Esophagus and Stomach

Question 1

Early satiety with associated N/V

Answer 1

Gastropariesis

Question 2

Patient not passing gas, had multiple surgeries, with bilious vomiting

Answer 2

Adhesions

Question 3

Bad taste in mouth of patient with GERD

Answer 3

Water Brash

Question 4

What are some red flag symptoms of the upper GI tract

Answer 4

Weight loss, dysphagia, persistent vomiting, hematemesis, anemia

Question 5

what can develop with longtime use of NSAIDs and GERD that manifests as difficulty swallowing

Answer 5

peptic strictures

Question 6

Non progressive, structural problem, associated with plummer vinson syndrome

Answer 6

esophageal webs

Question 7

What is “steak house syndrome”

Answer 7

Schatzki ring-problem with solid food

Question 8

What histological findings are associated with barretts esophagus

Answer 8

metaplasia with goblet cells. Increased risk of adenocarcinoma.
-squamous to columnar metaplasia

Question 9

What is the first line treatment if medication used in GERD

Answer 9

PPI

Question 10

How to diagnose esophageal strictures

Answer 10

barium swallow then EGD

Question 11

what are the two main esophageal cancers and where are they found

Answer 11

• adenocarcinoma (barretts)- distal 1/3 of esophagus

- Squamous cell carcinoma (smoking, etoh)- middle 1/3 of stomach

Question 12

what will a patient with scleroderma present with

Answer 12

esophageal dysphagia (mainly solids), fibrosis of skin and visceral organs, raynauds

Question 13

what lab findings are found in scleroderma

Answer 13

ANA, topoisomerase-I antibodies, anticentromere antibodies

Question 14

what muscles are Zenker’s diverticulum associated with

Answer 14

cricioharyngeus and the inferior pharyngeal constrictor muscle

Question 15

What are the symptoms of Sjorgrens disease

Answer 15

dry eyes, dry mouth, oropharyngeal dysphasia

Question 16

progressive esophageal dysphagia to liquids and solids

Answer 16

achalasia

Question 17

what its the radiographic finding for secondary achalasia

Answer 17

“birds beak” and “sigmoid deformity”

Question 18

what is the test of choice for achalasia

Answer 18

manometry

Question 19

what are the findings in plummer vinson syndrome

Answer 19

esophageal webs, iron-deficiency anemia, angular chelitis, glossitis, koilonychia (spoon nails)

Question 20

History of scleroderma with mixture of iron deficient anemia and B12 deficiency is associated with what disease

Answer 20

Gastric antral vascular ectasia.

Question 21

what is associated with eosinophilic esophagitis

Answer 21

corrugated esophageal rings, seasonal allergies, asthma

Question 22

high amplitude long duration contractions of the esophagus

Answer 22

Nutcracker esophagus

Question 23

Esophageal dysphagia, with corkscrew esophagus on barium esophagram

Answer 23

Diffuse esopahageal spasm AKA rosemary bead esophaguc

Question 24

Incomplete tear on the gastric side of the GE junction that may extend to the distal esophagus

Answer 24

Mallory-Weiss syndome. Only involves mucosa and submucosa

Question 25

Complete rupture at the lower thoracic esophagus

Answer 25

Boerhaave’s Syndrome

Question 26

What is seen in a peptic ulcer perforation on XRAY

Answer 26

Free air under the diaphragm

Question 27

What tests can be used to detect H. Pylori infection

Answer 27

Urease breath test and Fecal antigen

Question 28

What does chronic H. Pylori infection put the patient at risk for?

Answer 28

MALToma

Question 29

What is the triple therapy for H. pylori

Answer 29

Amoxicillin, Clarithromycin, PPi

Question 30

Epigastiric pain that worsens 30 mins after eating

Answer 30

Gastric Ulcer disease

Question 31

Gnawing pain that is present 1-3 hours after eating and symptoms improve when eating

Answer 31

Duodenal ulcer