Gstrentrlgy

Question 1

Tenesmus in Cervical Cancer patients

Answer 1

radiation proctitis

Question 2

> /= 3 months of bothersome postprandial fullness, early satiety or epigastric pain or burning

Answer 2

Functional Dyspepsia

Question 3

Most common causes of indigestion

Answer 3

Gastroesophageal reflux

Functional Dyspepsia

Question 4

Most severe histologic consequence of GERD with associated risk of adenocarcinoma

Answer 4

Barrett’s metaplasia

Question 5

Give an example of a drug that inhibits gastric H+ K+ ATPase

Answer 5

Omeprozole/ Esomeprazole (PPIs)

Question 6

Gold standard treatment for high-grade dysplasia

Answer 6

Esophagectomy

Question 7

Characteristic symptom of infectious esophagitis

Answer 7

Odynophagia

Question 8

Most discriminating symptom of Duodenal Ulcer

Answer 8

Pain that awakens the patient from sleep

Question 9

Most superior in healing peptic ulcer

Answer 9

PPIs

Question 10

Triple Therapy for H. Pylori

Answer 10

Omeprazole
Clarithromycin
Amoxicillin

Question 11

Quadruple Therapy for H. Pylori

Answer 11

Tetracycline
Omeprazole
Metronidazole
Bismuth

Question 12

Most common cause of UGIB

Answer 12

PUD

Question 13

Most common cause of death for Acute Pancreatitis

Answer 13

Hypovelemic Shock

Question 14

Charcot’s triad

Answer 14

Fever
Pain
Jaundice``

Question 15

Triad of Cholecystitis

Answer 15

RUQ Pain
Fever
Leukocytosis

Question 16

Causes severe abdominal pain + tenderness mimicking acute appendicitis

Answer 16

Yersinia

Question 17

Etiologic agent that can be acquired form meat, poultry and canned goods

Answer 17

Clostridium Perfringes

Question 18

Etiologic agents that can lead to HUS

Answer 18

Shigella

E. Coli (0157:H7)

Question 19

Classic history of vomiting, retching or coughing preceding hematemesis especially in aclcoholic patient. Comminly in gastric side of GEJ

Answer 19

Mallory- Weiss tear

Question 20

Clinical tool/ classification to triage UGIB patients with ulcers

Answer 20

Forrest Classification

Question 21

Common cause of LGIB, abrupt in osent, painless, sometimes massive

Answer 21

Diverticular Disease

Question 22

3 hemorrhoidal complexes that traverse the anal canal

Answer 22

Left lateral
Right anterior
Right posterior

Question 23

Most frequent visceral site of metastasis

Answer 23

Liver

Question 24

An IBD wherein a person who had appendectomy is somehow protected

Answer 24

Ulcerative colitis

Question 25

Cobble stone appearance with skip lesions

Answer 25

Crohn’s Disease

Question 26

Most common and most characteristic symptoms of Liver disease

Answer 26

Fatigue

Question 27

Hallmark sign of liver disease and most reliable marker of severity

Answer 27

Jaundice

Question 28

Single most risk factor for Hepatitis C

Answer 28

Injection Drug use

Question 29

• Rare genetic disorder
• inability to clear and properly convert bilirubin from the body
• high level of unconjugated bilirubin
• may cause brain damage in children

Answer 29

Crigler- Najjar Syndrome

Question 30

Markers for Chronic Hepatitis

Answer 30

Persistence of HBsAg or HBeAg

Question 31

A stigmata of cirrhosis that gradually thickens the fascia/ connective tissue of the palm and become scar like

• painless
• restricts movement usu. of ring and pinky finger and curls inward to the palm.

Answer 31

Depuytren’s contracture

Question 32

Three primary complications of portal hypertension

Answer 32

Hypersplenism
Ascites
Varices

Question 33

Distinguish portal HPN from nonportal HPN

Answer 33

SAAG