Knowmedge Internal Medicine Abim Exam Review Flashcards Questions - Gastroenterology

Front 1

What is the name of the sign in which RLQ pain is elicited with LLQ palpation in a patient suspected of having appendicitis?

Back 1

Positive Rovsing sign

Front 2

Which hepatitis C treatment medication may exacerbate autoimmune hepatitis?

Back 2

Interferon

Front 3

What is Charcot's triad?

Back 3

Fever, Right upper quadrant abdominal pain, and Jaundice

Front 4

What antibody can be associated in individuals who have Crohn's Disease?

Back 4

Anti-Saccharomyces cerevisiae antibodies (ASCA)

Front 5

Which extra-intestinal manifestions can mirror inflammatory bowel disease?

Back 5

Arthritis and Erythema Nodosum

Front 6

Of the three major forms of hepatitis, which does not currently have a vaccine against it?

Back 6

Hepatitis C

Front 7

How do you differentiate chronic hepatitis B infection from the carrier state?

Back 7

Check liver function tests. Increased in chronic state and normal in carrier state

Front 8

Post-gallbladder removal, patient has right upper abdominal pain and still has elevated LFTs. Next step in management?

Back 8

Check manometery studies to rule out sphincter of oddi function

Front 9

ATP7B mutation is associated with which condition?

Back 9

Wilson's Disease

Front 10

Anti-smooth muscle antibodies are associated with which condition?

Back 10

Autoimmune hepatitis

Front 11

Boceprevir and Telaprevir are new hepatitis C agents that can only be used against which HCV genotype?

Back 11

HCV genotype 1

Front 12

Which hepatitis B marker indicates active replication?

Back 12

HBeAg

Front 13

What is the most likely diagnosis in diabetic pt with diarrhea, weight loss, flatulence and vitamin A, D, B12 deficiencies?

Back 13

Small intestinal bacterial overgrowth

Front 14

What is the gold standard for diagnosing small intestinal bacterial overgrowth?

Back 14

Endoscopy with jejunal aspirate

Front 15

What will be the folate and vitamin B12 levels in patients with Caribbean tropical sprue?

Back 15

Normal folate, decreased vitamin b12 levels

Front 16

What are the two most common HLA markers associated with a condition that has positive antibodies to tissue transglutaminase?

Back 16

HLA DQ-2 and HLA DQ-8

Front 17

What two antibiotics are most commonly used for the treatment of diverticulitis?

Back 17

Ciprofloxacin and Metronidazole

Front 18

What is the recommendation for initial colonoscopy after inflammatory bowel disease diagnosis and follow up colonoscopies?

Back 18

8 years after diagnosis and then every 1-2 years

Front 19

If patient with inflammatory bowel disease is found to have dysplasia on colonoscopy, what is the next step in management?

Back 19

Proctocolectomy

Front 20

What is the rash that is commonly associated with celiac disease?

Back 20

Dermatitis herpetiformis

Front 21

Which hepatitis infection is the only type that is a DNA virus?

Back 21

Hepatitis B

Front 22

Digestion of which toxin from reef fish can cause for peri-oral parasthesias to occur?

Back 22

Ciguatera toxin

Front 23

Patient is found to have positive antibodies to soluble liver antigen (SLA). What condition does this patient likely have?

Back 23

Autoimmune hepatitis (which also has anti-smooth muscle antibodies)

Front 24

Treatment of MALT requires eradication of what organism?

Back 24

Heliobacter Pylori (H. pylori)

Front 25

Long term use of NSAIDS increases, decreases, or has no effect on the risk of developing colon cancer?

Back 25

Decreases

Front 26

Foamy macrophages on PAS stain on a small bowel biopsy is seen in what condition?

Back 26

Whipple's Disease

Front 27

Ascitic fluid containing polymorphonuclear leukocytes (PMNs) greater than this number indicates spontaneous bacterial peritonitis (SBP)?

Back 27

Greater than 250/mm3