Acing The GI Boards 1

Question 1

Long white ribbons found in the esophagus - diagnosis? Associated with?

Answer 1

Esophagitis dissecans Superficialis

Pemphigus vulgaris > oral bisposphonates, celiac

Question 2

Esophageal parakeratosis – associated with?

Answer 2

Head and neck cancer

Question 3

Patient presenting with high fever with temperature-pulse dissociation, myalgias, and acute hepatitis after lake exposure?

Eye finding?

Treatment?

Answer 3

Weil’s syndrome (leptospirosis)

Conjunctival suffusion

Doxycycline

Question 4

Retching without vomiting, acute epigastric pain, and inability to pass an NG tube - Diagnosis? (triad name?)

Treatment?

Answer 4

Gastric volvulus In the setting of Paraesophageal hernia (Borchardt’s triad)

Surgery (not endoscopy)

Question 5

Diarrhea + heart failure + neuropathy?

Possible Tip off?

Answer 5

Amyloidosis.

Hx of RA (linked to secondary amyloidosis)

Question 6

Oral fleshly projection + Globus + dysphasia – diagnosis? Treatment?

Answer 6

Fibrovascular polyp

Endoscopic Resection if under 2 cm

Question 7

Mesalamine + sharp retrosternal chest pain – diagnosis?

Answer 7

Pericarditis

Question 8

Vasculopathy + anemia + colon nodules (bx needle-shaped clefts on mucosal biopsy) - diagnosis?

Other lab signs?

Answer 8

Cholesterol embolization to the G.I. tract

High ESR, high eosinophils

Question 9

Hematemesis + subcutaneous air + left-sided effusion - Diagnosis?

Answer 9

Boerhaave’s

Question 10

Dysphasia plus oblique filling defect in the upper third of the esophagus – diagnosis?

Answer 10

Dysphasia lusoria (subclavian vein)

Question 11

Rapid weight loss + nausea/vomiting + abrupt cut off across the third part of the duodenum?

Mechanism?

Answer 11

SMA syndrome

Loss of the fat pad separating the SMA takeoff from the aorta and duodenum

Question 12

AIDS + Fever + diarrhea + B12 deficiency?

Why B12 deficiency?

Answer 12

Cryptosporidiosis

Affects terminal ileum

Question 13

Melkersson-Rosenthal syndrome?

Answer 13

Crohn’s disease with tongue swelling, and facial paralysis

Question 14

Acanthosis nigracans is associated with what malignancy?

Answer 14

Hepatocellular carcinoma

Question 15

Diarrhea + erythematous, scaling plaques on legs and face + TPN?

Can also be seen in these non-TPN patients

Answer 15

Zinc deficiency

CD, EtOH use

Question 16

Sudden outbreak of seborrheic keratoses - Look for? Eponym?

Answer 16

Paraneoplastic Syndrome raising concerned for G.I. malignancy

Leser-Trélat

Question 17

Joint hypermobility + bowel trouble?

Answer 17

Ehlers-Danlos

Question 18

Woman with abdominal pain + rash and/or hair loss?

Answer 18

Lupus

Question 19

Diabetes + dermatitis + Weight loss?

Skin finding?

Answer 19

Glucagonoma

Necrolytic migratory erythema

Question 20

G.I. bleeding + Yellowish papules which coalesce into plaques

Describe skin lesions?

Eye Fluoroscopy shows? (treatment)

Answer 20

Pseudoxanthoma elasticum

“Plucked chicken skin”

Angioid streaks (VEGF inhibitors)

Question 21

Angioid streaks On ophthalmology exam - ddx?

Answer 21

Pseudoxanthoma elasticum
Paget’s 

Question 22

Sudden onset dysphagia/constipation in a smoker?

Answer 22

Paraneoplastic GI paralysis from lung cancer

Question 23

Most common manometric abnormality in patients with a non-reflux esophageal etiology for chest pain?

Answer 23

Nutcracker esophagus

Question 24

Difference between nutcracker esophagus and diffuse esophageal spasm?

Answer 24

Peristalsis versus no clear peristalsis

Question 25

Dysphasia + mega duodenum + pneumatosis intestinalis?

Answer 25

Systemic sclerosis

Question 26

Dysphasia and cervical arthritis

Answer 26

Cervical osteophyte

Question 27

Migratory thrombophlebitis is a paraneoplastic manifestations of?

Answer 27

Pancreas cancer

Question 28

G.I. symptoms + epilepsy + occipital calcifications

Answer 28

Celiac disease

Question 29

Early signs of zinc deficiency?

Answer 29

Hair loss

Question 30

Air under the diaphragm with vertical lines?

Answer 30

Chilaiditi’s syndrome (Pseudopneumoperitoneum)

Question 31

Gall bladder marked by villous hypertrophy and cholesterol deposits?

Answer 31

Cholesterolosis

Question 32

How to differentiate small bowel disease versus pancreatic insufficiency?

Answer 32

Sudan stain (Triglycerides) Will be positive in pancreatic insufficiency



Question 33

Young patient from the Middle East with dense lymphoplasmacytic infiltrate in the small intestine and heavy chain paraproteinemia 

Answer 33

Immunoproliferative small intestinal disease (subtype of MALT lymphoma

Question 34

Nodular regenerative hyperplasia – associated with this G.I. drug?

Answer 34

Azathioprine