Block 51, 52, 53: GI Flashcards Preview

Uworld Step 2 > Block 51, 52, 53: GI > Flashcards

Flashcards in Block 51, 52, 53: GI Deck (83)
Loading flashcards...
1

clinical presentation for acute choledocholithiasis

acute-onset right upper quadrant or epigastric pain
- pain worse in supine position and at night

2

painless jaundice in a patient with conjugated hyperbilirubinemia and marked elevated alkaline phosphatase

biliary obstruction due to pancreatic or biliary cancer

3

does hepatitis C have elevated alkaline phosphatase

no

4

does autoimmune hepatitis have elevated alkaline phosphatase

no

5

define acute liver failure

- elevated aminotransferase
- encephalopathy
- INR greater than 1.5

6

risk of what cancer is increased with UC

colorectal cancer

7

complication of UC

- toxic megacolon
- uveitis
- primary sclerosing cholangitis

8

when should patients with an affected first- degree relative be screened for colon cancer

age 40 or 10 years before the age of the relative's diagnosis

9

hallmarks of secretory diarrhea

- larger daily stool volumes
- occurs during fasting or sleep
- reduced stool osmotic gap

10

what is most consistent reversible risk factor for pancreatic cancer

cigarette smoking

11

active erosive gastropathy

development of hemorrhagic lesions after ischemia or exposure of gastric mucosa to various injurious agents ( alcohol, aspirin, cocaine)

12

epigastric pain and intermittent melena

duodenal ulcer

13

2 main causes of duodenal ulcer

H. pylori infection
NSAID

14

management for duodenal ulcer

antibiotics and acid suppression

15

features that distinguish biliary colic from cholecystitis are

pain resolves within 4-6 hours
absence of abdominal tenderness, fever and leukocytosis

16

where can pain occur for biliary colic secondary to gallstones

- RUQ or epigastric region
- right-sided shoulder pain
- subscapular discomfort

17

initial evaluation and management of patients with variceal hemorrhage is

mainting circulation
preventing and treating complications
stop cause of bleeding

18

if a patient has continuous hematemesis and depressed level of consciousness, what is a major risk

aspiration
- endotracheal intubation

19

burning, localized pain and regional hyperesthesia/allodynia, in the context of recent cancer treatment?

herpes zoster ( shingles)

20

unexplained chronic abdominal pain, weight loss and food aversion, postprandial epigastric pain

chronic mesenteric ischemia

21

positive urine bilirubin assay is indicative of

conjugated bilirubin

22

Rotor's syndrome

chronic or fluctuating conjugated hyperbilirubinemia due to defect in hepatic secretion of conjugated bilirubin into biliary system

23

Besides alcohol and gallstones causing acute pancreatitis, what else can cause it

medication
- diuretics
- anti seizure ( valproic acid)
- antibiotics ( metronidazole)

24

hallmark lab values for ischemic hepatopathy

- rapid and massive increase in transaminases
- modest elevations in total bilirubin and alkaline phosphatase

25

name 2 granulomatous diseases

tuberculosis and sarcoidosis

26

barium contrast enema can detect what disease

UC and Crohn

27

can diverticulitis cause urine problems

yes frequency and urgency
- bladder irriation from inflamed sigmoid colon

28

chronic dysphagia to both solids and liquids, regurgitation, difficulty belching and mild weight loss

achalasia

29

esophageal webs are associated with what vitamin deficiency

iron

30

what is used to diagnose achalasia

manometry