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PANCE Review > GI > Flashcards

GI Flashcards

1
Q

infectious esophagitis typically occurs in which patient population?

A

immunocompromised

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2
Q

study of choice to diagnose esophagitis

A

EGD and biopsy

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3
Q

birds beak stricture on barium swallow is diagnostic for

A

Achalasia

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4
Q

non-penetrating mucosal tear at the GE junction from excessive vomiting

A

mallory weiss tear

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5
Q

most common cancer in lower esophagus

A

adenocarcinoma

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6
Q

which type of cancer is liked to Barrett’s esophagitis

A

adenocarcinoma

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7
Q

most common cancer found in mid-upper esophagus

A

squamous cell carcinoma

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8
Q

protrusion of pharyngeal mucosa at proximal esophagus, patient often has halitosis

A

zenker’s diverticulum

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9
Q

esophageal varices develop secondary to…

A

portal hypertension (cirrhosis)

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10
Q

red flag symptoms with GERD

A

progressive dysphagia, recurrent pneumonia, persistent cough, bleeding

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11
Q

treatment for GERD

A

lifestyle modifications, antacids, H2 blockers, PPI

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12
Q

inflammation of the stomach

A

gastritis

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13
Q

test for H. pylori

A

urea breath test

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14
Q

most common gastric neoplasm

A

adenocarcinoma

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15
Q

gastrin producing tumor that leads to refractory PUD

A

Zollinger-Ellison Syndrome

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16
Q

deep, gnawing or burning pain in epigastric region, nausea, relief with food - DX?

A

peptic ulcer disease

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17
Q

treatment of H. pylori

A

bismuth, metronidazole, tetracycline or amoxicillin, and PPI (omeprazole)

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18
Q

RUQ pain, fever, leukocytosis -DX?

A

cholecystitis

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19
Q

positive murphys sign - DX?

A

cholecystitis (stops inhalation on palpation of RUQ)

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20
Q

Hepatitis that is fecal oral and does not lead to chronic hepatitis

A

Hepatitis A and E

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21
Q

Hepatitis that have a vaccine to prevent?

A

A and B

22
Q

Hepatitis that is spread though bodily fluids/blood and sexual contact and can develop into a chronic infection

A

Hepatitis B

23
Q

main cause of transfusion hepatitis

A

Hepatitis C

24
Q

Which hepatitis is linked to hepatocellular cancer?

A

Hepatitis C

25
Q

Which hepatitis must have a co-infection with hepatitis B

A

Hepatitis D

26
Q

Jaundice, edema, spider angiomas, telangiectasis, palmar erythema are all PE findings for which DX?

A

Cirrhosis

27
Q

mid-epigastic/LUQ pain, boring pain, radiation to the back, N/V with food - DX?

A

Pancreatitis

28
Q

flank ecchymosis

A

turner’s sign

29
Q

periumbilical ecchymosis

A

cullen’s sign

30
Q

labs for pancreatitis

A

amylase and lipase

31
Q

treatment for pancreatitis

A

pain control, NPO, fluids

32
Q

most common cause of chronic pancreatitis

A

alcohol abuse

33
Q

most common type of pancreatic cancer

A

adenocarcinoma

34
Q

painless jaundice, weight loss, N/V, epigastric pain - DX?

A

pancreatic cancer

35
Q

Pain in RLQ

A

McBurney’s point (appendicitis)

36
Q

signs of peritonitis in appendicitis

A

Rovsing’s sign, Psoas/Obturator signs

37
Q

acute LLQ pain, anorexia, fever, chills, N/V - DX?

A

diverticulitis

38
Q

UC or Crohns? Starts in rectum and is continuous, no fissures or fistulas, loss of haustral markings (lead pipe sign), pseudopolyps

A

UC

39
Q

definitive treatment of UC

A

colectomy is curative

40
Q

UC or Crohns? Skip lesions, cobblestones, fistulas and fissures are common

A

Crohns

41
Q

Dx of celiac disease

A

Tissue transglutaminase (TTG) antibodies, small bowel biopsy (definitive)

42
Q

most common cause of chronic/recurrent abdominal pain in US

A

IBD

43
Q

crampy, lower abdominal pain that is relieved by deification

A

IBD

44
Q

acute abdominal pain, melena, clinical findings are out of proportion to physical exam findings

A

ischemic bowel disease (mesenteric ischemia)

45
Q

most common type of colorectal cancer

A

adenocarcinoma

46
Q

change in bowel habits, pain, bleeding, change in stool diameter, weight loss - DX?

A

colon cancer

47
Q

tumor marker for colorectal cancer

A

CEA (used to monitor and detect)

48
Q

abscess in sacrococcygeal cleft

A

pilonidal disease

49
Q

night blindess is a sign of which nutritional deficiency

A

Vitamin A

50
Q

poor wound healing and bleeding guns are a sign of which nutritional deficiency

A

Vitamin C - scurvy

PANCE Review (9 decks)

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