GI

Question 1

Mesenteric Ischemia

Answer 1

Pain out of proportion to exam

older person with CAD

Question 2

Ectopic pregnancy

Answer 2

younger woman, sudden lower abdominal pain

Question 3

chronic discharge and lower abd pain

Answer 3

PID

Question 4

nephrolithiasis

Answer 4

paroxysmal, can’t sit still, hematuria

Question 5

Volvulus

Answer 5

older person, debilitated, abd distention

massive colon on x ray

Question 6

Diverticulitis

Answer 6

older person, LLQ pain, fever

Question 7

Intussusception

Answer 7

1-2 year old

intermittent, jelly like stools

Question 8

Causes of chronic pancreatitis

Answer 8

alcohol, gall stones
hypertriglyceridemia
hypercalcemia

Question 9

Causes of acute pancreatitis

Answer 9

HCTZ, exenatide, valproic acid

Question 10

consquences of chronic pancreatitis

Answer 10

calcifications

Question 11

consequences of acute pancreatitis

Answer 11

pseudocysts

necrosis

Question 12

cause of biliary colic

Answer 12

CCK, makes GB contract

Question 13

5-HIAA

Answer 13

carcinoid

flushing

Question 14

Zollingerr-Ellison

Answer 14

elevated gastrin

Question 15

most common cause of traveler’s diarrhea

Answer 15

E coli

Question 16

most common cause of food poisioning (immediate, w/ vomitting)

Answer 16

S. aureus

Question 17

cholera

Answer 17

shellfish, watery, travel, low K

Question 18

HIV and chronic diarrhea

Answer 18

cryptosporidium
Giardia
isospora
cyclospora
CMV

Question 19

chronic steatorrhea

Answer 19

celiac dz

Question 20

Strongdyloides

Answer 20

outdoor exposure

eosinophils

Question 21

fever, RUQ pain, palpable gallbladder

Answer 21

cholangitis

common bile duct stone

Question 22

hemolytic anemia

Answer 22

mild jaundice
elevated LDH, reticulocyte count
perpiheral smear findings

Question 23

Gilberts

Answer 23

asymptomatic unconjugated hyperbilirubinemia

deficiency of glucuronyltransferase

Question 24

breast milk and vitamin def

Answer 24

vitamin D

Question 25

wilson's disease

Answer 25

low ceruloplasmin | liver disease, altered mental status, young person

Question 26

Hemochromatosis

Answer 26

HFE genotype | diabetes, CHF, liver dz, skin or testicular findings

Question 27

PBC

Answer 27

40ish woman, itching, liver dz high alk phos anti mitochondrial Abs

Question 28

Autoimmune hepatitis

Answer 28

40ish woman, jaundice very high transaminases anti-smooth muscle Abs, Anti-LKM

Question 29

HbsAg | anti-HBc IgM

Answer 29

Acute Hep B

Question 30

HBsAg | anti-HBc IgG

Answer 30

chronic Hep B

Question 31

Anti-HBs | anti-HBc IgG

Answer 31

recovery from hep B

Question 32

Anti-HBs

Answer 32

immunization with HBsAg

Question 33

AST/ALT ration >2

Answer 33

alcoholic hepatitis

Question 34

Crohn's

Answer 34

transmural inflammation skip lesions, fistulas noncaseating granulomas

Question 35

Ulcerative Colitis

Answer 35

bloody diarrhea | toxic megacolon

Question 36

IBD Extraintestinal manifestations

Answer 36

sclerosing cholangitis, uveitis, arthritis, colon cancer risk erythema nodusum pyoderm gangrenosum

Question 37

erythema nodosum

Answer 37

red nodules on shins

Question 38

pyoderma gangrenosum

Answer 38

necrosis | purple red borders

Question 39

dysphagia with solids and liquids | vomit undigested food

Answer 39

achalasia | decreased ability of LES to relax

Question 40

psoas sign

Answer 40

resist active extension of hip

Question 41

varices - what bleeds

Answer 41

left gastric vein | azygos vein

Question 42

bleeding duodenal ulcer - cause

Answer 42

gastroduodenal artery

Question 43

Familial Adenomatous polyposis

Answer 43

100 polyps at young age | high malignant potential

Question 44

Gardner's Syndrome

Answer 44

associated with osteomas, dental, lipomas/skin, ampullary cancers, retinal pigment hypertrophy SMALL INTESTINE

Question 45

Nonpolyposis syndrome/Lynch

Answer 45

proximal LARGE INTESTINE | assoc. with endometrial/ovarian tumors

Question 46

Peutz-Jegher's syndrome

Answer 46

SI, LI, stomach polyps mucocutaneous pigmentation ovary/breast/uterus/pancreas

Question 47

Juvenile polyposis

Answer 47

LI, SI, stomach polyps - malignancy, rare hamartomas congenital abnormalities

Question 48

N-acetylcystein

Answer 48

acetaminophen OD restores glutathione as precursor binds NAPQ1

Question 49

Budd-Chiari

Answer 49

hepatic vein obsturction | OCP, onset of ascites

Question 50

MTX AE

Answer 50

hepatic fibrosis

Question 51

Metoclopromide AE

Answer 51

tardive dyskinesia

Question 52

tardive dyskinesia

Answer 52

smacking lips tongue protrudes limbs, tics torticollis

Question 53

Nitrofurantoin, minocycline

Answer 53

autoimmune hepatitis

Question 54

Hirschsprung

Answer 54

don't pass meconium | failure of neural crest migration

Question 55

Duodenal atresia

Answer 55

down syndrome abd distention/vomitting day 1 double bubble on x ray

Question 56

Mecklet's diverticulum

Answer 56

<10 years old | painless lower GI bleed w/o diarrhea

Question 57

Galactosemia

Answer 57

days old infant jaudnice, HSM e coli sepsis, low glucose, urine reducing substances

Question 58

Tracheo-esophagela fistula

Answer 58

newborn coughing/chocking in feeds aspiration pneumonia

Question 59

Pyloric Stenosis

Answer 59

5-6wk old infant forceful postprandial vomitting alkalosis, low Cl

Question 60

Vit Be/niacin def

Answer 60

dermaitis demetnia diarrhea

Question 61

Vit A def

Answer 61

night blindness

Question 62

excess retinol

Answer 62

teratogenic

Question 63

Vitamins that cause peripheral neuropathy

Answer 63

vitamin B1 - thiamine vitamin B6 - pyrodixine vitamin B12

Question 64

Vit C def

Answer 64

swollen gums poor wound healing bruising

Question 65

Vit K def

Answer 65

neonatal hemorrhage

Question 66

Vit D def

Answer 66

rickets | breast fed