PANCE GI round 2 8/14/20 Flashcards
(117 cards)
1
Q
what is the gold standard for GERD
A
- 24 hr PH
2
Q
dysphagia of both solids and liquids
A
achalasia
3
Q
increased LES pressure
A
achalasia
4
Q
how do you tx nutcracker esophagitis
A
CCB
Botox
5
Q
how do you tx mallory weiss tear
A
epi
band ligation
6
Q
how do you tx esophageal varices
A
- octreotide
- non selective BB (propanolol)
7
Q
dyspagia to solids
A
- esopahgeal neoplasms
8
Q
how do you dx gastritis
A
endoscopy
9
Q
how do you tx gastritis
A
- CAP
10
Q
MC cause of upper GI bleed
A
PUD
11
Q
what is a SE with a PPI
A
b12 deficiency
12
Q
what is a SE of cimetidine
A
gynecomastia
13
Q
what type of bili with dubin johnson
A
direct (conjugated)
14
Q
what type of bili with Gilbert’s
A
unconjugated
15
Q
jaundice with ETOH with normal LFT
A
Gilbert’s
16
Q
tx for Gilbert’s
A
none
17
Q
tx for Dubin Johnson
A
none
18
Q
what bone hormone is increased with cholestasis
A
alk phos
19
Q
labs with acute hepatitis 4
A
- Inc ALT/ AST
- Inc Ammonia
- inc PT/INR
- Hypoglycemia
20
Q
what lab value is associated with wilsons disease
A
- decreased ceruloplasmin
21
Q
what lab value is associated with pancreatic cancer
A
CA 19-9
22
Q
how do you dx a lactulose intolerance
A
hydrogen breath test
23
Q
MCC of lower GI bleeding
A
diverticulits
24
Q
how do you dx crohns
A
upper GI series
25
how do you dx UC
barium enema
26
tx for anal fissure 2
- nitro, CCB
27
what do you replace ammoxacillin with in CAP for PUD of they are allergic to penacillin
metronightazole
28
what is the ending for a PPI
azole
29
what PUD is almost always benign
duodeneal
30
location of zollinger ellison syndrome 2
duodoneal wall
| pancreacus
31
what type of cancer is gastric carcinoma
adenocarcinoma
32
what type of bili for crigler nagiar
indirect
33
what is charcots triad associated with
acute cholangitis
34
what is murpy's sign associated with
acute cholecyctitis
35
PSC tx
liver transplant
36
tx for wilsons
D penicillamine
37
what may you see on X ray for acute pancreatitis
sentinal loop
38
what is the stovepipe sign associated with
UC
39
what is P ANCA associated with
UC
40
tx for crohn and CUC
sulfasalazine
| mesaamine
41
what are the three main types of polyps
- psudo
- hyperpastic
- adenomatous
42
3 types of adenomatous polyps
- tubular adenoma
- tubulovillious
- villious
43
what is CEA associated with
Colon cancer
44
what type of hernias can go into scrotum
indirect
45
what are the boarders for a direct hernia
Rectus abdominous: medial
Inferior epigastric: lateral
Piuoart's ligamnet: inferior
46
what type of hemorrhoids hurt
external
47
3 tx for hemorrhoids 3
higher fiber
sits bath
band ligation
48
what is the location for anorectal abcess and fistula
posterior rectal wall
49
what is the tx for anorectal abcess and fistula 2
```
1. I and D
Warm water
Analgesic
Sits bath
High fiber
```
50
"severe pain with pooping"
anal fissure
51
skin tag poterior midline of anus
anal fissure
52
what anal pathology gets nitro
anal fissure
53
urine has a musty odor and the child is blond hair and blue eyes what pathology
phenylketonuria
54
what class is odansetron
antiemetic
55
what class is kaopectate
antiemeric
56
what is a GI benefit of an anticholenergic
antidiarrheal
57
what is the MC cause of gatroenteritis in adults
norovirus
58
what is the MC cause of gatroenteritis in kids
rotovirus
59
what general class of diarrhea
vomiting
watery diarrhea no WBC of blood
noninvasive infectious diarrhea
60
what general class of diarrhea
fever
vomiting
diarrhea blood + leukocytes
invasive infectious diarrhea
61
invasive infectious diarrhea tx what do you not do
antimotility agents
62
what are the 5 types of noninvasive infectious diarrhea
- staphylococcus aureus
- bacillus cereus
- vibrocholerae
- exterotoxic e coli
- clostridium difficil
63
staphylococcus aureus diarrhea cause 4
diary
mayonnaise
meats
eggs
64
noninvasive infectious diarrhea tx
supportive
65
rice water stools
vibro choleare
66
vibro choleare tx
supportive
| tetracycline
67
what is travelers diarrhea that is trasmitted via water
enterotoxogenic e coli
68
enterotoxogenic e coli tx 2
fluids
| fluorquinolones
69
diarrhea with high lymphocytes and psudomembranous colitis
C diff
70
Cdiff tx
metronidazole
71
what are the 5 types of invasive infectious diarrhea
- Campylobactor enteritis
- shigella
- salmonella
- enterohemorragic ecoli E 0157H7
- yersina
72
Campylobactor enteritis tx
erythromycin
73
Campylobactor enteritis transmitted
undercooked poultry
74
how is salmonella transmitted 2
poultry products
| exotic animals
75
salmonella diarrhea tx
cipro
76
enterohemorragic ecoli E 0157H7
| primary transmission
undercooked beef
77
how does someone get giardia
contaminated water such as backpacking
78
frothy greasy diarrhea
Giardia lamblia
79
Giardia lamblia tx
metronidazole
80
what is courvoisirs sign associated with
pancreatic carcinoma
81
what are the two tumor markers associated with
- CEA
| - CA 19-9
82
what is a type of esophagitis you may see with kids with allergies
eosinophilic
83
what is pyrosis
heart burn
84
what are the 4 alarm symptoms with GERD
- dysphagia
- oodyophagia
- weight loss
- bleeding
85
what is
- 1st line DX for GERD
- gold standard
- endoscopy
| - 24 HR PH
86
pain with cold or hot liquids
esophageal spasm (corkscrew)
87
what is the dx for achalasia 2
- CCB
| - Botox
88
what is the dx for nutcracker 2
- CCB
| - Botox
89
what two pathologies have hydrophobia
- Mallory weiss
| - rabies
90
hemaemasis after drinking
mallory weiss tear
91
what is plummer vinson syndrome assoacited with
esophageal rings / webbs
92
what are the 3 tx for esophageal varicies
- band ligation
- octreotide
- Beta blocker
93
what is the MC type pf hernia
sliding
94
how do you manage sliding hernia
similar to GERD
95
what is the C is CAP
clarithrymycin
96
what can a PPI cause (SE)
B12 deficiency
97
dark urine and light stools mean what
increased direct bilirubin
98
increased bili with normal LFT 2
- Dubin johnson
| - Gilberts
99
what is the only hereditary syndrome that increased direct Bili
Dubin Johnson
100
increased jaundice with ETOH
- gilberts
101
what ALT & AST > 1,000 think what
viral hepatitis
102
what is boas sign associated with
acute cholescyctitis
103
what abs 2 for gallbaldder issues
ceftriaxone + metronightazole
104
how do people get hep A (2) think about it
- fecal oral
| - kids
105
what is the marker of acute hep B infection
HBsAG
106
what 2 goups have HBsAB
- chronic infection
| - cleared
107
what hep has the highest pregnancy mortality
hep E
108
how do you tx the pruitis with cirrhosis
cholestryramine
109
PBC assoacited with what antibody
antimitochondrial
110
how do you tx PSC
ERCP
111
what pathology is ransons criteria associated with
acute pacreatitis
112
what is grey turner and cullen sign associated with
acute pacreatitis
113
painless jaundice
pacreatic carcinoma
114
what is the ROME criteria 4
dx for IBS 1 day a week for the past 3 months
- related to defication
- change in frequency
- chnage is stool form
115
what is the pathology that is intestinal angina
chronic medinteric ischemia
116
how do you dx CUC
flex sig
117
what side CRC bleed
right
