Gastrointestinal/Nutritional_IM

Question 1

(RoshReview)

skip lesions

Answer 1

Crohn Disease

Question 2

(RoshReview)

cobblestoning on endoscopy

Answer 2

Crohn Disease

Question 3

(RoshReview)

transmural inflammation

Answer 3

Crohn Disease

Question 4

(RoshReview)

three buzzwords for Crohn Disease

Answer 4

skip lesions
cobblestoning on endoscopy
transmural inflammation

Question 5

(RoshReview)
skip lesions
cobblestoning on endoscopy
transmural inflammation

Answer 5

Crohn Disease

Question 6

(RoshReview)

definitive treatment for complications due to Crohn’s

Answer 6

bowel resection

Question 7

(RoshReview)
chronic nonbloody diarrhea
crampy abdominal pain
weight loss

Answer 7

Crohn’s

Question 8

(RoshReview)
ASCA positive
pANCA negative

Answer 8

Crohn’s Disease

Question 9

(RoshReview)

positive Murphy sign

Answer 9

think acute cholecystitis

Question 10

(RoshReview)

what is Murphy’s sign?

Answer 10

palpation of gallbladder during inspiration

pt stops breathing in and winces with a “catch” in breath

Question 11

(RoshReview)

diagnosis of acute cholecystitis

Answer 11

u/s…if that doesn’t work –>
HIDA…if that doesn’t work –>
CT

Question 12

(RoshReview)

management of acute cholecystitis

Answer 12

supportive care (hydration, pain control, IV abx)
cholecystectomy

Question 13

(RoshReview)

what is Boas sign? What might it indicate?

Answer 13

hyperaesthesia, increased or altered sensitivity, below the right scapula

acute cholecystitis

Question 14

(RoshReview)
“What would be the preferred management for H. pylori associated gastritis in a penicillin-allergic patient who does not have risk factors for macrolide resistance?”

Answer 14

Answer: Clarithromycin, metronidazole, and a proton pump inhibitor.