gi, i fucking hate gi

Question 1

barretts esophagitis, squamous epithelium is replaced by _____ epithelium

Answer 1

columnar

Question 2

barretts/smoking lead to this type of esophageal cancer

Answer 2

adenocarcinoma

Question 3

etoh leads to this type of esophageal cancer

Answer 3

squamous cell

Question 4

gold standard test for achalasia

Answer 4

manometry

Question 5

corkscrew esophagus

Answer 5

esophageal spasm

Question 6

test of choice for zenkers

Answer 6

Ba swallow/esophagram

Question 7

pt has vomiting + chest pain + pneumomediastinum (crepitus), what do you suspect

Answer 7

Boerhaave’s syndrome

Question 8

1. dysphagia
2. esophageal webs
3. Fe def anemia
   this is a triad for what

Answer 8

plummer vinson syndrome

Question 9

treatment of choice for esophageal varices

Answer 9

ligation

Question 10

MC esophageal neoplasm

Answer 10

squamous cell

Question 11

young person with esophageal neoplasm is most likely what?

Answer 11

adenocarcinoma

Question 12

MC cause of gastritis

Answer 12

H PYLORI YAY MICHELLE I HOPE YOU’RE READING THIS

Question 13

3 drug tx for ulcers

Answer 13

clarithro
amox
PPI

Question 14

4 drug tx for ulcers

Answer 14

PPI
bismuth
tetracycline
flagyl

Question 15

ulcer that is better with meals, worse 2-5h after meals, occurs in younger pts

Answer 15

duodenal ulcers

Question 16

ulcer that is worse with meals, esp 1-2h after, occurs in older pts

Answer 16

gastric ulcers

Question 17

ulcers caused by an increase in damaging factors

Answer 17

duodenal

Question 18

ulcers caused by a decrease in protective factors

Answer 18

gastric

Question 19

kissing ulcers =

Answer 19

zollinger-ellison syndrome

Question 20

best test to screen for z-e syndrome

Answer 20

fasting gastrin level (inc)

there will also be + secretin

Question 21

MC type of gastric cancer

Answer 21

adeno

Question 22

string sign on upper EGD

Answer 22

pyloric stenosis

Question 23

1. ascites
2. hepatomegaly
3. ruq pain
   prob a woman in a hypercoag state
   what is this

Answer 23

budd-chiari syndrome
wtf is this
i hate gi

Question 24

in lieu of my question on the last card saying “wtf is this,” what is budd chiari syndrome

Answer 24

hepatic vein obstruction

Question 25

whatever imaging you get for budd chiari syndrome (us/venography) what is it most important to assess

Answer 25

whether vena cava is being occluded

Question 26

tx to break up gallstones

Answer 26

ursodeoxycholic acid

Question 27

why dont you use morphine in gallbladder or pancreatic pain

Answer 27

increased sphincter of oddi spasm

Question 28

jaundice occurs at a bili of > _____

Answer 28

2.5

Question 29

increased direct/conjugated bili suggests what

Answer 29

obstructive/posthepatic

Question 30

increase indirect/unconjugated bili suggests what

Answer 30

prehepatic/hemolytic

Question 31

physiologic jaundice occurs on what days

Answer 31

3-5

Question 32

if hcv has resolved, with HCV RNA be positive or negative

Answer 32

negative

Question 33

lab to screen for HCC

Answer 33

serum alfa fetoprotein

Question 34

HBs Ag indicates what

Answer 34

+ infx at some point

Question 35

HBs Ab indicates what

Answer 35

vaccination OR resolved infx

Question 36

HBc Ag indicates what

Answer 36

exposed at some point

Question 37

HBc Ab indicates what

Answer 37

hx of acute or chronic infx

Question 38

HBe Ag

Answer 38

infective! treat!

Question 39

HBe Ab

Answer 39

infection cleared, don't treat

Question 40

what if you get allll the HBV tests and the ONLY thing that comes back positive is the HBc Ab. what does that mean?

Answer 40

this is the window period for HBV don't ask me what that means

Question 41

what drug do you give for cirrhosis with pruritis

Answer 41

cholestyramine (questran)

Question 42

score to assess end stage liver disease

Answer 42

MELD score

Question 43

incidental finding of asx increased alk phos is probably what disease

Answer 43

primary biliary sclerosis

Question 44

+ anti-mitochondrial Ab

Answer 44

primary biliary sclerosis

Question 45

liver/gallbladder sx in a person who has ulcerative colitis is most likely this disease

Answer 45

primary sclerosing cholangitis

Question 46

Ransons Criteria for pancreatitis

Answer 46

``` glucose > 200 age > 55 ldh > 350 ast > 250 wbc > 16,000 ```

Question 47

person has steatorrhea, new DM diagnosis, what disease should you think

Answer 47

chronic pancreatitis

Question 48

currant jelly stool

Answer 48

intussusception

Question 49

how do you dx AND treat intussusception

Answer 49

Ba enema

Question 50

how do you tx volvulus

Answer 50

decompression w/ endoscopy

Question 51

llq pain and blood diarrhea, obviously you think of diverticulitis, but what else should you also think that presents this way

Answer 51

ischemic colitis

Question 52

string sign on colonoscopy

Answer 52

crohns (from strictures)

Question 53

stovepipe sign on colonoscopy

Answer 53

UC (from loss of haustra)

Question 54

when do you confirm h pylori eradication after treatment

Answer 54

4 weeks

Question 55

what disease can be induced by ercp

Answer 55

pancreatitis

Question 56

pancreas shows heterogenous appearance and fat stranding

Answer 56

chronic pancreatitis

Question 57

what is the tumor marker for panc cancer

Answer 57

ca19-9

Question 58

what is the tumor marker for colon cancer

Answer 58

cea

Question 59

mrcp shows "beading" of the bile ducts

Answer 59

primary biliary sclerosis

Question 60

kid pulls his knees up to chest

Answer 60

intussuception