GI Flashcards

1
Q

What enzyme is elevated in biliary colic?

A

CCK (causes gallbladder contraction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What syndrome is ZE syndrome commonly associated with?

(hint, the 3 P’s)

A

MEN 1

assoc with parathyroid adenomas which can cause elevated Ca levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the mechanism of Anascara (or swelling from ascites)?

A

decreased plasma colloid oncotic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In pancreatic insuffiecency, protein digestion can become impaired. What enzyme would normally do the protein digestion?

A

trypsin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which layer of the bowel is most susceptible to ischemia in intussuception?

A

the innermost layer, the mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

G cells, which produce Gastrin, are found wher?

A

the antrum of the pylorus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What artery supplies the pylorus of the stomach?

A

gastroduodenal A. supplied by common hepatic A.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Are indirect inguinal hernias lateral or medial to inferior epigastric vessels?

A

lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What artery runs posterior/superior to the pancreas?

A

splenic artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what anastomosis causes caput medusae

A

portal periumbilical veins to systemic epigastric veins

stem might ask portal source v. systemic source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what artery serves the gallbladder

A

common hepatic a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what runs in the hepatoduodenal l. ?

A

portal triad: common bile duct, hepatic a.,portal v

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if a hernia passes below the inguinal L., that rules out waht two types and what is the dx?

A

rules out direct and indirect, so has to be femoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

anorectal varices are caused by anastomosis between what vessels?

A

superior and inferior rectal v.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What a does the gastroduodenal a branch from?

A

common hepatic a.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Is Meckel’s diverticulum 2 ft proximal or 2ft distal from the IC valve?

A

2ft proximal to the IC valve (in the SI)

17
Q

Does primary sclerosing cholangitis affect the intrahepatic or extrahepatic bile ducts or both?

A

Both:)

18
Q

What can whipple’s look like?

A

A lil like Chron’s so beware of arthralgias and CNS involvement

19
Q

What are mallory bodies and when are they observed?

A

chronic alcoholic hepatitis

they are eosinophilic inclusion bodies

20
Q

What are the sx of Garnder Syndrome?

(gardners grow-lots of growth)

A

autosomal dominant condition characterized by familial adenomatous polyps, osteomas, desmoid tumors, dental abnormalities, and hypertrophy of the retinal pigment epithelium.

21
Q

What is a major hallmark of UC?

A

Crypt abscesses

(neutrophils in the crypts of lieberkhun)

22
Q

What would a liver biopsy show in primary biliary cholangitis?

What findings indicate PBC?

A

destruction of intrahepatic bile ducts, portal inflammation, and fibrosis.

markedly elevated serum cholesterol and alkaline phosphatase, xanthelasma (exhibit image), and pruritis

23
Q

With a villous adenoma on colonoscpy, what is the next step?

A

Remove it and encourage repeat in 3yrs

24
Q

How might the tumor marker CA19-9 be described?

A

sialylated form of Lewis blood group antigen a.

(lol yeah, only 7% got that one right)

25
Q

Pt’s with choledocolithiasis likely have a hx of what?

A

gallstones or gallbladder disease

and remember, if it sounds like pancreatiits, it could be choledocolithiasis so pay attn to liver and pancreatic enzymes

26
Q

Giardia, which can be diagnosed with ELISA, is best treated by what drug and what is its MOA?

A

Metronidazole, produces highly reactive free radicals

27
Q

C. diff is treated with what and what is its MOA?

A

Oral Vancomycin

binds to D-Ala subunit

28
Q

In someone with hep C and cirrhosis, what should you use to perioperative sedation?

A

Lorezapam

bypasses phase 1 metabolism

29
Q

C. sinesis is what kind of bug and what treats it?

A

Trematode-Praziquantel