GI

Question 1

tx for unstable acute diverticulitis

Answer 1

surgical - colectomy

Question 2

tx for stable acute diverticulitis with abscess less than 4 cm

Answer 2

IV abx, if failure to improve, percutaneous drainage

Question 3

sigmoidoscopy or colonoscopy contraindicated during acute diverticulitis can lead to

Answer 3

colonic perforation, recommend in 6-8 weeks after evaluate for malignancy

Question 4

RUQ pain, fever, jaundice (charcot triad) and new-onset confusion and septic shock (Reynolds pentad)

Answer 4

ascending cholanitis

Question 5

ascending colanitis tx

Answer 5

coverage enteric organism and anaerobes –> piperacillin-tazobactam, hydration

Question 6

multiple myeloma is associated with

Answer 6

hypercalcemia, renal failure, anemia, and bone lesion

Question 7

blurry vision, headache, lymphadenopathy, hepatosplenomegaly

Answer 7

Waldenstrom macroglobulinemia

Question 8

B symtpoms, early satiety and weight loss, leukopenia,+TRAP

Answer 8

hairy cell leukemia, large lymphocytes with oval nuclei, cytoplasmic projections

Question 9

critically ill patient, RUQ, fever, leukocytosis

Answer 9

edema and necrosis of gallbladder d/t enteric organism

Question 10

malabsorption associated with chronic joint pain, confusion with focal neurological findings, rhythmic jaw and tongue movement and spontaneous convergence of eyes

Answer 10

Whipple disease (neuro findings are oculomasticatory myorhythmia)

Question 11

transferrin saturation and ferritin level that increases likelihood of hemochromatosis

Answer 11

increased

Question 12

enlarged liver with S4 gallop, peripheral edema, arthritis, polydipsia and polyphagia, erectile dysfunction concerning for

Answer 12

hemochromatosis

Question 13

small volume hematemsis after vomiting

Answer 13

Mallory-weiss syndrome - conservative tx

Question 14

hematemsis and esophageal perforation, painful

Answer 14

boerhaave syndrome

Question 15

hematemesis, duodenal ulcer pain, exacerbates with food

Answer 15

PUD