ACG Flashcards
Drugs associated with microscopic colitis?
Proton pump inhibitors, SSRIs, NSAIDs
When to recommend genetic counseling for colon polyps?
– >10 cumulative adenomas
After this period of time can treat recurrent C Difficule like initial episode
1+ year since last recurrence
Treatment of a thrombosed external hemorrhoid?
If <72 hours, incision and drainage
If >72 hours, Painkillers and sitz baths
This common medical condition is associated with inadequate quality of bowel prep?
Hypertension
Initial management of severe portal hypertensive gastropathy? If fails?
Beta blocker and oral iron
TIPS
Dysphasia + cervical esophageal Webb + iron deficiency anemia?
Associated with?
Plummer-Vinson
Squamous cell esophageal cancer
Elevated serum chromogranin a suggestive of?
Neuroendocrine tumor
Treatment of cuffitis? If fails?
Pouchitis? If fails?
Mesalamine enemas (then anti-TNF)
Oral antibiotics for 2 weeks (if fails, hydrocortisone or Mesalamine enemas -> vedolizumab)
Full dose AZA?
Not recommended for?
2-2.5 mg/kg/day
Any degree of TMPT positivity
Drugs approved for central spondylarthropathy?
Anti-TNF
JAK inhibitors
Polyp >2 cm resected in the setting of IBD. Follow up when?
3-6 months (not 3 years)
Owl’s eye inclusion bodies in a treatment naive UC patient suggests?
Will be medically refractory to treatment
Patient undergoes surgery for Crohn’s structure. Risk factors that patient would benefit from post-surgical biological treatment?
When to do follow up colonoscopy?
Young age of onset
Smoking
Penetrative disease
Short time from diagnosis to surgery
6-12 months
Carcinoid - when to start octreotide?
Only if carcinoid symptoms
Treatment of SMA syndrome?
Nutritional support and postural therapy
Type I vs II refractory celiac disease on pathology?
Lymphocyte invasion with CD 3 and 8
No CD 8
Treatment oF intestinal MAC?
Azithromycin, rifampin, ethambutol
Older patient + rapidly progressive early satiety + poor distensibility of gastric lining
Linitis plastics form of gastric cancer
Time before testing for H pylori eradications
4 weeks after off PPI for 1-2 weeks
HBV patient without cirrhosis. Who should get HCC screening?
Asian/Black men>40
Asian women >50
HDV infection
Family history of HCC
Target for HFE treatment?
Ferritin 50-100
Man with liver adenoma. Next step?
Surgery (10x more likely to have malignant transformation in males)
Cirrhotic with Urine Na:K >1. Suggest?
Excess Na intake
Cannot give Obetacholic acid if?
Cirrhosis Child B or C
