MTB3- GI

Question 1

Best study for Achalasia?

Answer 1

First Barium study and then manometry

Question 2

Best diagnostic test for Esophageal cancer?

Answer 2

Endoscopy

Question 3

Tx for esophageal cancer?

Answer 3

Surgical resection+ chemotherapy base on 5 fluorouracil

Question 4

TX for esophageal spasm?

Answer 4

Ca-channel blockers and nitrates / just like prinzmetal Angina

Question 5

What’ the difference between plummer vinson and schatzki ring?

Answer 5

Plumme vinson is proximal stricture but schatzi ring is in the distal

Question 6

What type of cancer is common in Plummer winson?

Answer 6

SCC

Question 7

How much percent of the chronic cough is caused by GERD?

Answer 7

25%

Question 8

What is the difference between odynophagia and dysphagia?

Answer 8

Odynophagia is more often happens due to an infection like HIV HSV CMV - and it’s painfull swelling but dysphagia is difficult swallowing

Question 9

Approach to odynophagia in HIV positive and HIV negative patients?

Answer 9

HIV positive-> and CD4 Fluconazol

HIV negative -> endoscopy

Question 10

How is the protocol for Barrett esophagus and low grade dysplasia?

Answer 10

Barrett esophagus ppi and endoscopy every 2-3 years/ low grade dysplasia ppi and endoscopy in 3-6 months

Question 11

Mallory Weiss tear treatment?

Answer 11

Spontaneously of epi

Question 12

No response to H. Pylori treatment, next step?

Answer 12

Change antibiotics ( metronidazole and tetracycline instead of claritromycine and amoxicillin, )
No response-> Zollinger Ellison
If you ‘recsuspeciouse about zollinger ellison like one large ulcer or multiple ulcers then-> start treatment

Question 13

First initial test and most accurate test to DX zollinger Ellison?

Answer 13

First initial test: Endoscopic Ultrasound
Most accurate test: Secretin suppression test( in normal people secretin will inhibit Gastrin in Zollinger ellison patients there is no change)

Question 14

What is an antibody in Crohn?

Answer 14

Anti Saccharomyces ( ASCA )

Question 15

What is electrolyte abnormality in crohn?

Answer 15

Hypocalcemia because of fat malabsorbtion

Question 16

What is electrolyte abnormality in Zollinger Elison?

Answer 16

Hypercalcemia( part of Men 1)

Question 17

What antibody is positive in UC?

Answer 17

ANCA

Question 18

First treatment for UC and Crohn ?

Answer 18

Mesalamine

Question 19

Why can’t we use sulfasalazine in UC and Crohn?

Answer 19

Because of these side effects: Rash/ Hemolytic Anemia/ Interstitial Nephritis

Question 20

When we use steroids in IBD? What is the name of that common steroid?

Answer 20

Acute exacerbation , Budenoside

Question 21

When should we use metronidazole and cipro in Crohn?

Answer 21

When there is peri anal involvement

Question 22

When do we use infliximab in crohn?

Answer 22

When there is a fistula associated with crohn.

Question 23

What is the best initial test in infectiouse diarrhea?

What is the most accurate test in infectiouse diarrhea?

Answer 23

Best initial test-> stool leukocyte

Most accurate-> stool culture

Question 24

What disease is caused by vibrio parahemolyticus?

Answer 24

Seafood

Question 25

What disease is associated with vibrio vulnificus?

Answer 25

Shellfish

Question 26

What are the studies methods for aesophagus and stomach?

Answer 26

Esophagus study is through barium enema , stomach study is through enndoscopy. Exceptions are tumors and Baret esophagus which we have to study by endoscopy and do biopsy.