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PANCE PREP > PANCE GI round 2 8/14/20 > Flashcards

PANCE GI round 2 8/14/20 Flashcards

1
Q

what is the gold standard for GERD

A
  • 24 hr PH
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2
Q

dysphagia of both solids and liquids

A

achalasia

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3
Q

increased LES pressure

A

achalasia

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4
Q

how do you tx nutcracker esophagitis

A

CCB

Botox

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5
Q

how do you tx mallory weiss tear

A

epi

band ligation

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6
Q

how do you tx esophageal varices

A
  • octreotide

- non selective BB (propanolol)

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7
Q

dyspagia to solids

A
  • esopahgeal neoplasms
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8
Q

how do you dx gastritis

A

endoscopy

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9
Q

how do you tx gastritis

A
  • CAP
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10
Q

MC cause of upper GI bleed

A

PUD

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11
Q

what is a SE with a PPI

A

b12 deficiency

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12
Q

what is a SE of cimetidine

A

gynecomastia

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13
Q

what type of bili with dubin johnson

A

direct (conjugated)

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14
Q

what type of bili with Gilbert’s

A

unconjugated

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15
Q

jaundice with ETOH with normal LFT

A

Gilbert’s

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16
Q

tx for Gilbert’s

A

none

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17
Q

tx for Dubin Johnson

A

none

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18
Q

what bone hormone is increased with cholestasis

A

alk phos

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19
Q

labs with acute hepatitis 4

A
  • Inc ALT/ AST
  • Inc Ammonia
  • inc PT/INR
  • Hypoglycemia
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20
Q

what lab value is associated with wilsons disease

A
  • decreased ceruloplasmin
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21
Q

what lab value is associated with pancreatic cancer

A

CA 19-9

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22
Q

how do you dx a lactulose intolerance

A

hydrogen breath test

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23
Q

MCC of lower GI bleeding

A

diverticulits

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24
Q

how do you dx crohns

A

upper GI series

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25
Q

how do you dx UC

A

barium enema

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26
Q

tx for anal fissure 2

A
  • nitro, CCB
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27
Q

what do you replace ammoxacillin with in CAP for PUD of they are allergic to penacillin

A

metronightazole

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28
Q

what is the ending for a PPI

A

azole

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29
Q

what PUD is almost always benign

A

duodeneal

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30
Q

location of zollinger ellison syndrome 2

A

duodoneal wall

pancreacus

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31
Q

what type of cancer is gastric carcinoma

A

adenocarcinoma

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32
Q

what type of bili for crigler nagiar

A

indirect

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33
Q

what is charcots triad associated with

A

acute cholangitis

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34
Q

what is murpy’s sign associated with

A

acute cholecyctitis

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35
Q

PSC tx

A

liver transplant

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36
Q

tx for wilsons

A

D penicillamine

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37
Q

what may you see on X ray for acute pancreatitis

A

sentinal loop

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38
Q

what is the stovepipe sign associated with

A

UC

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39
Q

what is P ANCA associated with

A

UC

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40
Q

tx for crohn and CUC

A

sulfasalazine

mesaamine

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41
Q

what are the three main types of polyps

A
  • psudo
  • hyperpastic
  • adenomatous
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42
Q

3 types of adenomatous polyps

A
  • tubular adenoma
  • tubulovillious
  • villious
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43
Q

what is CEA associated with

A

Colon cancer

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44
Q

what type of hernias can go into scrotum

A

indirect

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45
Q

what are the boarders for a direct hernia

A

Rectus abdominous: medial
Inferior epigastric: lateral
Piuoart’s ligamnet: inferior

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46
Q

what type of hemorrhoids hurt

A

external

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47
Q

3 tx for hemorrhoids 3

A

higher fiber
sits bath
band ligation

48
Q

what is the location for anorectal abcess and fistula

A

posterior rectal wall

49
Q

what is the tx for anorectal abcess and fistula 2

A 
1. I and D 
Warm water 
Analgesic 
Sits bath
High fiber
50
Q

“severe pain with pooping”

A

anal fissure

51
Q

skin tag poterior midline of anus

A

anal fissure

52
Q

what anal pathology gets nitro

A

anal fissure

53
Q

urine has a musty odor and the child is blond hair and blue eyes what pathology

A

phenylketonuria

54
Q

what class is odansetron

A

antiemetic

55
Q

what class is kaopectate

A

antiemeric

56
Q

what is a GI benefit of an anticholenergic

A

antidiarrheal

57
Q

what is the MC cause of gatroenteritis in adults

A

norovirus

58
Q

what is the MC cause of gatroenteritis in kids

A

rotovirus

59
Q

what general class of diarrhea
vomiting
watery diarrhea no WBC of blood

A

noninvasive infectious diarrhea

60
Q

what general class of diarrhea
fever
vomiting
diarrhea blood + leukocytes

A

invasive infectious diarrhea

61
Q

invasive infectious diarrhea tx what do you not do

A

antimotility agents

62
Q

what are the 5 types of noninvasive infectious diarrhea

A
  • staphylococcus aureus
  • bacillus cereus
  • vibrocholerae
  • exterotoxic e coli
  • clostridium difficil
63
Q

staphylococcus aureus diarrhea cause 4

A

diary
mayonnaise
meats
eggs

64
Q

noninvasive infectious diarrhea tx

A

supportive

65
Q

rice water stools

A

vibro choleare

66
Q

vibro choleare tx

A

supportive

tetracycline

67
Q

what is travelers diarrhea that is trasmitted via water

A

enterotoxogenic e coli

68
Q

enterotoxogenic e coli tx 2

A

fluids

fluorquinolones

69
Q

diarrhea with high lymphocytes and psudomembranous colitis

A

C diff

70
Q

Cdiff tx

A

metronidazole

71
Q

what are the 5 types of invasive infectious diarrhea

A
  • Campylobactor enteritis
  • shigella
  • salmonella
  • enterohemorragic ecoli E 0157H7
  • yersina
72
Q

Campylobactor enteritis tx

A

erythromycin

73
Q

Campylobactor enteritis transmitted

A

undercooked poultry

74
Q

how is salmonella transmitted 2

A

poultry products

exotic animals

75
Q

salmonella diarrhea tx

A

cipro

76
Q

enterohemorragic ecoli E 0157H7

primary transmission

A

undercooked beef

77
Q

how does someone get giardia

A

contaminated water such as backpacking

78
Q

frothy greasy diarrhea

A

Giardia lamblia

79
Q

Giardia lamblia tx

A

metronidazole

80
Q

what is courvoisirs sign associated with

A

pancreatic carcinoma

81
Q

what are the two tumor markers associated with

A
  • CEA

- CA 19-9

82
Q

what is a type of esophagitis you may see with kids with allergies

A

eosinophilic

83
Q

what is pyrosis

A

heart burn

84
Q

what are the 4 alarm symptoms with GERD

A
  • dysphagia
  • oodyophagia
  • weight loss
  • bleeding
85
Q

what is

  • 1st line DX for GERD
  • gold standard
A
  • endoscopy

- 24 HR PH

86
Q

pain with cold or hot liquids

A

esophageal spasm (corkscrew)

87
Q

what is the dx for achalasia 2

A
  • CCB

- Botox

88
Q

what is the dx for nutcracker 2

A
  • CCB

- Botox

89
Q

what two pathologies have hydrophobia

A
  • Mallory weiss

- rabies

90
Q

hemaemasis after drinking

A

mallory weiss tear

91
Q

what is plummer vinson syndrome assoacited with

A

esophageal rings / webbs

92
Q

what are the 3 tx for esophageal varicies

A
  • band ligation
  • octreotide
  • Beta blocker
93
Q

what is the MC type pf hernia

A

sliding

94
Q

how do you manage sliding hernia

A

similar to GERD

95
Q

what is the C is CAP

A

clarithrymycin

96
Q

what can a PPI cause (SE)

A

B12 deficiency

97
Q

dark urine and light stools mean what

A

increased direct bilirubin

98
Q

increased bili with normal LFT 2

A
  • Dubin johnson

- Gilberts

99
Q

what is the only hereditary syndrome that increased direct Bili

A

Dubin Johnson

100
Q

increased jaundice with ETOH

A
  • gilberts
101
Q

what ALT & AST > 1,000 think what

A

viral hepatitis

102
Q

what is boas sign associated with

A

acute cholescyctitis

103
Q

what abs 2 for gallbaldder issues

A

ceftriaxone + metronightazole

104
Q

how do people get hep A (2) think about it

A
  • fecal oral

- kids

105
Q

what is the marker of acute hep B infection

A

HBsAG

106
Q

what 2 goups have HBsAB

A
  • chronic infection

- cleared

107
Q

what hep has the highest pregnancy mortality

A

hep E

108
Q

how do you tx the pruitis with cirrhosis

A

cholestryramine

109
Q

PBC assoacited with what antibody

A

antimitochondrial

110
Q

how do you tx PSC

A

ERCP

111
Q

what pathology is ransons criteria associated with

A

acute pacreatitis

112
Q

what is grey turner and cullen sign associated with

A

acute pacreatitis

113
Q

painless jaundice

A

pacreatic carcinoma

114
Q

what is the ROME criteria 4

A

dx for IBS 1 day a week for the past 3 months

  • related to defication
  • change in frequency
  • chnage is stool form
115
Q

what is the pathology that is intestinal angina

A

chronic medinteric ischemia

116
Q

how do you dx CUC

A

flex sig

117
Q

what side CRC bleed

A

right

PANCE PREP (27 decks)

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