GI FA

Question 1

Most common cause of lower GI bleed > 40

Answer 1

Diverticulosis

Question 2

Diagnostic test for equivocal US in cholecystitis

Answer 2

HIDA scan

Question 3

Risk factors for cholithiasis

Answer 3

Fat, forty, female, fertile, flatulent

Question 4

Inspiratory arrest during palpation of the RUQ

Answer 4

Murphy’s sign (acute cholecystitis)

Question 5

Most common cause of SBO with or without history of abd surgery

Answer 5

Adhesions

Hernia

Question 6

Charcot’s triad

Answer 6

RUQ pain, jaundice, fever/chills. (Ascending cholangitis)

Question 7

Difference between Mallory-Weiss and Boerhaavr tears

Answer 7

Mallory-Weiss: superficial tear. Boerhaave: full-thickness rupture

Question 8

IBD extraintestinal findings

Answer 8

Uveitis, ankylosing spondylitis, pyoderma gangrenosum, erythema nodosum, primary sclerosing cholangitis

Question 9

25 year old with pain, watery diarrhea after meals. Fistulas between bowel and skin, nodular tibia lesions.

Answer 9

Crohn’s

Question 10

Most common diarrhea?

Answer 10

Campylobacter

Question 11

Diarrhea with recent abtibiotics

Answer 11

C diff

Question 12

Camping diarrhea

Answer 12

Giardia

Question 13

Traveler’s diarrhea

Answer 13

ETEC

Question 14

Church picnics/mayonnaise diarrhea

Answer 14

S aureus

Question 15

Uncooked hamburgers diarrhea

Answer 15

E Coli O157:H7

Question 16

Fried rice diarrhea

Answer 16

Bacillus cereus

Question 17

Poultry/eggs diarrhea

Answer 17

Salmonella

Question 18

Raw seafood diarrhea

Answer 18

Vibrio, HAV

Question 19

AIDS diarrhea

Answer 19

Isospira, Cryptosporidium, MAC

Question 20

Pseudoappenditicitis diarrhea

Answer 20

Yersinia

Question 21

Sudden onset of severe, diffuse abd pain. Peritoneal signs, AXR with free air under diaphragm. Management?

Answer 21

Emergent laparotomy to repair perforated viscus

Question 22

Reynold’s pentad

Answer 22

Charcot’s (RUQ pain, jaundice, fever/chills) + shock and AMS (supprative ascending cholangitis

Question 23

Med treatment for hepatic encephalopathy

Answer 23

Dec protein intake, lactulose, rifaximin

Question 24

First step for acute GI bleed management

Answer 24

ABCs

Question 25

4 year old with oliguria, petechiae, jaundice following bloody diarrhea

Answer 25

HUS due to E coli O157:H7

Question 26

Post-HBV exposure treatment

Answer 26

HBV immunoglobulin

Question 27

Drug induced causes of hepatitis

Answer 27

TB meds (INH, rifampin, pyrazinamide), tetracycline, acetominophen

Question 28

Highest risk of incarcerated hernia

Answer 28

femoral

Question 29

40 year old female with elevated Alk Phos, bilirubin, pruritis, dark urine, and clay-colored stools

Answer 29

Biliary tract obstruction

Question 30

50 yo man with history of alcohol abuse, epigastric pain radiating to the back, relieved by sitting forward

Answer 30

Confirm acute pancreatitis with elevated amylase and lipase. Make the pt NPO and on IV fluids, O2, analgesia, "tincture of time"