Clin DSA

Question 1

Visceral afferent stimulation

Answer 1

peptic ulcer disease, SI obstruction, gastroparesis, appendicitis, acute pancreatitis, cholecystitis, alcohol, NSAIDs

Question 2

Vestibular disorders

Answer 2

motion sickness

Question 3

CNS disorders

Answer 3

anorexia, bulimia

Question 4

Irritation of chemoreceptor trigger zone

Answer 4

cholinesterase inhibitors, pregnancy

Question 5

Oropharyngeal Dysphagia: big hitters

Answer 5

Zenker’s diverticulum, upper esophageal sphincter dysfunction, Wilson’s disease,

Question 6

Esophageal Dysphagia: big hitters

Answer 6

schatzbi ring, peptic stricture, esophageal cancer, eosinophilia esophagitis, achalasia, diffuse esophageal spasm, scleroderma, ineffective esophageal motility

Question 7

Schatzbi ring

Answer 7

Mechanical
Not progressive
Solids>Liquids
Intermitten

Question 8

Peptic Stricture

Answer 8

Mechanical
Progressive
Solids>Liquids
Constant

Question 9

Esophageal Cancer

Answer 9

Mechanical
Progressive
Solids>Liquids

Question 10

Achalasia

Answer 10

Motility
Progressive
Solids=Liquids

Question 11

Diffuse Esophageal spasm

Answer 11

Motility
Not progressive
Solids=Liquids
Intermittent

*identical to Ineffective Esophageal Motility

Question 12

Ineffective Esophageal Motility

Answer 12

Motility
Not progressive
Solids=Liquids
Intermittment

*identical to Diffuse Esophageal spasm

Question 13

Cancer associated with H Pylori

Answer 13

Gastric adenocarcinoma

Gastric mucosa associated lymphoid tissue (MALT) lymphoma

Question 14

Big differences between Gastric and Peptic Ulcers

Answer 14

Gastric: worse with food, due to damaged lining, lesser curvature of the antrum

Peptic: better with food, due to too much H+, proximal duodenum

Question 15

Zollinger-Ellison Syndrome (gastrinoma) is associated with…

Answer 15

MENS - pituitary adenoma, parathyroid hyperplasia, pancreatic tumors

Question 16

Gastrin levels in ZES

Answer 16

greater than 1000

Question 17

Esophagogastroduodenoscopy (EGD)

Answer 17

evaluates persistent heartburn, dysphagia, odynophagia, structural abnormalities

treatment and diagnosis

Question 18

To detect subtle esophageal narrowing of the esophagus, what imaging technique should you use?

Answer 18

barium esophagography (barium swallow)

Question 19

Hydroxy iminodiacetic acid scan is used for..

Answer 19

gallbladder abnormalities

Question 20

Endoscopic Retrograde Cholangiopancreatography

Answer 20

used to detect biliary disease

diagnosis and treatment (removes stones)

*can lead to pancreatitis

Question 21

Magnetic Resonance Cholangiopancreatography

Answer 21

diagnose, but not treat

Question 22

Unlike a CBC, a CBC with differential has…

Answer 22

percentage and absolute differential counts (PMN, lymph, baso, eos, mono)

Question 23

Unlike a Basic metabolic Panel, a Comprehensive Metabolic Panel has…

Answer 23

albumin: globulin, albumin, alkaline phosphatase, aspartate aminotransferase, alanine aminotrasnfebase, bilirubin total, globulin total, protein total

Question 24

Labs for pancreatitis

Answer 24

lipase and amylase

Question 25

Labs to asses liver

Answer 25

GGT, fractionate bilirubin, PT/INR

Question 26

Labs for ZES

Answer 26

fasting gastrin, secretin stimulation test