GI

Question 1

Bile acid diarrhea

Answer 1

Dx and tx with bile acid sequestrant (cholestyramine)

Common in ileal Crohn’s after ileal resection

Question 2

GERD red flags that would proompt EGD before PPI trial

Answer 2

anemia
weight loss
bleeding
dysphagie
persistent sx ater tx
age >50

Question 3

markers for prognostic severity of pancreatitis

Answer 3

Hct, BUN, Cr –> show degree of intravascular volume depletinoo

Question 4

dx/tx eosinophilic esophagitis

Answer 4

> 15 eos/HPF

tx= steroids–> oral suspension of budesonide or ICS that is swallowed.

Can do anti-histamines if part of picture of atopy

Question 5

functional dyspepsia tx

Answer 5

H2 blockers or motility agent (reglan) if its more post-prandial discomfort

Question 6

probiotics…

Answer 6

-dec antibiotic assoociated diarrhea in kids
- dec pain in IBS
- dec crying by one hour in breast fed infants

Question 7

polyps with malignant potential

Answer 7

villous adenomas&raquo_space;> tubular adenomas

Question 8

post bariatric surgery mgmt

Answer 8

• bone denstiry q2yr
• avoid pregnancy 12-18 mo
• avoid NSAIDs
• noo fluids at same time as meals
• three meals a day, 1-2 snacks
• avoid dry/fibrous foods

Question 9

Rome Criteria

Answer 9

Recurrent abd pain with two or more:
- pain related/relieved by defecation
- change in stool frequency
- change in stoool form

Question 10

Outpatient tx diverticulitis

Answer 10

Abx + bowel rest

Augmentin or FQ/flagyl combo (no difference in outcomes)

Question 11

Dx of NAFLD

Answer 11

1. hx and physical, ask about meds and etoh
2. labs- hepatitis, iron, lipids, fasting glucose of the liver should be ordered.
3. US

Question 12

Name one “tx” option for IBS?

Answer 12

soluble fiber

Question 13

perianal abscess abx and mgmt

Answer 13

I&D if > 2x2cm
Cover MRSA and anaerobes