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IM ITE - ALL > Gastroentrology > Flashcards

Gastroentrology Flashcards

1
Q

Evaluation of oropharyngeal dysphagia

A

Videofluoroscopy

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2
Q

Progressive Solid food dysphagia

A

Achalasia, esophageal Ca

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3
Q

Episodic solid-food dysphagia

A

esophageal web or distal esophageal ring (Schatzki ring)

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4
Q

Achalasia in a person traveling to South America

A

Chagas Disease

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5
Q

Order of diagnostic testing for Achalasia

A 
Barium Swallow (screening test)
Esophageal manometry (peristalsis abn & LES relaxation issue)
Upper endoscopy (r/o adenocarcinoma )
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6
Q

Treatment for Achalasia

A

Laparoscopic surgical myotomy of LES or pneumatic dilation

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7
Q

Extraesophageal manifestations of GERD

A

asthma, chronic laryngitis, chronic cough

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8
Q

Tx of GERD Sx refractory to PPIs

A

double dose of PPI for 4-8 weeks before performing upper endoscopy

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9
Q

Refractory GERD Sx w/ normal upper endoscopy

A

24hr esophageal pH monitoring while taking PPIs

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10
Q

Screening for Barrett Esophagus

A

men >50 w/ chronic GERD Sx (>5yrs)

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11
Q

Follow up:
Barrett’s Esophagus and no dysplasia
Barrett’s Esophagus w/ low grade dysplasia

A

BE w/ no dysplasia: endoscopy 3-5 yrs

BE w/ low grade dysplasia: endoscopy 6-12 months

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12
Q

Causes of pill induced esophagitis

A

Tetracycline, NSAIDs, KCL, Iron, Alendronate

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13
Q

30 year old man has frequent heartburn and recurrent episodes of food impaction

A

Eosinophilic esophagitis

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14
Q

Tx for Eosinophilic esophagitis

A

swallowed fluticasone or budesonide

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15
Q

2 most common causes of PUD

A

NSAIDs and H.pylori

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16
Q

Testing for H.pylori

- Invasive and Noninvasive

A 
Endoscopy biopsy (no affected by antibiotics, PPIs or bismuth compounds)
Non invasive: rapid urease testing or stool for H.pylori antigens
17
Q

Cause of false negative testing for H.pylori: rapid urease test, urea breath test, stool antigen

A

Person’s who recently took antibiotics, bismuth-containing compounds, PPIs
Stop Antibiotics 28 days prior, PPIs 2 weeks prior

18
Q

PUD
Tx for persons <50 w/o alarm symptoms
Tx for person >50 or alarm Sx any age

A
  • treat for H.pylori w/o performing endoscopy

- Obtain upper endoscopy and H.pylori testing

19
Q

Tx for PUD which is NSAID induced but cannot stop NSAIDs

A

Prophylaxis w/ PPI or Misoprostol

20
Q

H.pylori Tx

A

PPI + Clarithromycin + (Amoxicillin or Metronidazole) for 2 weeks

IM ITE - ALL (2 decks)

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