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DDSEP > Acing the G.I. boards 3 > Flashcards

Acing the G.I. boards 3 Flashcards

1
Q

Asian + recurrent pyogenic cholangitis + intra- and extrahepatic pigment stone disease + diffuse biliary dilations and strictures

A

Recurrent pyogenic cholangiohepatitis (oriental cholangiohepatitis)

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2
Q

Stepwise fever + abdominal pain + temperature–pulse dissociation + Rose spots

A

Typhoid fever

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3
Q

120 cm terminal ileum resection. Treatment of diarrhea?

A

Malabsorption (depleted bile salts).

Medium chain triglyceride

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4
Q

Chronic pancreatitis + non-malignant duodenal stricture + gastric outlet obstruction

A

Groove pancreatitis

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5
Q

Fear of eating + weight loss + postprandial epigastric pain + epigastric bruit

Mechanism?

A

Median arcuate ligament syndrome

 Median arcuate ligament compresses celiac artery

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6
Q

Giardia + no plasma cells on biopsy + Nodular mucosa in small bowel

A

Chronic variable immunodeficiency

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7
Q

Elevated transaminases + PAS positive globules in hepatocytes on liver biopsy

A

Alpha-1 antitrypsin

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8
Q

Gastric polyps with cystic dilations

A

Fundic gland polyps

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9
Q

Liver biopsy with iron in hepatocytes

A

Hemachromatosis

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10
Q

Liver biopsy with iron in Kupffer cells

Caused by? (3)

A

Hemosiderosis

Chronic viral hepatitis
Nonalcoholic fatty liver disease
Alcoholic liver disease

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11
Q

Focal non-H pylori gastritis with elevated inflammatory markers

A

Think Gastric Crohn’s disease

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12
Q

Esophagus with ulcers + biopsy with multi nucleated giant cells

Treatment?

A

HSV esophagitis

Acyclovir

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13
Q

Esophageal biopsy with lengthening of vascular pegs, epithelial hyperplasia, wide intracellular spaces, inflammatory infiltrate with eosinophils

A

Non-erosive reflux disease

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14
Q

Technically challenging colonoscopy + focal white patches with clear spaces on biopsy

A

Pseudolipomatosis

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15
Q

Pernicious anemia + gastric nodules with ECL (enterichromaffin-like cells)

A

Carcinoid

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16
Q

Hereditary colorectal cancer syndrome + mandibular osteoma

A

Gardner syndrome

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17
Q

Hereditary colorectal cancer syndrome + supernumerary teeth

A

Gardner syndrome

18
Q

Hereditary colorectal cancer syndrome + desmoid tumor

A

Gardner syndrome

19
Q

Hereditary colorectal cancer syndrome + Congenital hypertrophy of retinal pigment epithelium

A

Gardner syndrome

20
Q

Hereditary colorectal cancer syndrome + Epidermoid cyst

A

Gardner syndrome

21
Q

Hereditary colorectal cancer syndrome + Ureteral cancer.

A

Lynch/HNPCC

22
Q

Hereditary colorectal cancer syndrome + Sebaceous skin tumors

A

Muir-Torre variant of HNPCC/Lynch

23
Q

When to do MSI versus MLH1/MLH2 testing?

A

MSI if affected family member with colon cancer and cancer tissue available

Otherwise MLH1/MLH2

24
Q

Hereditary colon cancer syndrome + Facial angiofibromas

A

Tuberous sclerosis

25
Q

Hereditary colon cancer syndrome + Cardiac rhabdomyoma

A

Tuberous sclerosis

26
Q

Hereditary colon cancer syndrome + Mental retardation

A

Tuberous sclerosis

27
Q

Hereditary colon cancer syndrome + Epilepsy

A

Tuberous sclerosis

28
Q

Hereditary colon cancer syndrome + Medulloblastoma

A

Turcot (FAP)

29
Q

Hereditary colon cancer syndrome + Glioblastoma

A

Turcot’s (FAP)

30
Q

Hereditary colon cancer syndrome + trichilemoma

A

Cowden

Hamartomas arising from hair follicle

31
Q

Hereditary colon cancer syndrome + Sertoli cell testicular tumor

A

Peutz-Jeghers

32
Q

Hereditary colon cancer syndrome + ovarian sex-cord tumor

A

Peutz-Jeghers

33
Q

Hereditary colon cancer syndrome + Ampullary cancer

34
Q

Hereditary colon cancer syndrome + Biliary tract malignancy

A

HNPCC/Lynch

35
Q

Hereditary colon cancer syndrome + bone cysts

A

Tuberous Sclerosis

36
Q

Hereditary colon cancer syndrome + gastric cancer

A

HNPCC/Lynch

37
Q

Hereditary colon cancer syndrome + Hyper pigmentation of lips

A

Puetz Jeghers

38
Q

Hereditary colon cancer syndrome + lipoma

A

Gardner syndrome

39
Q

Hereditary colon cancer syndrome + Mesenteric fibromatosis

A

Gardner syndrome

40
Q

Hereditary colon cancer syndrome + Osteoma

A

Gardner syndrome

41
Q

Hereditary colon cancer syndrome + Renal cyst

A

Tuberous sclerosis

DDSEP (23 decks)

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