Question 23

2 predominant causes of PUD

Answer 23

NSAID Ingestion

H Pylori

Question 24

Most discriminating symptom of Duodenal ulcer

Answer 24

Awakes patient at night

Question 25

Complications of PUD

Answer 25

M/C: GI Bleeding

2nd M/C: Perforation

Question 26

Dull epigastric pain radiating to the back

Answer 26

Acute pancreatitis

Question 27

Best initial test to confirm diagnosis

Answer 27

Serum lipase

Question 28

Leading cause of acute pancreatitis

Answer 28

Gallstone

Alcoholism is 2nd

Question 29

Criteria for diagnosis of pancreatitis

Answer 29

Radiates to the back
Lipase/ Amylase
Imaging

Question 30

Most important clinical finding in regard to severity of acute pancreatitis

Answer 30

Jaundice