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
