GI Flashcards

(62 cards)

1
Q

What is a modality for a patient with significant nighttime GERD sxs?

A

H2 blocker at night, PPI during day

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2
Q

Common viral causes of esophagitis?

A

CMV, and HSV

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3
Q

Common causes of esophagitis with HIV patient?

A

Mycobacterium tuberculosis
EBV
Mycobacterium Avium Complex (MAC)

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4
Q

How to treat HSV esophagitis?

A

Acyclovir

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5
Q

How to treat CMV esophagitis?

A

Ganciclovir

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6
Q

Key feature of Zenker’s diverticulum?

A

vomiting undigested food after several hours

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7
Q

Classic finding on barium swallow in patient with Achalasia?

A

“Parrot beak”

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8
Q

Condition caused by thrombosis of portal vein which leads to esophageal varices?

A

Budd-Chiari Syndrome

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9
Q

What three diseases does H Pylori cause?

A

PUD
gastric adenocarcinoma
gastric lymphoma

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10
Q

Most common cause of peptic ulcer disease?

A

H Pylori

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11
Q

The name of a syndrome which involves a gastrin-secreting tumor that causes hypergastrinemia?

A

Zollinger-Ellison syndrome

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12
Q

How to diagnose Zollinger-Ellison syndrome?

A

fasting gastrin level > 150 pg / mL

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13
Q

What is strongly associated with gastric adenocarcinoma?

A

H Pylori

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14
Q

What is the supraclavicular lymphadenopathy of gastric adenocarcinoma called?

A

Virchow’s node

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15
Q

What is the umbilical nodule of gastric adenocarcinoma called?

A

Sister Mary Joseph nodule

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16
Q

What organism causes the most rapid onset of diarrhea?

A

Staph Aureus

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17
Q

what denotes an inflammatory process in diarrhea?

A

stool WBCs

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18
Q

when should a colonoscopy be ordered in patient with constipation?

A

patients > 50 years old with new onset constipation

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19
Q

What causes most small bowel obstructions?

A

adhesions and hernias

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20
Q

Most common cause of a large bowel obstruction?

A

tumor

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21
Q

What test distinguishes mal-digestion from mal-absorption?

A

D-xylose test

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22
Q

What is the most common genetic condition in the US?

A

Celiac

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23
Q

What are the screening tests for celiac?

A

IgA anti-endomysial and anti-tissue transglutaminase

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24
Q

What is the age of onset for Crohn’s disease?

A

Age 25, M = F

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25
What is possibly curative in Ulcerative Colitis?
Surgery
26
What is the most common cause of chronic or recurrent abdominal pain in the US?
IBS
27
What is the most common cause of intussusception in a child and adult?
Child: viral infections Adult: neoplasm
28
What is the presentation of intussusception?
colicky pain currant jelly stool sausage-like mass
29
how do we both diagnose and treat intussusception in a child?
barium or air enema
30
how do we diagnose intussusception in an adult?
CT
31
What test do we avoid with diverticulitis?
Barium enema
32
What is the risk of inheirited polyposis syndrome?
near 100% risk of cancer
33
What lab test is used to monitor Colorectal cancer?
carcinoembryonic antigen (CEA)
34
what is the most common cause of appendicitis?
fecalith
35
What is the most common emergency surgery?
appendicitis
36
what is the initial symptom of appendicitis?
periumbilical or epigastric pain
37
Most common causes of pancreatitis?
ETOH | cholelithiasis
38
Classic pain pattern of pancreatitis?
epigastric pain radiating to back
39
What is bleeding into the flanks called?
Grey Turner sign
40
What is bleeding into the umbilical area called?
Cullen's sign
41
What is a palpable gallbladder and jaundice called?
Courvoisier sign
42
What is the surgical resection of pancreatic cancer called?
Whipple procedure
43
What are the complications of choledocholithiasis?
cholecystitis pancreatitis acute cholangitis
44
What is Charcot's Triad?
RUQ pain jaundice fever
45
What is Charcot's triad, with added hypotension and altered mental status?
Reynold's Pentad
46
What is primary sclerosing cholangitis associated with?
Ulcerative Colitis
47
What is the only known treatment for primary sclerosing cholangitis?
Liver Transplant
48
What represents ongoing Hepatitis B infection
Hep B Surface Antigen
49
What represents immunity to Hepatitis B?
Anti-HBs - antibody to HepB Surface Antigen
50
What med is used for acetaminophen toxicity?
acetylcysteine
51
What is the general cause of a liver abscess?
Entamoeba Histolyica
52
What is the liver a common recipient of metastases from?
Lung and Breast
53
What diseases cause an elevation of alpha-fetoprotein
Hepatic Carcinoma Hep C Cirrhosis
54
What is the location of an indirect inguinal hernia?
Through internal inguinal ring
55
Location of a direct inguinal hernia?
Through external ring at Hesselbach's triangle
56
What is the basic patient demographic for pyloric stenosis?
5 week old male
57
What is the radiographic finding of pyloric stenosis?
String Sign
58
What is the disease caused by Vitamin D deficiency?
Rickets
59
What is the disease caused by Thiamine deficiency?
Beriberi
60
What's another name for Vitamin B6?
Pyridoxine
61
What is the problem with pheynlketonuria?
inability to metabolize phenylalanine
62
What is the treatment for phenylketonuria?
low phenylalanine diet and tyrosine supplementation.