awesome review

Question 1

corkscrew esophagus on barium swallow

Answer 1

diffuse esoph spasm

Question 2

Zenker diverticulum

Answer 2

dysphagia, halitosis, text with Barium swallow but confirm with endoscopy

Question 3

what do you do before fundop;ication

Answer 3

manometry

Question 4

findings in atrophic gastritis

Answer 4

loss of rugaein fundus & multiple hyperplastic polyps

Question 5

ZE where does it present

Answer 5

duodenal bulbs/stomach multiple ulcer, associated with MEN1

Question 6

causes of osmotic diarrhea

Answer 6

stool gap >50

lactase def, lactulose, sorbitol, Mg antacids, Malabsoprtion

Question 7

If suspecting diverticulitis which test to do

Answer 7

CT with PO and IV contrast
Avoid coloniscopy of barium enema
4 weeks later you do colonoscopy

Question 8

tx for hep b

Answer 8

entecavir of tenofovr

Question 9

Indications for bariqtric surgery bmi

Answer 9

> 35 and DM/HTN/OSA

>40

Question 10

TCA overdose pupils

Answer 10

Anticholinergic: dilated pupil

Question 11

Lithium side affects

Answer 11

DI, hypothyroid, hyperCa, hand tremors

Question 12

Drug for bph with more antihypertensive effect

Answer 12

Terazosin

Question 13

Indication for surgery in MS

Answer 13

<1.0sq cm

Question 14

Contraindications to pregnancy

Answer 14

Pulmonary HTN
Eisenmenger
Marfan with dilated aortic root
Dilated cardiomyopathy 
Severe AS

Question 15

Babesiosis

Answer 15

Hemolytic anemia, jaundice, high LFTs

Question 16

Murmur in left lower sternal border, no change in valsalva

Answer 16

VSD

Question 17

Pain in tbhe shoulder, extremes of movement painless. Swinging back and forth without pain

Answer 17

Subacromial bursitis

Question 18

Pain, grinding and popping sensation while reaching to put seat bealt on. Pain on abduction beyond 120 °

Answer 18

Acronioclavicular arthritis

Question 19

Gradual progressive pain for 1 yr. Difficulty combing her hair, washing face , H/o MVA.

Answer 19

Glenohuneral OA

Question 20

Knee/hip Pain worse at rest

Answer 20

Illeotibial band

Question 21

Age for shingles vax

Answer 21

50

Question 22

Age for pneuvar vax

Answer 22

65