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MEDI IM shelf > Gastroenterology > Flashcards

Gastroenterology Flashcards

1
Q

IBD involving terminal ileum

A

Crohn’s disease
mimics appendicities
iron deficiency

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2
Q

IBD continuous involving rectum

A

UC

rarely ileal backwash, never higher

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3
Q

Inc risk for primary sclerosing cholangitis

A

US

PSC leads to higher risk of cholangiocarcinoma

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4
Q

IBD with fistulae

A

Crohn’s

give metronidazole

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5
Q

IB with granulomas on biopsy

A

Crohn’s

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6
Q

IBD with transmural inflammation

A

Crohn’s

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7
Q

IBD cured by coelctomy

A

UC

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8
Q

Smokers have lower risk of ___ IBD

A

UC

Smokers have higher risk for CD

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9
Q

IBD with highest risk CRC

A

UC

another reason for colectomy

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10
Q

IBD associated with p-ANCA

A

UC

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11
Q

IBD tx

A

ASA
corticosteroids to induce remission
sulfasalazine to maintain remission
metronidazole in UC for ANY ulcer/abscess

severe dz:
azathioprine
6MP
methotrexate

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12
Q

IB complications

A

ankylosing spondylitis

pyogenic erythema gangrenosum?

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13
Q

AST/ALT (2x) + high GGT

A

alcoholic hepatitis

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14
Q

ALT>AST in 1000s

A

viral hepatitis

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15
Q

AST and ALT in 1000s after surgery or hemorrhage

A

ischemic hepatitis “shock liver”

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16
Q

Elevated D-bili

A

obstructive (stone/cancer)
Dubin Johnsons
Rotor

17
Q

Elevated I-bili

A

hyemolysis
Gilbert’s
Crigler Najjar

18
Q

Elevated ALP + GGT

A

bile duct obstruction

if IBD –> PSC

19
Q

Elevated ALP + nL GGT + nL Ca2+

A

Paget’s disease of bone

incr hat size, hearing loss, HA

20
Q

Tx Paget’s disease of bone

A

bisphosphonates

21
Q

Anti-mitochondrial antibody

A

primary biliary cirrhosis

22
Q

Tx PBC

A

bile resins

23
Q

ANA + anti-smooth muscle ab

A

autoimmune hepatitis

24
Q

Tx autoimmune hepatitis

A

‘roids

25
Q

high Fe + low ferritin + low Fe binding capacity

A

hemachromatosis

hepatitis, bronze diabetes

26
Q

low ceruloplasmin + high urinary Cu

A 
Wilson dz
(hepatitis, psychiatry sxs, corneal deposits)

MEDI IM shelf (6 decks)

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