Gastroenterology/hepatology

Question 0

Treatment of high grade dysplasia in esophagus

Answer 0

Esophagectomy
Endoscopic ablation(if poor surgical candidate)
Surveillance q3 months

Question 1

Indications for EGD to r/o Barrett’s in GERD

Answer 1

Symptoms >5 years
Age >50
White male

Question 2

Follow up schedule for colonoscopy after curative surgery

Answer 2

1 year then 3 years then q5 years

Question 3

Treatment for primary biliary cirrhosis

Answer 3

Ursodeoxycholic acid

Question 5

Indications for repeat colonoscopy in 3 years

Answer 5

More than 3 adenomas
Villous histology
High grade dysplasia
>1cm

Question 6

Anti-mitochondrial antibody

Answer 6

Primary biliary cirrhosis

Question 7

2nd line agent (after fiber and laxatives) for constipation-dominant IBS

Answer 7

Lubiprostone

Cl channel activator –> salt water into colonic lumen –> improves colonic motility

Question 8

Management of small (<2cm) gastric carcinoid tumors

Answer 8

Endoscopic surveillance every 6-12 months for at least 3 years after initial endoscopic removal.

Question 9

Increased circulating IgG4

Answer 9

Autoimmune pancreatitis

Question 10

Definition of severe alcoholic hepatitis

Answer 10

Maddrey Discriminant Function >32

Tx: steroids or pentoxifylline

Question 11

FAP patients and Peutz-Jeugers patients are at higher risk for this upper GI cancer

Answer 11

Malignancy of the biliary ampulla –> serial EGDs