GI

Question 1

infectious esophagitis typically occurs in which patient population?

Answer 1

immunocompromised

Question 2

study of choice to diagnose esophagitis

Answer 2

EGD and biopsy

Question 3

birds beak stricture on barium swallow is diagnostic for

Answer 3

Achalasia

Question 4

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

Answer 4

mallory weiss tear

Question 5

most common cancer in lower esophagus

Answer 5

adenocarcinoma

Question 6

which type of cancer is liked to Barrett’s esophagitis

Answer 6

adenocarcinoma

Question 7

most common cancer found in mid-upper esophagus

Answer 7

squamous cell carcinoma

Question 8

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

Answer 8

zenker’s diverticulum

Question 9

esophageal varices develop secondary to…

Answer 9

portal hypertension (cirrhosis)

Question 10

red flag symptoms with GERD

Answer 10

progressive dysphagia, recurrent pneumonia, persistent cough, bleeding

Question 11

treatment for GERD

Answer 11

lifestyle modifications, antacids, H2 blockers, PPI

Question 12

inflammation of the stomach

Answer 12

gastritis

Question 13

test for H. pylori

Answer 13

urea breath test

Question 14

most common gastric neoplasm

Answer 14

adenocarcinoma

Question 15

gastrin producing tumor that leads to refractory PUD

Answer 15

Zollinger-Ellison Syndrome

Question 16

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

Answer 16

peptic ulcer disease

Question 17

treatment of H. pylori

Answer 17

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

Question 18

RUQ pain, fever, leukocytosis -DX?

Answer 18

cholecystitis

Question 19

positive murphys sign - DX?

Answer 19

cholecystitis (stops inhalation on palpation of RUQ)

Question 20

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

Answer 20

Hepatitis A and E

Question 21

Hepatitis that have a vaccine to prevent?

Answer 21

A and B

Question 22

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

Answer 22

Hepatitis B

Question 23

main cause of transfusion hepatitis

Answer 23

Hepatitis C

Question 24

Which hepatitis is linked to hepatocellular cancer?

Answer 24

Hepatitis C

Question 25

Which hepatitis must have a co-infection with hepatitis B

Answer 25

Hepatitis D

Question 26

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

Answer 26

Cirrhosis

Question 27

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

Answer 27

Pancreatitis

Question 28

flank ecchymosis

Answer 28

turner's sign

Question 29

periumbilical ecchymosis

Answer 29

cullen's sign

Question 30

labs for pancreatitis

Answer 30

amylase and lipase

Question 31

treatment for pancreatitis

Answer 31

pain control, NPO, fluids

Question 32

most common cause of chronic pancreatitis

Answer 32

alcohol abuse

Question 33

most common type of pancreatic cancer

Answer 33

adenocarcinoma

Question 34

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

Answer 34

pancreatic cancer

Question 35

Pain in RLQ

Answer 35

McBurney's point (appendicitis)

Question 36

signs of peritonitis in appendicitis

Answer 36

Rovsing's sign, Psoas/Obturator signs

Question 37

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

Answer 37

diverticulitis

Question 38

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

Answer 38

UC

Question 39

definitive treatment of UC

Answer 39

colectomy is curative

Question 40

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

Answer 40

Crohns

Question 41

Dx of celiac disease

Answer 41

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

Question 42

most common cause of chronic/recurrent abdominal pain in US

Answer 42

IBD

Question 43

crampy, lower abdominal pain that is relieved by deification

Answer 43

IBD

Question 44

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

Answer 44

ischemic bowel disease (mesenteric ischemia)

Question 45

most common type of colorectal cancer

Answer 45

adenocarcinoma

Question 46

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

Answer 46

colon cancer

Question 47

tumor marker for colorectal cancer

Answer 47

CEA (used to monitor and detect)

Question 48

abscess in sacrococcygeal cleft

Answer 48

pilonidal disease

Question 49

night blindess is a sign of which nutritional deficiency

Answer 49

Vitamin A

Question 50

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

Answer 50

Vitamin C - scurvy