first-MKSAP Flashcards
1st line tx autoimmune pancreatitis (outside of fluids)
steroids over 2-3mo
1st line tx for primary biliary choliangitis
ursodeoxycholic acid
how does autoimmune pancreatitis look on imaging
enlarged
sausage shape
indistinct borders
Primary biliary cholangitis is associated with___antibody
Antimitochondrial antibody
The best Imaging way to establish diagnosis of PBC
What the purpose of it?
MRCP or U/S
It rules out extrahepatic obstruction to explain the elevated alk phos and T. bili
Primary sclerosing cholangitis PSC is associated with___antibody
Anti-smooth muscle
PSC is associated with this disease___
IBD
The patient has positive ANA and positive anti-smooth muscle antibody, what disease may they most likely have?
Autoimmune hepatitis, not PSC
Autoimmune pancreatitis is associated with___antibody
IgG4 related
PBC is commonly associated with the symptoms___
Pruritus and generalized fatigue
PBC is generally associated with this gender
Women
PSC is generally associated with this gender
Both men and women
These meds should be avoided in patients with cirrhosis and ascites, portal hypertension___
NSAIDs
ACE/ARB
I guess they decreased renal perfusion and worsening ascites
When should you hospitalized diverticulitis?
Complicated diverticulitis with multiple comorbidities including immunocompromise, age
For patients who cannot tolerate oral diet
Medications recommended for severe alcoholic hepatitis
Prednisone and N-acetylcysteine
Which sized polyps allow for follow-up in 10 years?
Multiple <20, small <10 mm
What size polyp requires follow-up in 3 years?
Over 10 mm
When you are suspecting celiac disease in a patient with IgA deficiency, what antibodies should be tested?
IgG antibodies to deamidated gliadin
IgG tissue transglutaminase
[NOT tissue transglutaminase IgA antibody, because this patient is IgA deficient]
How to diagnosis of Budd-Chiari?
What are We looking for?
U/S, will show absence of flow in hepatic vein alongside hepatic congestion
How do you treat Budd-Chiari syndrome?
What is the treatment If everything fails?
Long-term anticoagulant
Other options: TIPS procedure or Angioplasty of hepatic vein
If everything fails, liver transplant
What should you give for postexposure prophylaxis in a young Immunocompetent patient who is just exposed to hepatitis A?
Hep A vaccine
What should you give for postexposure prophylaxis to an immunocompromised patient who was just exposed to Hep a?
BOTH: Hepatitis A vaccine and hep A IVIG
