MT 1 Highlighted

Question 1

Odynophagia =

Answer 1

painful swallowing

Question 2

Dysphagia =

Answer 2

difficulty swallowing

Question 3

Flowing dysostosis/calcification T2-T6 w/ back pain =

Answer 3

DISH

Question 4

Uncoordinated esophageal contractions =

Answer 4

DES

Question 5

Dysphagia to solids and liquids + regurg of food & halitosis =

Answer 5

Zenker’s diverticulum

Question 6

Inflammation of lymph nodes causes what type of diverticula?

Answer 6

Traction

Question 7

Achalasia is assoc with?

Answer 7

Esophageal stricture

Question 8

Apple core appearance caused by?

Answer 8

Neoplasia/tumor

Question 9

1o risk factor for squamous cell esophageal cancer =

Answer 9

Smoking + alcohol

Question 10

Barrett’s esophagus more likely to lead to?

Answer 10

Adenocarcinoma

Question 11

Triggers for GERD: lying down, smoking, tight clothing, obesity

Answer 11

(all of the above)

Question 12

Pt c/o chest pain radiating down arm, acidic taste in mouth =

Answer 12

GERD (not angina)

Question 13

Motility disorder w/ failure of LES to relax =

Answer 13

Achalasia

Question 14

Chagas Dz caused by?

Answer 14

T. cruzi

Question 15

Bird’s beak deformity seen with?

Answer 15

Achalasia

Question 16

Dz that gets worse w/ stress and temperature, better w/ rest =

Answer 16

Myasthenia Gravis

Question 17

Pt most likely to get thymectomy with?

Answer 17

Myasthenia Gravis (MG causes thymoma); other options: hyperthyroid, hypothyroid, hyperparathyroid

Question 18

MuSK protein associated with?

Answer 18

Myasthenia Gravis (not scleroderma)

Question 19

Dz causing hardening/calcification/scarring of organs =

Answer 19

Scleroderma

Question 20

Resorption of distal tufts, calcification of fingers, restricted joint movt =

Answer 20

Scleroderma

Question 21

“T” in CREST =

Answer 21

Telangiectasis

Question 22

“HIPAA” stands for:

Answer 22

Health, Insurance, Portability and Accountability Act

Question 23

Raynaud’s with no underlying dz =

Answer 23

Raynaud’s Disease (not phenomenon)

Question 24

Alcoholic liver dz/cirrhosis is common cause of =

Answer 24

Esophageal varices

Question 25

m/c cause of cirrhosis (Hep C wasn’t an option)

Answer 25

Alcoholism

Question 26

Itchy skin =

Answer 26

Pruritis

Question 27

Male c/o hematemesis with vomiting after night of drinking =

Answer 27

Mallory-Weiss

Question 28

Complete transmural tear =

Answer 28

Boerhaave’s Syndrome

Question 29

Melena seen with?

Answer 29

Esophageal tear, stomach, duodenum (select all the above)

Question 30

Hematochezia seen with?

Answer 30

Rectal bleed

Question 31

Exopthalmos seen with?

Answer 31

Grave’s Dz

Question 32

Painful, tender, diffuse thyroid enlargement =

Answer 32

Subacute Thyroiditis

Question 33

↑ TH, ↓ TSH, presence of TSH antibodies on scintigraphy =

Answer 33

Diffuse iodine uptake (Grave’s) other answers: hot nodule, multiple hot spots, normal

Question 34

Single area of ↑ iodine uptake on scintigraphy =

Answer 34

Toxic Adenoma

Question 35

Queen Ann’s sign =

Answer 35

loss of lateral 1/3 of eyebrow (Hypothyroidism)

Question 36

Numbness in lateral 3 digits, + Phalen’s =

Answer 36

Carpal Tunnel (seen with Hashimoto’s)

Question 37

Pt c/o tender shin that has changed shape & hats don’t fit anymore =

Answer 37

Paget’s

Question 38

Thyroid dz with hyperthyroidism →hypothyroidism→euthyroid =

Answer 38

Lymphocytic (post-partum)

Question 39

Cold intolerance, weight gain, goiter =

Answer 39

Hashimoto’s

Question 40

(+) Phalen’s sign seen with?

Answer 40

Hashimoto’s (Hypothyroidism) also with Carpal Tunnel

Question 41

(+) Tinel tap is when?

Answer 41

↑ pain/tingling along nerve distribution

Question 42

Test to detect H.pylori =

Answer 42

Urea breath test

Question 43

Unintentional weight loss, early satiety, abd bloating, hematemesis =

Answer 43

Gastric Adenocarcinoma

Question 44

Unintentional weight loss, enlarged supraclavicular lymph node (Virchows) =

Answer 44

Gastric Adenocarcinoma

Question 45

Polyps produce what on barium study?

Answer 45

filling defect

Question 46

Intolerance to spicy foods =

Answer 46

Gastritis

Question 47

Gastrinoma found on CT =

Answer 47

Zollinger-Ellison Syndrome

Question 48

Onset of pain 30 min after eating, weight loss =

Answer 48

Gastric ulcer

Question 49

Pt c/o pain, relieved with food, but then returns 2-3 hrs later, radiates to back =

Answer 49

Duodenal ulcer

Question 50

Clover leaf appearance seen with?

Answer 50

Healed duodenal ulcer

Question 51

Calcification of gall bladder wall =

Answer 51

Porcelain GB

Question 52

(+) Murphy’s sign =

Answer 52

GB Dz (inflammation of GB)

Question 53

Murphy’s sign can be elicited with?

Answer 53

Abdominal Ultrasound (other options: KUB)

Question 54

Bruising around flanks indicative of?

Answer 54

Retroperitoneal Bleed (Grey-Turner’s Sign)

Question 55

Kaiser-Flesher ring seen with?

Answer 55

Wilson’s dz (copper)

Question 56

Inflammatory Bowel Dz (IBD) consists of =

Answer 56

Crohn’s and Ulcerative Colitis

Question 57

Sign of appendicitis =

Answer 57

Rovsing’s/Blumberg’s sign

Question 58

M/C tumor of clavicle =

Answer 58

ABC

Question 59

M/C mets to spine in male =

Answer 59

Prostate CA

Question 60

M/C tumor of sacrum and knee =

Answer 60

Giant Cell

Question 61

M/C tumor of nose and sinuses =

Answer 61

Osteoma

Question 62

Sessile or pedunculated tumor =

Answer 62

Osteochondroma

Question 63

Traction of tibial tuberosity =

Answer 63

Osgood Schlatters

Question 64

Mouse ear appearance =

Answer 64

Psoriatic Arthritis

Question 65

Sodium monourate crystal deposition =

Answer 65

Gout

Question 66

HADD m/c in =

Answer 66

Shoulder (supraspinatus)