Acing The GI Boards 1 Flashcards
Long white ribbons found in the esophagus - diagnosis? Associated with?
Esophagitis dissecans Superficialis
Pemphigus vulgaris > oral bisposphonates, celiac
Esophageal parakeratosis – associated with?
Head and neck cancer
Patient presenting with high fever with temperature-pulse dissociation, myalgias, and acute hepatitis after lake exposure?
Eye finding?
Treatment?
Weil’s syndrome (leptospirosis)
Conjunctival suffusion
Doxycycline
Retching without vomiting, acute epigastric pain, and inability to pass an NG tube - Diagnosis? (triad name?)
Treatment?
Gastric volvulus In the setting of Paraesophageal hernia (Borchardt’s triad)
Surgery (not endoscopy)
Diarrhea + heart failure + neuropathy?
Possible Tip off?
Amyloidosis.
Hx of RA (linked to secondary amyloidosis)
Oral fleshly projection + Globus + dysphasia – diagnosis? Treatment?
Fibrovascular polyp
Endoscopic Resection if under 2 cm
Mesalamine + sharp retrosternal chest pain – diagnosis?
Pericarditis
Vasculopathy + anemia + colon nodules (bx needle-shaped clefts on mucosal biopsy) - diagnosis?
Other lab signs?
Cholesterol embolization to the G.I. tract
High ESR, high eosinophils
Hematemesis + subcutaneous air + left-sided effusion - Diagnosis?
Boerhaave’s
Dysphasia plus oblique filling defect in the upper third of the esophagus – diagnosis?
Dysphasia lusoria (subclavian vein)
Rapid weight loss + nausea/vomiting + abrupt cut off across the third part of the duodenum?
Mechanism?
SMA syndrome
Loss of the fat pad separating the SMA takeoff from the aorta and duodenum
AIDS + Fever + diarrhea + B12 deficiency?
Why B12 deficiency?
Cryptosporidiosis
Affects terminal ileum
Melkersson-Rosenthal syndrome?
Crohn’s disease with tongue swelling, and facial paralysis
Acanthosis nigracans is associated with what malignancy?
Hepatocellular carcinoma
Diarrhea + erythematous, scaling plaques on legs and face + TPN?
Can also be seen in these non-TPN patients
Zinc deficiency
CD, EtOH use
Sudden outbreak of seborrheic keratoses - Look for? Eponym?
Paraneoplastic Syndrome raising concerned for G.I. malignancy
Leser-Trélat
Joint hypermobility + bowel trouble?
Ehlers-Danlos
Woman with abdominal pain + rash and/or hair loss?
Lupus
Diabetes + dermatitis + Weight loss?
Skin finding?
Glucagonoma
Necrolytic migratory erythema
G.I. bleeding + Yellowish papules which coalesce into plaques
Describe skin lesions?
Eye Fluoroscopy shows? (treatment)
Pseudoxanthoma elasticum
“Plucked chicken skin”
Angioid streaks (VEGF inhibitors)
Angioid streaks On ophthalmology exam - ddx?
Pseudoxanthoma elasticum
Paget’s 
Sudden onset dysphagia/constipation in a smoker?
Paraneoplastic GI paralysis from lung cancer
Most common manometric abnormality in patients with a non-reflux esophageal etiology for chest pain?
Nutcracker esophagus
Difference between nutcracker esophagus and diffuse esophageal spasm?
Peristalsis versus no clear peristalsis
Dysphasia + mega duodenum + pneumatosis intestinalis?
Systemic sclerosis
Dysphasia and cervical arthritis
Cervical osteophyte
Migratory thrombophlebitis is a paraneoplastic manifestations of?
Pancreas cancer
G.I. symptoms + epilepsy + occipital calcifications
Celiac disease
Early signs of zinc deficiency?
Hair loss
Air under the diaphragm with vertical lines?
Chilaiditi’s syndrome (Pseudopneumoperitoneum)
Gall bladder marked by villous hypertrophy and cholesterol deposits?
Cholesterolosis
How to differentiate small bowel disease versus pancreatic insufficiency?
Sudan stain (Triglycerides) Will be positive in pancreatic insufficiency

Young patient from the Middle East with dense lymphoplasmacytic infiltrate in the small intestine and heavy chain paraproteinemia 
Immunoproliferative small intestinal disease (subtype of MALT lymphoma
Nodular regenerative hyperplasia – associated with this G.I. drug?
Azathioprine
