GI

Question 1

How does a bowel perforation present on an x-ray?

Answer 1

Air in the abdominal cavity but not in the stomach or intestines

Question 2

What are the three characteristics of intussusception?

Answer 2

Culki abdominal pain, current jelly stools, sausage shaped mass in right upper quadrant

Question 3

What GI disease involves inflammation of any segment of the GI tract from the mouth to the anus and occurs in patches, extending through the entire thickness of the bowel wall?

Answer 3

Crohn’s disease

Question 4

What immunosuppressants are they used in the treatment of Crohn’s disease?

Answer 4

Biopurions, methotrexate

Question 5

What antibiotics should be used in a patient with femoral neutropenia?

Answer 5

Cefepime

Question 7

Four signs of appendicitis?

Answer 7

McBurney point tenderness, rebound tenderness, positive psoas sign(pain with hip extension), obturator sign (hip pain when right knee flexed)

Question 8

How is Michael’s diverticulitis diagnosed?

Answer 8

Michael’s nuclear medicine scan

Question 9

What can proceed about perforation in premature or NICU infants?

Answer 9

Necrotizing and enterocolitis

Question 10

Differentiate between cholelethiasis and cholecystitis?

Answer 10

Gallstones versus information of the gallbladder

Question 11

What are the three areas where acute malrotation or volvulus can occur?

Answer 11

Fore gut, midgut, hind gut

Question 12

What is the gold standard study to diagnose hirschsprung disease? What does that study look for?

Answer 12

Rectal biopsy looking aganglionic colon

Question 13

What is the gold standard test to diagnose cholecystitis?

Answer 13

ERCP

Question 14

What acid base imbalance does pyloric stenosis cause?

Answer 14

Metabolic alkalosis due to loss of hydrogen and chloride ions during bonding

Question 15

What disease commonly presents with delayed passage of meconium, periods of constipation followed by diarrhea explosive?

Answer 15

Hirschsprung disease

Question 16

What is a highly concerning sign of acute mal rotation?

Answer 16

Billius emesis

Question 17

What is a gold standard for diagnosing acute male rotation or volvulus?

Answer 17

CT

Question 18

What condition presents with painless fractal bleeding?

Answer 18

Michael’s diverticulitis

Question 19

What is the most frequent cause of intestinal obstruction in the first two years of life?

Answer 19

Into deception

Question 20

How is pyloric stenosis diagnosed?

Answer 20

Ultrasound

Question 21

What is the treatment if corticosteroids and other agents fail on the treatment of ulcerative colitis?

Answer 21

Colectomy

Question 22

What electric disturbance is occur due to pyloric stenosis?

Answer 22

Hypochloritemia, hypokalemia

Question 23

How is intussusception diagnosed?

Answer 23

Ultrasound

Question 24

What is the gold standard in diagnosing Crohn’s disease and ulcerative colitis?

Answer 24

Endoscopy

Question 25

What disorders defined by telescoping of the colon leading to swelling, hemorrhage, incarceration and eventual perforation and peritonitis?

Answer 25

Int intussusception

Question 26

What is an inflammation of this cecum?

Answer 26

Typhlitis

Question 27

What organisms are most often responsible for UTIs?

Answer 27

E coli, pseudomonas, enterococcus, klebsiella

Question 28

What surgical procedure is used to correct a volvulus?

Answer 28

Ladd procedure

Question 29

What GI disorder can present with fissures or tags?

Answer 29

Crohn’s disease

Question 30

What GI disease presents with a continuous pattern of inflammation and ulceration, limited to the large intestine and its innermost lining?

Answer 30

Ulcerative colitis

Question 31

What are the two classic characteristics of pyloric stenosis?

Answer 31

All of shaped mass in mid-epigastric area, positive gastric peristalsis waves

Question 32

What is the hallmark symptom of a milk protein allergy?

Answer 32

Acute GI bleeding