Gastroenterology

Front 1

Meds that worsen GERD

Back 1

tetracyclines

bisphosphonates

NSAIDs

CCBs

Anticholinergics

Front 2

jMultiple shallow ulcers on endoscopy--

Large deep ulcers on endoscopy------

Back 2

HSV

CMV or HIV

Front 3

Outpouching of posterior hypopharynx that can cause regurgitation of undigested food and liquid into the pharynx several hours after eating

Back 3

Zenker diverticulum

Front 4

slow progression of solid food dysphagia

Back 4

esophageal stenosis--webs or rings

malignancy if rapid progression

Front 5

birds beak appearance on barium swallow

Back 5

achalasia

Front 6

Most common types of esophageal neoplasms

Back 6

squamous cell CA

adenocarcinoma

Front 7

Progressive dysphagia for solid food associ with marked weight loss

Back 7

esophageal CA

Front 8

MCC of esophageal varices

Back 8

portal hypertension, MCC by cirrhosis

Front 9

Combination therapy for H pylori

Back 9

PPI with clairthromycin and amoxicillin or clarityromycin and metronidazole

Front 10

Fasting gastrin over 150

Back 10

gastrinoma

Front 11

Left supraclavicular lymphadenopathy

Back 11

Virchow node

Front 12

Umbilical nodule

Back 12

Sister Mary Joseph nodule

Front 13

Tx for c diff colitis

Back 13

metronidazole

vancomycin

fidaxomicin

Front 14

Most common areas of involvement in Crohns disease

Back 14

terminal ileum

right colon

rectum frequently spared

Front 15

abdominal cramps and diarreha in a patient younger than 40

Back 15

crohns

Front 16

distal to proximal distribution of invovlement, continous

Back 16

UC

Front 17

diarrhea and pain _____

bloody diarrhea , tenesmus _____

Back 17

crohns

UC

Front 18

Currant jelly stools

Back 18

intussusception

Front 19

sausage like mass on abdominal exam

Back 19

intusussception

Front 20

congenital aganglionosis of the colon, leading to functional obstruction in the newborn

Back 20

Hirshsprung disease

Front 21

Hyperplastic polyps have the ____ risks of dysplasia. Villous polyps have the _____ risk

Back 21

lowest

highest

Front 22

abscess in sacrococcygeal cleft associated with subsequent sinus tract development

Back 22

pilonidal cysts

Front 23

patient is supine and attempts to raise leg against resistance--pain

Back 23

psoas sign

appendicitis

Front 24

patient is supine and attempts to flex and internally rotate the right hip with knee bent

Back 24

obturator sign

appendicitis

Front 25

MCC of pancreatitis

Back 25

cholelithiasis

alcohol abuse

hyperlipidemia

trauma

drugs

hypercalcemia

PUD

Front 26

epigastric pain radiating to back, lessens when patient leans forward or lies in a fetal position

Back 26

pancreatitis

Front 27

grey turner sign

Back 27

bleeding into flanks==pancreatitis

Front 28

bleeding into umbilical area

Back 28

cullen sign

pancreatitis

Front 29

tx of pancreatitis

Back 29

NPO

fluid resucessation

pain management

antibiotics

Front 30

MCC of chronic pancreatitis

Back 30

alcohol abuse

Front 31

pancreatic calcification

steatorrhea

DM

Back 31

chronic pancreatitis

Front 32

jaundice and a palpable gallbladder

Back 32

courvosier sign (pancreatitis)

Front 33

common bile duct obstruction coupled with ascending infection--e coli, klebsiella, enterobacter

Back 33

acute cholangitis

Front 34

RUQ tenderness

jaundice

fever

Back 34

charcot triad

acute cholangitis

Front 35

chronic thickening of bile duct walls

often with ulcerative colitis

Back 35

PSC

Front 36

HBsAg

Back 36

ongoing infection of any duration

Front 37

anti-HBs

Back 37

immunity by past infection or vaccination

Front 38

_____ can be used for acetaminophen toxicity

Back 38

acetylcystine

Front 39

MCC of liver abscess

Back 39

entamoeba histolytica

Front 40

positive string sign on ultrasonogtaphy

Back 40

pyloric stenosis

Front 41

bird beak esophagus

Back 41

achalasia

Front 42

Most common locatin for anal fissure

Back 42

posterior midline

Front 43

corkscrew appearance on barium study

Back 43

esophageal spasms

Front 44

epigastric abdominal pain with radiation to back

Back 44

pancreatitis

Front 45

to contract hep D you must already have ___

Back 45

B

Front 46

left lower quadrant pain and tenderness

Back 46

diverticulitis

Front 47

tx for mallory weiss tears

Back 47

watchful waiting. Most will resolve within 48 hours

Front 48

thumbprint sign on abdominal film

Back 48

intestinal ischemia

Front 49

bowel sounds early on in obstruction? Later on?

Back 49

early-hyperactive, later on--absent

Front 50

patient had GERD for years, then increased difficulty swallowing. Think of what?

Back 50

esophageal strictures

Front 51

two common causes of esophageal varices

Back 51

portal HTN

cirrhosis

Front 52

imaging test of choice for pacnreatitis

Back 52

CT

Front 53

best test for h pylori

Back 53

urea breath test

Front 54

most common locatino of peptic ulcer disease

Back 54

duodenum

Front 55

most common location for a pancreatic tumor

Back 55

head of pancreas

Front 56

most gallstones are made of

Back 56

cholesterol

Front 57

with a gastric ulcer, are sn worsened or relived with food

Back 57

worsened

Front 58

inhibited inspiration with pressure over RUQ? Dx?

Back 58

Murphys sign

cholectitis

Front 59

most specific test for acute cholecystitis

Back 59

HIDA

Front 60

gold standard for dx and tx of bile duct stones

Back 60

ERCP

Front 61

Charcot's triad

Back 61

ruq pain, fever, jaundice

Front 62

reynold's pentad? Why does it matter?

Back 62

Charcot's triad plus hypotensino and altered mental status

high risk of sepsis

Front 63

main risk factor for esophagitis

Back 63

immunocompromise

Front 64

multiple shallow ulcers on endoscopy--esophatitis, Most likely diagnosis?

Back 64

HSV

Front 65

common offending agents for pill induced esophagitis

Back 65

NSAIDs

Kcl

iron

antibiotics

Front 66

30 year old AA woman presents with dysphagia

thickened skin

barium swallow demonstrates absence of peristalsis

Back 66

scleroderma

Front 67

regurgitated undigested food several hours after a meal

Back 67

Zenkers diverticulum

Front 68

most specific test for peptic ulcer disease

Back 68

endoscopy

Front 69

MCC of acute cholangitis

Back 69

choledocholithiasis

Front 70

onion ring fibrosis on bile duct biopsy

Back 70

PSC

Front 71

anti-HBc

Back 71

previous or ongoing hepatitis B infection

Front 72

tx for hep C infection

Back 72

pegylated interferon alpha-2

Front 73

medication for hepatitis B to prevent need for transplant

Back 73

lamivudine

Front 74

vaccines for what types of hepaitis

Back 74

A and B

Front 75

heartburn that does not improve with medication

Back 75

gastrinoma

Front 76

good beta blocker to reduce portal HTN

Back 76

propranolol

Front 77

tumor marker for liver cancer

Back 77

alpha fetoprotein

Front 78

two most common causes of pancreatitis

Back 78

cholelithiasis and ETOH

Front 79

Ranson's criteria

Back 79

5

older than 55

WBC over 16

glucose over 200

LDH over 350

AST over 250

Front 80

steatorrhea

Back 80

pancreatitis

Front 81

courvoisier's sign

Back 81

nontender palpable gallbladder which may indicate pancreatic neoplasm

Front 82

tumor marker to follow pancreatic cancer

Back 82

CA-19-9

Front 83

two blood tests for celiac

Back 83

IgA endomysial antibody and IgA tTG antibody

Front 84

severe abdominal pain 30 min after meal

Back 84

intestinal ischemia

Front 85

MCC of lower GI bleed

Back 85

diverticulosis

Front 86

most common locatino of colorectal cacner

Back 86

cecum

Front 87

elevated amylase and lipase

Back 87

pancreatitisa

Front 88

MCC of small bowel obstruction

Back 88

postoperative adhesions

Front 89

air fluid levels on abdominal x ray

Back 89

bowel obstruction

Front 90

string sign on barium swallow

Back 90

pyloric stenosis

Front 91

medical treatment for gastrinoma

Back 91

PPIs

Front 92

what supplement for a patient on sulfasalazine therapy

Back 92

folate

Front 93

medical term for feeling like there is a lump in the throat

Back 93

flobus

Front 94

mos common vessel involved in intestinal ischemia

Back 94

superior mesenteric artery

Front 95

first three steps of managing pancreatitis

Back 95

NPO, pain contro, fluids

Front 96

unproductive retching, acute localized epigastric distension and inability to pass an NG tube

Back 96

gastric volvulus

Front 97

MCC of a folate deficiency

Back 97

alcoholism

Front 98

this NSAID has the highest rate of peptic ulceration

Back 98

naproxen

Front 99

diagnostic test of choice for Zenker's diverticulum

Back 99

barium swallow

Front 100

how often should patients with pernicious anemia have a screening endoscopy performed

Back 100

every 5 years, to look for sx of gastric carcinoma

Front 101

niacin (B3) deficiencyu

Back 101

pellagra

Front 102

an endoscopy for presumed esophatitis shows several solitary deep ulcers. Most common diagnosis

Back 102

CMV

Front 103

which are more painful, hemorrhoids above or below the dentate line?

Back 103

below--internal hemorrhoids are most painful

Front 104

abdominal exam with pain out of proportion to the exam

Back 104

intestinal ischemia

Front 105

does adenocarcinoma arise from proximal or distal esophagus

Back 105

distal