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Internal Medicine > Gastroenterology > Flashcards

Gastroenterology Flashcards

0
Q

What familial cancer syndrome has an association with hereditary hemorrhagic telangiectasia?

A

Juvenile polyposis syndrome

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1
Q

What is Mirrizzi syndrome?

A

When a gallstone becomes impacted in the cystic duct or neck of gallbladder causing compression of CBD and obstruction/jaundice

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2
Q

What age should screening for colon cancer in black patients start? (Given average risk)

A

40

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3
Q

When should a patient undergo full colonoscopy if there are findings on flex sig?

A

If any adenomas found or polyps > 5mm

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4
Q

What area of the colon if involved in ulcerative colitis actually has a lot less risk of developing colon cancer?

A

Proctilitis

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5
Q

How long after onset of IBD (UC or Crohns) do you start colon cancer screening?

A

8 years

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6
Q

When do you start colon cancer screening in patients with 1 first degree relative with CRC but no syndrome?

A

Age 40 or 10 years younger than the age of diagnosis of family member
Follow up colonoscopies are done every 5 years no matter what is found

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7
Q

What age does colon cancer screening start for Lynch syndrome?

A

20-25 years old

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8
Q

Besides colon cancer screening what other cancer screens are needed for people with Lynch syndrome?

A

Annual Transvaginal US age 25-30
Annual urine cytology
+/- upper endoscopy

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9
Q

When do you start colon cancer screening in familial adenomatous polyposis?

A

Age 10-12

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10
Q

What HIV medication is known for causing pancreatitis?

A

Didanosine

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11
Q

What pancreatic disorder presents with a “sausage-shaped” gland?

A

Autoimmune pancreatitis

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12
Q

What is main treatment of autoimmune pancreatitis?

A

Corticosteroids

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13
Q

What is the most common type of pancreatic cyst?

A

IPMN

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14
Q

What hormone is secreted in Verner Morrison syndrome?

A

VIPoma

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15
Q

What pancreatic neuro endocrine tumor is associated with necrolytic migratory erythema?

A

Glucagonoma

16
Q

Which 3 conditions are known to cause indeterminate HIDA scan?

A

Acalculous cholecystitis
Prolonged fasting
Chronic alcoholism

17
Q

What is Charcot triad?

A

Fever
Jaundice
Pain

18
Q

What infection is associated with gallbladder cancer?

A

Chronic infection with Salmonella typhi

19
Q

What infection is associated with development of cholangiocarcinoma?

A

Chronic infection with liver flukes

20
Q

What structural lesion is associated with Cameron lesions/upper GI bleed?

A

Hiatal hernia - causes mechanical trauma

21
Q

How long do you need to be off PPI, H2 blockers, and antibiotics before testing for H pylori?

A

2 weeks
24-48 hours
4 weeks

22
Q

What h pylori complications require eradication testing to be done 4-6 weeks after treatment?

A

PUD
MALT lymphoma
Respected gastric cancer
Persistent dyspepsia despite treatment

23
Q

What stool osmotic gap is associated with an osmotic diarrhea?

A

> 100

24
Q

What stool osmotic gap is associated with secretory diarrhea?

A
25
Q

What amount of residual ileum is associated with bile acid malabsorption disorders?

A
26
Q

What condition causes diarrhea with PAS+ macrophages that are acid fast negative?

A

Whipple disease

27
Q

What test diagnoses a protein malabsorption?

A

Alpha 1 anti trypsin level in stool

28
Q

What defines short bowel syndrome?

A
29
Q

What grains need to be avoided in celiac disease?

A

Wheat, barley, rye

+/- oats x 1 year at least

30
Q

What is the dose of albumin to treat SBP with elevated creatinine (>1.5)?

A

1.5 g/day until day 3 then decrease to 1g/day

31
Q

A serum-ascites albumin gradient of >1.1 or a greater total ascites protein greater than 2.5 is indicative of what cause of ascites?

A

Heart failure or constrictive pericarditis

Internal Medicine (12 decks)

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