Gastro

Question 0

Dx of SBP: absolute neutrophil count of

Answer 0

> 250 u/L

Question 1

Usually the 1st indication of portal hypertension

Answer 1

Hypersplenism

Question 2

Asterixis/liver flap is a sign of

Answer 2

Hepatic encephalopathy

Question 3

Asterix appears with what grade of hepatic enceph

Answer 3

2

Question 4

Most common cause of pancreatitis

Answer 4

Gallstone

Question 5

Accepted pathogenic theory for pancreatitis

Answer 5

Autodigestion

Question 6

Abdl pain of pancreatitis is relieved by

Answer 6

Sitting with trunk flexed and knees drawn up

Question 7

Blue discoloration around the umbilicus, a result of hemoperitoneum

Answer 7

Cullen’s sign

Question 8

Blue-red- purple or green brown discoloration of the flanks: reflects tissue catabolism of hemoglobib

Answer 8

Turner’s sign

Question 9

More specific for panc: amylase or lipase?

Answer 9

Lipase

Question 10

Markers for severity during during hospitalizaion

Answer 10

BISAP(BUn, impaired mental status, SIRS, Age, pleural effusion)

Question 11

Most specific and characteristic symptom of gallstone disease

Answer 11

Biliary colic

Question 12

Gold standard for tx of symptomatic cholelithiasis

Answer 12

Laparoscopic cholecystectomy

Question 13

Medical mgmt for gallstones:

Answer 13

Ureodeoxucholic acid

Question 14

Passage of bilestone into the CBD

Answer 14

Choledocholithiasis

Question 15

Partial thickness tear at GEJ

Answer 15

Mallory weis syndrome

Question 16

Full thickness tear at GEJ

Answer 16

Boerhaave’s

Question 17

Management for h pylori

Answer 17

Omep+clarithro+amox

Question 18

Mgmt of refractory duodenal ulcer

Answer 18

Truncal vagotomy with pyloroplasty

Question 19

Tx for refractive gastric ulcer

Answer 19

Billroth I or II reconstruction

Question 20

Most common location of gastrinomas?

Answer 20

Passaro’s triangle (cysic duct/CBD, 2nd an 3rd portion of duodenum, head/neck of pancreas)

Question 21

Pentagastrin stimulation test is used for?

Answer 21

Diagnostic for pUD

Question 22

Differentiate between alcoholic liver disease and viral hepatitis

Answer 22

AST/ALT ration in acoholic liver disase; AST=1 in viral hepatitis

Question 23

Serum ascites albumin gradient (SAAG)

>1.1

Answer 23

Portal hypertension

Question 24

Serum ascites albumin gradient (SAAG) <1.1

Answer 24

Malignancy

Question 25

What is fetor hepaticus?

Answer 25

A sign of hepatic failure ; a musty smell due to accumulation of mercaptans

Question 26

Lead pipe colon

Answer 26

Ulcerative colitis

Question 27

Causes flare ups of ulcerative colitis

Answer 27

Clostridium difficile

Question 28

Drug of choice for UC

Answer 28

Sulfasaline