MKSAP

Question 1

Oral naloxegol is a peripherally acting μ-opioid recep- tor antagonist that is FDA-approved for the treatment of opioid-induced constipation in adults with chronic noncancer pain.

Answer 1

Vrai

Question 2

Patients with hepatitis B infection in the immune- tolerant phase require anti viral therpay

Answer 2

Faux

Question 3

Aspirin for secondary prophylaxis in patients with established cardiovascular disease should be discontinued after colonoscopy with polypectomy.

Answer 3

faux

Question 4

The diagnosis of primary biliary cholangitis (PBC) is generally made on the basis of a ____ liver enzyme profile in the setting of a positive ______anti- body test. The predominant liver enzyme abnormality is an increase in serum ALP levels, but a mild to moderate increase in aminotransferase levels is also seen.

Answer 4

cholestatic
anti-muscle lisse

Question 5

_______ is caused by a tumor at the gastroe- sophageal junction infiltrating the myenteric plexus causing esophageal motor abnormalities; symptoms, barium-imaging and manometric findings, and endo- scopic appearance are similar to achalasia.

Answer 5

pseudoachalasie

Question 6

The diagnosis of IBS requires symptoms of recurrent abdom- inal pain or discomfort at least ____day a week for a period of _____, along with two of the following three additional
criteria: ___, ___, ___

Answer 6

1
3 months
change in bowel consistency, pain relieved by defecation, change in stool frequency

Question 7

Patients with dysphagia associated with regurgitation of undigested food should be evaluated with a ______ for the presence of a ______.

Answer 7

Repas baryté
Zenker diverticulum

Question 8

The diagnosis of hepatopulmonary syndrome is made by demonstrating an arterial oxygen tension less than______ breathing ambient air, or an alveolar-arterial gradient of ______ or greater, along with evidence of _____on echocardiography with agitated saline or macroaggregated albumin study.

Answer 8

80 mm Hg (10.7 kPa)
l5 mm Hg (2 kPa)
intrapulmonary shunting

Question 9

______can present with biliary colic symptoms in the alert patient or with unexplained Jeukocytosis, sepsis, and jaundice in the critically ill patient.

Answer 9

cholecystite acalculous

Question 10

In patients requiring NSAIDs, an evidence-based treatment strategy to prevent recurrent NSAID- induced peptic ulcers is the use of _____ plus a ____.

Answer 10

inh cox 2
ipp