gastro Flashcards

1
Q

This type of IBD has + risk of primary sclerosing cholangitis

A

UC - PSC is risk for cholangiocarcinoma

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2
Q

terminal ileum, skip lesions/discontinuous, fistulae, luminal stricture, granulomas

A

Chrons

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3
Q

Continuous mucosal lesions, confined to colon and rectum, Cured by colectomy, higher risk of colon cancer, pyoderma granulosum, erythema nodosum, p-ANCA, crypt abscesses

A

UC

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4
Q

extra-intestinal symptoms of crohns

A

uveitis, arthritis, AS, erythema nodosum, pyoderman gangrenosum, apthrous oral ulcers, chloelithiasis, nephrolithaisis

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5
Q

Half of all bile duct cancers are associated with this IBD

A

UC

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6
Q

This complication of UC is a surgical emergency

A

toxic megacolon

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7
Q

surgery is often curative for this IBD

A

UC

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8
Q

Copper of Wilson’s disease deposits in this part of the brain

A

basal ganglia

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9
Q

reduced stool osmotic gap + larger stool colume

A

secretory diarrhea

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10
Q

elevated stool osmotic gap, lactose intolerance

A

osmotic diarrhea

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11
Q

UC + fatigue, pruritus, elevated alk phos

A

PSC

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12
Q

Labs to determine active HBV infection

A

HBsAg and anti-HBc

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13
Q

periumbilical abdominal pain out of proprtion to examination, nausea, vomiting in elderly person

A

mesenteric ishcmia

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14
Q

What is HBV status of somenoe with + HBV surface antibody but NO HBV surage antigen

A

immunized

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15
Q

chronic abdominal pain + diarrhea and/or constipation, relief of pain with BM, no bloody stools, normal intestinal mucosa

A

IBS

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16
Q

colicky abdominal pain, chronic diarrhea with bloody stool, weight loss, crypt abscess

A

UC

17
Q

triad for diagnosis of ALF

A
elevated aminotransferease
hepatic encelpaholopathy (confusion, smonolence, flapping tremor)
liver synthesis dysfunction - INR, platelets
18
Q

When TIPS for cirrhosis

A

ascites that does not respond to diuretics or ongoing bleeding after variceal clamping

19
Q

chronic diarrhea, steatorrhea, weight loss, atrophy of intestinal villi

A

celiac disease

20
Q

With the D-xylose test in celiac pt, do you expect D-xylose urine and venous blood level to be low?

A

yes, because damage to small bowel. would expect normal if malabosprtion issue to deficiency (chronic pancreatitis

21
Q

What two things does GERD predispose you to

A

Barrett’s and esophageal strictures

22
Q

dysphagia to solids and liquids

A

achalasia

23
Q

Does hyperprolactin INHIBIT GnRH mediated release of FSH and LH?

A

Yep, but doesn’t affect TSH

24
Q

multiple duodenal ulcers + chronic diarrhea + malabsorption

A

ZES with gastrinoma - increased acid inactivates pancreatic enzymes

25
Q

lynch syndrome cancers

A

colorectal and endometrial

26
Q

parathyroid, pituitary and pancreatic adenomas

A

MEN1

27
Q

hydrogen breath test
stool test for reducing substances
low stool pH
increased stool osmotic gap

A

lactose intolerase

28
Q

macrocytic anemia, hypersegmented neutrophils

A

folate deficiency

29
Q

would someone immunized against HBV have anti-HBc?

A

no, because vaccine doesn’t have core Ag, someone immunized has anti-HBs ONLY

30
Q

villous atrophy, malabsorption, iron deficiency anemia, Iga anti-endomysial and anti-tissue transglutaminas Ab

A

Celiac

31
Q

multiple portions of GI tract, rectal sparing, presence of noncaseating granulomas, fistula formations

A

Crohns

32
Q

recurrent bouts of upper abdominal pain, radiate to back, relieved when leaning forward, diarrhea/steatorrhea, weight loss, pancreatic calcifications

A

chronic pancreatitis

33
Q

sudden loss of vision and onset of floaters

A

vitreous hemorrhage, diabetic retinopathy

34
Q

painless progressive blurring of central vision

A

macular degeneration

35
Q

sudden painless unilateral loss of vision

A

central retinal vein occlusion

36
Q

disk swlling, venous dilation and tortuosity, retinal hemorrhages, cotton wool spots

A

central retinal vein occlusion

37
Q

previous GSW, infection with encapsulated bacteria (h flu, s pneumo), NO anti-body mediated phagocytosis

A

splenectomy