Gastroenterología Flashcards

1
Q

Q: Eponym applied to longitudinal tears of the cardia or GE junction

ACP JANUARY 2019

A

Mallory-Weiss

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2
Q

Q: Treatment for cholerheic diarrhea

ACP JANUARY 2019

A

A: Cholestyramine (accept Questran, bile-acid sequestrant)

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3
Q

Q: Entrapped nerve associated with chronic abdominal wall pain

ACP JANAURY 2019

A

A: Anterior cutaneous nerve

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4
Q

Most common upper gastrointestinal polyp in United States associated with PPI therapy

ACP JANUARY 2019

A

Cystic fundic gland polyp (accept fundic gland polyp)

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5
Q

Q: Diagnosis associated with abdominal pain and this x-ray

Falta imagen

ACP JANUARY 2019

A

A: Volvulus

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6
Q

Preferred drug class for primary prevention of variceal bleeding

APC april 2019

A

Nonselective beta-blockers (not beta-blockers)

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7
Q

Diet associated with decreased sensitivity of the IgA tissue transglutaminase antibody test for celiac disease

ACP april 2019

A

Gluten-free diet

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8
Q

Disease associated with a hepatic friction rub and hepatic bruit

ACP april 2019

A

Intrahepatic malignant disease (accept hepatoma, hepatocellular carcinoma, and hepatic metastatic disease)

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9
Q

Hematological disorder found in 50% of patients with Budd-Chiari syndrome

ACP april 2019

A

Myeloproliferative disorder (accept any: polycythemia vera, essential thrombocythemia, primary myelofibrosis, chronic myeloid leukemia)

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10
Q

Recommended treatment of constipation due to dyssynergic defecation

ACP april 2019

A

Biofeedback therapy (accept pelvic floor retraining)

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11
Q

Diagnosis for fever, abdominal pain, and bilious ascites 72 hours after laparoscopic cholecystectomy

ACP July 2019

A

Bile duct leak (accept duct of Luschka leak, aberrant duct leak, or bile leak from the cystic duct stump)

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12
Q

Most reliable nonendoscopic test to confirm eradication of H. pylori infection

ACP July 2019

A

Urea breath test

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13
Q

Most specific physical examination finding for the presence of ascites

ACP July 2019

A

Fluid wave (positive likelihood ratio =5)

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14
Q

Medication for irritable bowel syndrome with refractory constipation

ACP July 2019

A

Linaclotide (accept Linzess)

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15
Q

Pancreatic disease associated with parotid gland enlargement and mediastinal lymphadenopathy

ACP July 2019

A

Autoimmune pancreatitis (accept IgG4 disease)

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16
Q

Imaging study of choice for diagnosis of primary sclerosing cholangitis

ACP March 2021

A

Magnetic resonance cholangiopancreatography (accept MRC or MRCP)

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17
Q

Functional esophageal disorder characterized by a sensation of a lump in the throat

ACP March 2021

A

Globus sensation (accept globus pharyngeus and globus hystericus)

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18
Q

Etiology of gastroparesis accounting for approximately half of all cases

ACP March 2021

A

Idiopathic

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19
Q

Commonly prescribed drug class for portal hypertension that is associated with worse prognosis in patients who develop spontaneous bacterial peritonitis

ACP March 2021

A

Beta-blocker

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20
Q

Receipt of a blood transfusion prior to this date is a risk factor for hepatitis C infection

ACP March 2021

A

1992

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21
Q

Likely cause of diarrhea and weight loss after Roux-en-Y gastric bypass

ACP February 2020

A

Small intestinal bacterial overgrowth (accept bacterial overgrowth)

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22
Q

Recommended therapy for postinfectious irritable bowel syndrome

ACP February 2020

A

Fiber supplement

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23
Q

SAAG and ascitic protein concentration thresholds associated with nephrotic syndrome

ACP February 2020

A

SAAG ≤ 1.1; Protein ≤ 2.5 g/dL (accept ‘less than’ for both parts of answer)

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24
Q

Two reasons for a positive HCV antibody test and negative HCV RNA test

ACP February 2020

A

False-positive test result and cleared HCV infection (accept spontaneously cleared infection or treatment cleared infection)

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25
Imaging study used to evaluate the anatomical and functional changes of the anorectum ## Footnote ACP February 2020
Defecography (accept MR defecography or defecating proctogram)
26
Diagnosis for isolated indirect hyperbilirubinemia and normal hemoglobin level ## Footnote ACP August 2021
Gilbert disease
27
Crohn disease most commonly involves this portion of the gastrointestinal tract ## Footnote ACP August 2021
Small bowel (accept terminal ileum)
28
Eponym for effort rupture of the esophagus ## Footnote ACP August 2021
Boerhaave syndrome
29
Two most common nonmucosal cutaneous manifestations of chronic inflammatory bowel disease ## Footnote ACP August 2021
Erythema nodosum and pyoderma gangrenosum
30
Best test to diagnose oropharyngeal dysphagia ## Footnote ACP August 2021
Videofluoroscopy of the oropharynx (accept videofluoroscopic modified barium swallow; do not accept barium swallow without videofluoroscopy)
31
Most common cause of esophageal strictures ## Footnote ACP October 2021
Long-standing gastroesophageal reflux disease (accept GERD)
32
Hepatitis C infection screening frequency for average risk individuals born between 1945 and 1965 ## Footnote ACP October 2021
One time
33
Stool osmotic gap threshold compatible with secretory diarrhea ## Footnote ACP October 2021
<50 mOsm/kg (accept <50)
34
Preferred serological screening test for celiac disease ## Footnote ACP October 2021
IgA tissue transglutaminase antibody test (must be IgA TTG)
35
Name for syndrome characterized by daily, effortless regurgitation of undigested food within minutes of starting or completing ingestion of a meal ## Footnote ACP October 2021
Rumination syndrome
36
Most common congenital malformation of the gastrointestinal tract ## Footnote ACP December 2017
Meckel diverticulum
37
Condition associated with periodic acid-Schiff-positive macrophages and negative acid-fast stain ## Footnote ACP December 2017
Whipple disease
38
SAAG and ascitic protein concentration thresholds associated with constrictive pericarditis ## Footnote ACP December 2017
SAAG ≥ 1.1; Protein ≥ 2.5 g/dL
39
A typically transient anemia complication of TIPS ## Footnote ACP December 2017
Hemolytic anemia (accept microangiopathic anemia)
40
Antibiotic most commonly responsible for drug-induced liver disease ## Footnote ACP December 2017
Amoxicillin-clavulanate
41
Most common non-neoplastic polyp of the colon ## Footnote ACP May 2024
Hyperplastic polyp
42
Condition characterized by ascitic fluid infection without an evident intra-abdominal surgically treatable source ## Footnote ACP May 2024
Spontaneous bacterial peritonitis
43
The three original laboratory values needed to calculate the MELD score ## Footnote ACP May 2024
Serum creatinine, total bilirubin, and international normalized ratio (INR)
44
Hepatitis virus associated with circulating Dane particles ## Footnote ACP May 2024
Hepatitis B (accept HBV)
45
Maddrey Discriminant Function score threshold to initiate steroids in alcoholic hepatitis ## Footnote ACP May 2024
32 or greater
46
Syndrome of delayed gastric emptying in the absence of a mechanical obstruction ## Footnote ACP April 2024
Gastroparesis
47
Most common intestinal malignancy associated with celiac disease ## Footnote ACP April 2024
Lymphoma
48
Specific target of antibodies in stool fecal immunohistochemistry testing ## Footnote ACP April 2024
Globin (do not accept hemoglobin or heme)
49
Components of the FODMAP diet ## Footnote ACP April 2024
Fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP)
50
Eponym for inherited isolated cystic dilation of the intrahepatic bile ducts ## Footnote ACP April 2024
Caroli disease (communicating cavernous ectasia or congenital cystic dilation of the intrahepatic biliary tree) (do not accept Caroli syndrome)
51
Site of colonization in chronic carriers of Salmonella ## Footnote ACP January 2024
Gall bladder
52
Disease historically referred to as hepatolenticular degeneration ## Footnote ACP January 2024
Wilson disease
53
Inflammatory bowel condition associated with celiac disease ## Footnote ACP January 2024
Microscopic colitis
54
Blistering skin rash associated with glucagonoma ## Footnote ACP January 2024
Necrolytic migratory erythema
55
Recommended initial treatment for confirmed dyssynergic defecation ## Footnote ACP January 2024
Biofeedback therapy
56
Initial diagnostic test of choice for suspected Budd-Chiari syndrome ## Footnote ACP May 2020
Doppler ultrasonography
57
Subcutaneously administered opioid antagonist approved for opioid-induced constipation ## Footnote ACP May 2020
Methylnaltrexone (accept Relistor)
58
Another name for a mechanical push-type esophageal dilator ## Footnote ACP May 2020
Bougie
59
Patients with celiac disease have increased prevalence of this colitis ## Footnote ACP may 2020
Microscopic colitis (accept lymphocytic or collagenous colitis)
60
Absence of HCV RNA for this time period after completing treatment defines sustained virologic response ## Footnote ACP May 2020
12 weeks or more (accept 12 weeks)
61
Term applied to neuroendocrine tumors originating in the digestive tract ## Footnote ACP July 2020
Carcinoid tumor
62
Frequency of colonoscopy in patients with primary sclerosing cholangitis and inflammatory bowel disease ## Footnote ACP July 2020
Annually
63
Excluding hepatitis B DNA, three serological markers associated with the early phase of hepatitis B infection ## Footnote ACP July 2020
HBsAg, HBeAg, IgM anti-HBc (accept anti-HBc)
64
The most commonly used ablative therapy for Barrett's esophagus with high grade dysplasia ## Footnote ACP July 2020
Endoscopic radiofrequency ablation (accept radiofrequency ablation or RFA)
65
Model for End-Stage Liver Disease (MELD) score identifying patients who will benefit from liver transplantation ## Footnote ACP July 2020
MELD score ≥15
66
Amsterdam II criteria used to diagnose this condition ## Footnote ACP February 2018
Lynch syndrome (accept hereditary non-polyposis colorectal cancer)
67
Most common vein involved in acute mesenteric vein thrombosis ## Footnote ACP February 2018
Superior mesenteric vein
68
Two most common physical findings in Budd-Chiari syndrome ## Footnote ACP February 2018
Hepatomegaly and ascites
69
Term describing difficulty transferring food from the mouth to the pharynx ## Footnote ACP February 2018
Oropharyngeal dysphagia
70
Cyclical vomiting syndrome in young men relieved with hot shower ## Footnote ACP February 2018
Cannabinoid hyperemesis syndrome (accept marijuana-induced or cannabis-induced hyperemesis)
71
Eponym for hepatic venous outflow obstruction ## Footnote ACP June 2018
Budd-Chiari syndrome
72
Most frequent form of mesenteric ischemia ## Footnote ACP June 2018
Ischemic colitis
73
Cutaneous lesions that may be a marker of intrapulmonary vascular dilatations ## Footnote ACP June 2018
Spider nevi (spider angiomas)
74
Age to initiate colorectal cancer screening in an otherwise average risk 25-year-old man with stable ulcerative proctitis ## Footnote ACP June 2018
50 years
75
Meckel diverticulum results from the incomplete obliteration of this structure ## Footnote ACP June 2018
Vitelline duct
76
Common stool color associated with bismuth subsalicylate treatment ## Footnote ACP February 2023
Black
77
Eponym for dilated aberrant submucosal vessel causing GI bleeding in the absence of a primary ulcer ## Footnote ACP February 2023
Diulefoy lesion
78
Gastric disorder associated with 'watermelon stomach' appearance on endoscopy ## Footnote ACP February 2023
Gastric antral vascular ectasia (do not accept GAVE alone)
79
Small bowel biopsy for definitive diagnosis of celiac disease is required except in the presence of this condition ## Footnote ACP February 2023
Biopsy-proven dermatitis herpetiformis (accept dermatitis herpetiformis)
80
Type of viral hepatitis with the highest maternal mortality in pregnancy ## Footnote ACP February 2023
Hepatitis E
81
Validated clincial scale that classifies human feces into seven categories ## Footnote ACP January 2023
Bristol stool scale (accept Bristol stool form scale; Bristol stool chart)
82
Medication that delays progression and improves survival in primary biliary cholangitis ## Footnote ACP January 2023
Ursodeoxycholic Acid
83
Two subtypes of microscopic colitis ## Footnote ACP January 2023
Lymphocytic and collagenous
84
Antibodies against this species of yeast found in patients with Crohn disease ## Footnote ACP January 2023
Saccharomyces cerevisiae (accept Saccharomyces)
85
Valvular disorder associated with gastrointestinal angiodysplasia ## Footnote ACP January 2023
Aortic stenosis
86
Most common location of hepatic outflow obstruction in patients with Budd-Chiari syndrome ## Footnote ACP July 2022
Hepatic veins
87
Condition associated with degeneration of ganglion cells in the myenteric plexus in the esophageal wall ## Footnote ACP July 2022
Achalasia
88
Most common presentation of autoimmune pancreatitis ## Footnote ACP July 2022
Painless jaundice
89
Condition associated with simultaneous vitamin B12 deficiency and elevated folate levels ## Footnote ACP July 2022
Small intestinal bacterial overgrowth
90
Bilharziasis refers to this disease ## Footnote ACP July 2022
Schistosomiasis
91
Most common symptom of achalasia ## Footnote ACP April 2013
Dysphagia
92
Most likely GERD-related esophageal diagnosis | Falta Imagen ## Footnote ACP April 2013
Barrett esophagus
93
Hereditary bleeding disease accounting for findings | Falta Imagen ## Footnote ACP April 2013
Hereditary hemorrhagic telangiectasias (accept Osler-Weber-Rendu)
94
Liver disease most closely associated with anti-LKM antibody ## Footnote ACP April 2013
Autoimmune hepatitis
95
Diagnosis for diastase resistant, PAS-staining foamy macrophages and villous atrophy ## Footnote ACP April 2013
Whipple disease