Gastrointestinal

Question 1

H/P of 1) Dysphagia 2) Achalasia 3) Diffues Esophageal Spasm 4) Zenker Diverticulum 5) GERD

Answer 1

1) food stuck in throat 2) progressive dysphagia of solids and liquids 3) chest pain, dysphagia 4) halitosis, regurgitation of food several days later 5) burning chest pain

Question 2

Barrett Esophagus pathology?

Answer 2

intestinal metaplasia of distal esophagus secondary to chronic GERD

Question 3

Triple Therapy for PUD?

Answer 3

PPI+clarithromycin +amoxicillin/metronidazole

Question 4

List 3 antacids and their side effects

Answer 4

1) Aluminum hydroxide- constipation
2) Calcium carbonate- constipation
3) Magnesium hydroxide-diarrhea

Question 5

Foamy macrophades seen on periodic acid-Schiff (PAS) stain

Answer 5

Whipple disease due to Tropheryma whippelii (treatment TMP-SMX 1 year)

Question 6

Motility agents (3)

Answer 6

Erythromycin, neostigmine, metoclopramide (reglan)

Question 7

Colorectal cancer most commonly mets to

Answer 7

lung and liver

Question 8

Whipple procedure removes (6)

Answer 8

distal stomach, duodenum, pancreatic head, common bile duct, gallbladder, proximal jejunum

Question 9

Kernicterus pathology

Answer 9

deposition of bilirubin in the basal ganglia and hippocampus

Question 10

Celiac sprue associated with (2)

Answer 10

CF and Down Syndrome