Gastrointestinal

Front 1

Pt presents with sudden onset of severe, diffuse abdominal pain. Examination reveals peritoneal signs, and AXR reveals free air under the diaphragm. MGMT?

Back 1

Emergent laparotomy to repair perforated viscus.

Front 2

Most likely cause of acute lower GI bleed in pts >40 yo.

Back 2

diverticulosis

Front 3

Diagnostic modality used when ultrasound is equivocal for cholecystitis.

Back 3

HIDA scan

Front 4

Risk factors for cholelithiasis

Back 4

fat
female
fertile
forty
flatulent

Front 5

Inspiratory arrest during palpation of the RUQ

Back 5

Murphy's sign

**seen in acute cholecystitis

Front 6

MCC of SBO in pts without hx of abdominal surgery.

Back 6

hernia

Front 7

MCC of SBO in pt with hx of abdominal surgery.

Back 7

adhesions

Front 8

MC organism causing diarrhea

Back 8

campylobacter

Front 9

Organism causing diarrhea - recent abx use

Back 9

c. diff

Front 10

Organism causing diarrhea - camping

Back 10

giardia

Front 11

Organism causing diarrhea - traveler's diarrhea

Back 11

ET E. coli

Front 12

Organism causing diarrhea - church picnic

Back 12

S. aureus (preformed toxin)

Front 13

Organism causing diarrhea - uncooked hamburger

Back 13

E. coli O157:H7

Front 14

Organism causing diarrhea - fried rice

Back 14

Bacillus cereus

Front 15

Organism causing diarrhea - poultry/eggs

Back 15

Salmonella

Front 16

Organism causing diarrhea - raw seafood

Back 16

Vibrio

Front 17

Organism causing diarrhea - AIDS

Back 17

Isospara
Cryptosporidium
Mycobacterium avium complex

Front 18

Organism causing diarrhea - pseudoappendicitis

Back 18

yersinia

Front 19

25yo Jewish man presents with pain and watery diarrhea after meals. Examination shows fistulas btwn bowel and skin and nodular lesions on his tibias.

Back 19

Crohn's

Front 20

Inflammatory disease of the colon with increased risk of colon cancer?

Back 20

ulcerative colitis

(greater risk than Crohn's)

Front 21

Extraintestinal manifestations of IBD

Back 21

uveitis
ankylosing spondylitis
pyoderma gangrenosum
erythema nodosum
primary sclerosing cholangitis

Front 22

Medical treatment for IBD

Back 22

5-ASA agents and steroids during acute exacerbation

Front 23

Difference btwn Mallory-Weiss and Boerhaave tears

Back 23

Mallory-Weis - superficial tear in the esophageal mucosa

Boerhaave - full-thickness esophageal rupture

Front 24

Charcot's triad

Back 24

RUQ pain
jaundice
fever/chills

**acute cholangitis

Front 25

Reynold's pentad

Back 25

Charcot's triad + shock + AMS

**suppurative ascending cholangitis

Front 26

Medical treatment for hepatic encephalopathy

Back 26

decrease protein intake
lactulose
neomycin
rifaximin

Front 27

First step in the mgmt of a pt with an acute GI bleed

Back 27

manage ABCs

Front 28

4yo child presents with oliguria, petechiae and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?

Back 28

Hemolytic-uremic syndrome (HUS)

due to E. coli O157:H7

Front 29

Post-HBV exposure tx

Back 29

HBV immunoglobulin

Front 30

Classic causes of drug-induced hepatitis

Back 30

TB medications (INH, rifampin, pyrazinamide)
acetaminophen
tetracycline

Front 31

40yo obese woman with elevated alk phosphatase, elevated bilirubin, pruritus, dark urine, clay-colored stools.

Back 31

biliary tract obstruction

Front 32

Hernia with highest risk of incarceration - indirect, direct or femoral?

Back 32

femoral hernia

Front 33

50yo man with hx of EtOH abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. MGMT?

Back 33

Confirm diagnosis of acute pancreatitis with elevated amylase and lipase. Make pt NPO and give IV fluids, O2, analgesia.