STEP 2: GI

Question 1

Diarrhea predominent ibs w/persistent ab pain despite antisposmodic therapy are good candidates for what therapy?

Answer 1

TCAs

Question 2

How do you lower the risk of hemorrhage and diverticulitis in patients with diverticulosis?

Answer 2

activity and high fiber diet

Question 3

Iron deficiency anemia in the setting of GERD raises concern for….

Answer 3

GI bleed, get an endoscopy

Question 4

What are some GERD alarm features?

Answer 4

Dysphagia
Fe def anemia
GI bleeding
Unexplained weight loss
Persistent vomitting
Fam hx of GI CX

Question 5

Why do we treat with simethicone post nissen-fundoplication?

Answer 5

Gas bloat syndrome

Question 6

Crohns patient with fever, right sided groin pain, and ab pain that worsens with hip extension

Answer 6

Question 7

Compression of the duodenal segment traveling through the fat pad causing a small bowel obstruction seen in anorexic patients.

Answer 7

Superior mesenteric artery syndrome

Resulting from the depletion fo the fat pad separation the sma form the aorta

Question 8

When do we consider an EGD in the setting of dyspepsia?

Answer 8

Over 60 years old with alram symptoms (dysphagia)

Question 9

What are the risks/causes for gastroparesis?

Answer 9

DM, meds, traumatic, neuro, idiopathic/postviral