GI

Question 1

Achalasia

• Best test
• Most accurate test

Answer 1

Barium swallow

Esophageal manometer

Question 2

How to diagnose Barrets esophagus

Answer 2

Biopsy

Question 3

ASCA

ANCA

Answer 3

ASCA: Crohn’s disease
ANCA: Ulcerative Disease

Question 4

Abx for perianal involvement of Crohn’s

Answer 4

Cipro

Metro

Question 5

Increased risk of C. diff in hospitalized patients

Answer 5

PPIs

Question 6

Fat malabsorption

Answer 6

Hypocalcemia –> osteoporosis
Oxalate overabsorption
Elevated PT, INT from Vit K malabsorption

Question 7

Whipple’s disease or Tropical sprue: diagnosis and treatment

Answer 7

Small bowel biopsy

TMP-SMX or tetracycline

Question 8

Chronic pancreatitis: best initial test, most accurate test

Answer 8

Abd x-ray/Abd CT

Secretin stimulation testing

Question 9

Gardner’s syndrome

Answer 9

osteomas
soft tissue tumors
colon CA

Question 10

Treatment for diverticulitis

Answer 10

Cipro

Metro

Question 11

Treatment for diabetic gastroparesis

Answer 11

Erythromycin

Metoclopramide

Question 12

Adverse effect of ribavirin

Answer 12

anemia

Question 13

SAAG

Answer 13

serum-to-ascites albumin gradient

1.1: portal HTN is present

Question 14

SBP diagnoses and treatment

Answer 14

cell count >250 neutrophils

cefotaxime

Question 15

Primary biliary cirrhosis best initial test, most accurate test

Answer 15

Elevated alk phos, normal bili, IgM elevated

anti-mitochondrial antibody, liver biopsy

Question 16

Primary sclerosis cholangitis: best initial test, most accurate test

Answer 16

elevated bilirubin, elevated alk phos
ERCP, Antismooth muscle antibody
ANCA positive

Question 17

Autoimmune hepatitis

Answer 17

ANA, antismooth muscle antibody test, SPEP (hypergammaglobulinemia)