First Aid GI

Question 1

Treatment of sialolithiasis?

Answer 1

NSAIDS, gland massage, warm compress, sour candies

Question 2

Malignant salivary gland tumors can cause what adverse affect?

Answer 2

Facial paralysis or pain due to facial nerve compression by the tumor

Question 3

What is the most common salivary gland tumor?

Answer 3

pleomorphic adenoma

Question 4

What causes achalasia?

Answer 4

Failure of LES to relax due to loss of myenteric plexus

Question 5

How does achalasia present?

Answer 5

Progressive dysphagia to solids and liquids

Question 6

What organism can cause secondary achalasia?

Answer 6

T Cruzi in chagas disease

Question 7

How does diffuse esophageal spasm present?

Answer 7

dysphagia and angina like chest pain

Question 8

What is seen on barium swallow for diffues esophageal spasm?

Answer 8

corkscrew esophagus

Question 9

Treatment of diffuse esophageal spasm?

Answer 9

nitrates and CCBs

Question 10

How does eosinophilic esophagitis usually present?

Answer 10

Heart burn people being treated for GERD but acid suppression therapy doesn’t stop it

Question 11

Treatment for eosinophilic esophagitis?

Answer 11

steroids

Question 12

What is the difference between boorhave syndrome and mallory weiss syndrome?

Answer 12

Boorhave is rupture through all layers of GI tract

Mallory-Weiss only causes lacerations to the mucosa and submucosa

Question 13

What causes esophageal varices?

Answer 13

portal hypertension from chronic alcohol consumption/liver cirrhosis

Question 14

An alcoholic with painless hematemesis vs an alcoholic with painful hematemesis?

Answer 14

varices vs mallory weiss

Question 15

What is the triad of plummer vinson syndrome?

Answer 15

dysphagia
iron def anemia
esophageal webs

Question 16

What is barretts esophagus?

Answer 16

replacement of the squamous epithelium of the esophagus with intestinal epithelium because of chronic GERD

Question 17

Cancer of the upper 2/3 of esophagus?

Cancer of the lower 1/3 of esophagus?

Answer 17

SCC from alcohol, smoking, hot liquids

Adenocarcinoma from chronic GERD, barretts, obesity and smoking

Question 18

What causes a curling ulcer and what causes a cushing ulcer?

Answer 18

Burns causing hypovolemia and mucosal ischemia

Brain injury due to increased vagal stimulation increased acid production

Question 19

What are the two causes of chronic gastritis?

Answer 19

H pylori (MCC) 
Autoimmune Abs to H/K APTase

Question 20

What is the leser-trelat sign?

Answer 20

multiple sebhorreic keratoses indicating gastric cancer

Question 21

How can a perforated duodenal ulcer present on x ray?

Answer 21

pneumoperitoneum (air under the diaphragm)

Question 22

What antibodies are found in celiac disease?

Answer 22

IgA Anti tissue transglutaminase abs
anti endomysial abs
anti deamidated gliadin peptide abs

Question 23

How does lactose intolerance present?

Answer 23

osmotic diarrhea with a decreased stool pH

Question 24

How can you diagnose lactose deficiency?

Answer 24

Hydrogen breath test

Question 25

Which vitamins do not get absorbed in pancreatic insufficiency?

Answer 25

ADEK and B12

Question 26

What is the triad of symptoms in whipple disease?

Answer 26

cardiac
arthralgias
neurologic symptoms