GI

Question 1

MC organism, esophagitis

Answer 1

candida

Question 2

loss of ganglion cells in Auerbach’s plexus

Answer 2

achalasia

Question 3

examples of esophageal strictures

Answer 3

Schatzki’s ring, Zenker’s diverticulum, Esophageal web

Question 4

circumferential lower eso ring, often assoc w/ hiatal hernia

Answer 4

schatzki’s ring

Question 5

outpouching of porx eso mucosa

Answer 5

zenker’s tic - diverticulectomy

Question 6

Plummer-Vinson synd

Answer 6

webs (mid-upper eso) assoc w/ sev Fe def (koilonychia/nail spooning, glossitis, chelosis)
- tx w/ Fe supp, dilatation

Question 7

eso CA

Answer 7

SCC: prox 2/3
adeno: distal 1/3 (Barrett’s)

Question 8

Mallory-Weiss tear

Answer 8

superficial mucosal tear at GE jct from V (painLESS)

Question 9

Boerhaave’s synd

Answer 9

eso rupt from forceful V (chronic), PAINFUL

• Hamman’s crunch: crepitus on auscultation
• mediastinal widening / free air on CXR/CT
• surg STAT, abx, antiV

Question 10

MC gastric CA

Answer 10

adeno

Question 11

MC CA mets to GI tract

Answer 11

non-hodgkins

Question 12

virchow’s node and sister mary joseph’s nodule

Answer 12

• L supraclavicular
• periumbilical
  assoc w/ gastric CA

Question 13

Boas’ sign

Answer 13

pain radiation to tip of R scapula (gallbladder)

Question 14

charcot’s triad

Answer 14

RUQ pain, jaundice, fever

- ascending cholangitis

Question 15

reynold pentad

Answer 15

RUQ pain, jaundice, fever
AMS, HYPOTN
- ascending cholangitis

Question 16

Courvoisier’s sign

Answer 16

painless jaundice and palpable/enlarged, nontender gallbladder ( = pancreatic CA of head)

Question 17

cullen’s sign

Answer 17

periumbilical ecchymosis (pancreatitis/rupt)

Question 18

grey-turner’s sign

Answer 18

flank ecchymosis (pancreatitis/rupt)

Question 19

ranson’s criteria

Answer 19

pancreatitis mortality score (done on admission & 48 hrs later)
- GA LAW
glucose > 200
age >55
ldh >350
ast > 250
wbc > 16k

Question 20

MC pancreatic CA

Answer 20

adeno

Question 21

vit A def

Answer 21

night-blindness, dry skin, poor wound healing

Question 22

Thiamine def

Answer 22

B1

wernicke’s encephalopathy, Korsakoff synd (amnestic d/o), Beriberi (wet & dry)

Question 23

niacin def

Answer 23

B3

pellagra = 3D’s (diarrhea, dermatitis, dementia)

Question 24

cobalamin def

Answer 24

B12

Question 25

Vit C def

Answer 25

scurvy (bleeding gums, petechiae, poor healing)

Question 26

vit D def

Answer 26

rickets, osteomalacia

Question 27

vit K def

Answer 27

bleeding, elevated PT

Question 28

GI/GU sx of hepatitis

Answer 28

tea-colored urine, clay-colored stool