Rapid Fire

Question 1

Diagnosis & Treatment for Choldocholithiasis

Answer 1

ERCP

Question 2

Diagnostic Test for Cholelithialiasis

Answer 2

Ultrasound

Question 3

Charcot’s Triad (Fever, Jaundice, RUQ Pain)

Answer 3

Acute Cholangitis

Question 4

Best test for Acute Cholecystitis

Answer 4

HIDA Scan (but usually NOT necessary)

Question 5

Where do Gallbladder D/O radiate to?

Answer 5

Right Shoulder/Scapula

Question 6

Charcot’s Triad + Altered Mental Status + Hypotension

Answer 6

Reynold’s Pentad

Question 7

MCC = fecalith

Answer 7

Appendicitis

Question 8

+ Psoas sign, +Obturator Sign; + Leukocytosis (10-20K)

Answer 8

Appendicitis

Question 9

Lipase vs. Amylase… which is more sensitive for Pancreatitis?

Answer 9

Lipase

Question 10

2 Most Common Causes of Acute Pancreatitis

Answer 10

Gallstones & Alcohol

Question 11

Where does Pancreatic pain radiate to?

Answer 11

The back

Question 12

Cullen’s Sign & Grey Turner’s Sign

Answer 12

Hemorrhagic Pancreatitis

Question 13

MCC of Chronic Pancreatitis

Answer 13

Alcohol

Question 14

Examination Feature Pathognomonic for Chronic Pancreatitis

Answer 14

Plain radiographs:

Show pancreatic calcification in 25-59% of patients

Question 15

Ranson Criteria

Answer 15

Acute Pancreatitis:

Higher score = More severe disease & increased chance of death

Question 16

ALT >150 suggests

Answer 16

Gallstone Pancreatitis

Question 17

Imaging of Choice for Pancreatitis

Answer 17

CT Scan

Question 18

Do Gallstones cause Chronic Pancreatitis?

Answer 18

NO!

Question 19

PE: Palpable Gallbladder (Courvoisier Sign)
Txt: Whipple procedure

Answer 19

Pancreatic Neoplasm/CA

Question 20

CA19-9

Answer 20

Pancreas

Question 21

Secretin Stimulation Test

Answer 21

Gold Standard test of pancreatic function in early diagnosis of Chronic Pancreatitis

Question 22

Most Specific Test to Dx Celiacs

Answer 22

Intestinal Biopsy

Question 23

Pellagra

Answer 23

Niacin deficiency

Pellagra = diarrhea, dementia, dermatitis

Question 24

Dermatitis Herpetiformis

Answer 24

Celiac Dz

Question 25

AST > ALT (2:1)

Answer 25

Alcoholic Hepatitis

Question 26

Hemorrhoids.. painful? painless?

Answer 26

Both - Internal = painless; External = painful

Question 27

Painless Jaundice until proven otherwise ='s

Answer 27

Pancreatic CA

Question 28

Virchow's Nodes & Trouseau's Sign

Answer 28

Pancreatic CA 4th Leading cause of CA Death

Question 29

Most Common Cause of Painful Rectal Bleeding

Answer 29

Anal Fissure

Question 30

How do you determine if there's a fistula involved w/ an anorectal abscess?

Answer 30

CT Scan

Question 31

Goodsall's Rule for anal fistulas

Answer 31

Posterior Fistula = curved tracts; Anterior fistula = straight tracts

Question 32

Most common anorectal problems in adults >50yo

Answer 32

Hemorrhoids

Question 33

What Stage(s) of Internal Hemorrhoids are candidates for Surgery?

Answer 33

3rd + 4th

Question 34

Villous Adenomas vs. Tubular Adenomas... which has higher risk of Colon CA?

Answer 34

Villous Adenomas (sessile)

Question 35

TOXIC MEGACOLON & Bowel Sounds

Answer 35

Loss of Bowel Sounds!!

Question 36

A child presents with tearing pain during bowel movements & bright red blood on toilet paper?

Answer 36

Anal Fissure

Question 37

Anorectal Fistula -- How do you want it to heal?

Answer 37

Secondary Intention

Question 38

Best Diagnostic Tool for PUD

Answer 38

Endoscopy - EGD | *Able to visualize & Biopsy

Question 39

2 Good noninvasive H. pylori tests

Answer 39

Fecal Antigen Test | C-urea breath test

Question 40

Major difference between GU & DU

Answer 40

Gastric Ulcers may be malignant

Question 41

Preferred Rx for PUD

Answer 41

PPIs

Question 42

Triple Drug Rx for H. pylori

Answer 42

Omeprazole, Clarithromycin, Amoxicillin

Question 43

Quadruple Drug Rx for H. pylori

Answer 43

Tetracycline, Omeprazole, Metronidazole, Bismuth