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Flashcards in Gastroenterology Deck (30)
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1

Oropharyngeal vs Esophageal dysphagia: sx and dx procedures

Oropharyngeal: liquids > solids (aspiration)
Dx: video flouroscopy
Esophageal: solids> liquids (obstruction/motility)
Dx: barium swallow

2

Corkscrew-shaped esophagus: dx and tx

Diffuse esophageal spasm
Tx: nitrate, Ca ch blocker, surgery

3

Bird beak esophagus: dx and tx

Achalasia (degeneration inhib neurons auerbach plexus)
Tx: nitrate, ccp, endoscopinc inj, Heller myotomy

4

Etiology curling vs cushing ulcer

Curling: burn injuries
Cushing: TBI

5

Type A vs Type B gastritis:
Etiology, location

Type A: Autoantibodies to parietal cells, causes pernicious anemia, fundus
Type B: H. pylori or NSAID, antrum

6

Triple therapy for H. pylori

Amoxicillin, clarithromycin, omeprazole

7

Organisms that cause bloody diarrhea (4)

Salmonella, Shigella, E colie (EHEC), Campylobacter

8

Chronic diarrhea in AIDS pt (2)

Cryptosporidium, isospora

9

Campylobacter: Labs and Tx

Fecal RBCs and WBCs
Tx: erythromycin

10

Entamoeba histolytica: presentation, labs/imaging, tx

Presentaton: severe abd pain, fever, hx of travel
Labs/imagining: fecal rbcs, wbcs; "flask-shaped" ulcers
Tx: metronidazole

11

Causes of watery diarrhea (5)

V cholerae,rotavirus, e coli (ETEC), cryptosporidium, giardia

12

Grouped, papulovesicular, pruritic skin
located symetrically elbows, knees, buttocs, post scalp (disease + associated dx)

Dermatitis herpetiformis
Celiac disease

13

Diarrhea, dementia, dermatitis and death

pellagra

14

Carcinoid syndrome: assoc deficiency + tx

Assoc def: pellagra (B3 def) tryptophan (precursor to niacin) used to make serotonin
Tx: octreotide

15

Tx of diverticulitis

Bowel rest, NG tube placement, Broad spectrum abx (metronidazole + flouroqin or 2nd/3rd cephalo)

16

Indirect vs direct hernia: etiology and location

Indirect: congenital patent processus vaginalis; lateral to in epigastric vessels
Direct: defect in transversalis fascia (Breakdown with age)
medial to epigastric vessels

17

Extraintestinal manifestations of UC (4)

Primary sclerosing cholangitis, aphthous stomatitis, erythema nodosum, pyoderma gangrenosum

18

Sx and Tx of choledocolithiasis

Sx: biliary colic, jaundice, fever, pancreatitis
incr alk phos, t and dbili
Tx: ERCP with sphicterotomy + cholecystectomy

19

MRCP/ERCP shows "beading": Dx and Tx

Dx: Primary sclerosing cholangitis
Tx: ursodiol, ERCP and stenting, liver transplant

20

Primary sclerosing cholangitis: associated dx and malignancy

Assoc with ulcerative colitis and cholangiocarcinoma

21

presents with incr unconjugated bilirubin, no other abnormalilities

Gilbert's (decr activity of glucoronyl transferase)

22

Drugs causing hepatitis (4)

Alcohol
Acetominophen
INH
methyldopa

23

Hyperbilirubinemia: Causes for unconj (4) and conjugated (2)

Unconj: hemolytic anemia, gilbert, crigler-najjar
Conj: Dubin-Johnson, Rotor's

24

+ anti-smooth muscle antibodies

autoimmune hepatitis

25

Hep B serology:
-Acute early infxn
-Immunity
-+ during window period
-High vs low transmissibility

-Acute early infxn: HBsAg
-Immunity: HBsAb
-+ during window period: HBcAb
-High transmissibility: HBeAg
-Low transmissibility: HBeAb

26

Tx of chronic HCV and HBV

HCV: interferon and ribavirin
HBV: Interferon and lamivudine or adefovir

27

SAAG dx of ascitis

SAAG> 1.1: Portal hypertension
SAAG

28

+ Antimitochonrdrial Ab: Dx + Tx

Dx: Primary biliary cirrhosis
Tx: Ursodeoxycholic acid, cholestyramine, liver transplant

29

Spontaneous bacterial peritonitis: Dx and Tx and ppx

Dx: >250 PMNs/ml
Tx: 3rd gen cephalosporin, IV albumin
Ppx: flouroquinolone

30

Tx Wilson's disease

penicillamine, zinc