gastro

Question 1

This type of IBD has + risk of primary sclerosing cholangitis

Answer 1

UC - PSC is risk for cholangiocarcinoma

Question 2

terminal ileum, skip lesions/discontinuous, fistulae, luminal stricture, granulomas

Answer 2

Chrons

Question 3

Continuous mucosal lesions, confined to colon and rectum, Cured by colectomy, higher risk of colon cancer, pyoderma granulosum, erythema nodosum, p-ANCA, crypt abscesses

Answer 3

UC

Question 4

extra-intestinal symptoms of crohns

Answer 4

uveitis, arthritis, AS, erythema nodosum, pyoderman gangrenosum, apthrous oral ulcers, chloelithiasis, nephrolithaisis

Question 5

Half of all bile duct cancers are associated with this IBD

Answer 5

UC

Question 6

This complication of UC is a surgical emergency

Answer 6

toxic megacolon

Question 7

surgery is often curative for this IBD

Answer 7

UC

Question 8

Copper of Wilson’s disease deposits in this part of the brain

Answer 8

basal ganglia

Question 9

reduced stool osmotic gap + larger stool colume

Answer 9

secretory diarrhea

Question 10

elevated stool osmotic gap, lactose intolerance

Answer 10

osmotic diarrhea

Question 11

UC + fatigue, pruritus, elevated alk phos

Answer 11

PSC

Question 12

Labs to determine active HBV infection

Answer 12

HBsAg and anti-HBc

Question 13

periumbilical abdominal pain out of proprtion to examination, nausea, vomiting in elderly person

Answer 13

mesenteric ishcmia

Question 14

What is HBV status of somenoe with + HBV surface antibody but NO HBV surage antigen

Answer 14

immunized

Question 15

chronic abdominal pain + diarrhea and/or constipation, relief of pain with BM, no bloody stools, normal intestinal mucosa

Answer 15

IBS

Question 16

colicky abdominal pain, chronic diarrhea with bloody stool, weight loss, crypt abscess

Answer 16

UC

Question 17

triad for diagnosis of ALF

Answer 17

elevated aminotransferease
hepatic encelpaholopathy (confusion, smonolence, flapping tremor)
liver synthesis dysfunction - INR, platelets

Question 18

When TIPS for cirrhosis

Answer 18

ascites that does not respond to diuretics or ongoing bleeding after variceal clamping

Question 19

chronic diarrhea, steatorrhea, weight loss, atrophy of intestinal villi

Answer 19

celiac disease

Question 20

With the D-xylose test in celiac pt, do you expect D-xylose urine and venous blood level to be low?

Answer 20

yes, because damage to small bowel. would expect normal if malabosprtion issue to deficiency (chronic pancreatitis

Question 21

What two things does GERD predispose you to

Answer 21

Barrett’s and esophageal strictures

Question 22

dysphagia to solids and liquids

Answer 22

achalasia

Question 23

Does hyperprolactin INHIBIT GnRH mediated release of FSH and LH?

Answer 23

Yep, but doesn’t affect TSH

Question 24

multiple duodenal ulcers + chronic diarrhea + malabsorption

Answer 24

ZES with gastrinoma - increased acid inactivates pancreatic enzymes

Question 25

lynch syndrome cancers

Answer 25

colorectal and endometrial

Question 26

parathyroid, pituitary and pancreatic adenomas

Answer 26

MEN1

Question 27

hydrogen breath test stool test for reducing substances low stool pH increased stool osmotic gap

Answer 27

lactose intolerase

Question 28

macrocytic anemia, hypersegmented neutrophils

Answer 28

folate deficiency

Question 29

would someone immunized against HBV have anti-HBc?

Answer 29

no, because vaccine doesn't have core Ag, someone immunized has anti-HBs ONLY

Question 30

villous atrophy, malabsorption, iron deficiency anemia, Iga anti-endomysial and anti-tissue transglutaminas Ab

Answer 30

Celiac

Question 31

multiple portions of GI tract, rectal sparing, presence of noncaseating granulomas, fistula formations

Answer 31

Crohns

Question 32

recurrent bouts of upper abdominal pain, radiate to back, relieved when leaning forward, diarrhea/steatorrhea, weight loss, pancreatic calcifications

Answer 32

chronic pancreatitis

Question 33

sudden loss of vision and onset of floaters

Answer 33

vitreous hemorrhage, diabetic retinopathy

Question 34

painless progressive blurring of central vision

Answer 34

macular degeneration

Question 35

sudden painless unilateral loss of vision

Answer 35

central retinal vein occlusion

Question 36

disk swlling, venous dilation and tortuosity, retinal hemorrhages, cotton wool spots

Answer 36

central retinal vein occlusion

Question 37

previous GSW, infection with encapsulated bacteria (h flu, s pneumo), NO anti-body mediated phagocytosis

Answer 37

splenectomy