GI

Question 1

Charcot’s triad

Answer 1

Fever, Jaundice, RUQ pain

Question 2

Reynold’s Pentad

Answer 2

Fever, Jaundice, RUQ + hypotension, confusion

Question 3

Tx pt’s with Charcot’s triad

Answer 3

Fever, jaundice, RUQ pain–> cholangitis–>ERCP diagnostic and therapeutic

Question 4

Birth cohort to test for Hep C?

Answer 4

1945-1965

Question 5

Pregnant pt with Hep B

Answer 5

Tx with antivirals, risk of transmission to fetus is 90%

Question 6

Most common causes of cirrhosis

Answer 6

Hep C and alcoholism

Question 7

Which is more specific and sensitive for pancreatitis: amylase or lipase?

Answer 7

Lipase

Question 8

Triad sx chronic pancreatitis

Answer 8

steatorrhea, diabetes, pancreatic calcification

Question 9

Rovsing’s sign

Answer 9

palpation LLQ causes pain RLQ

Question 10

Obturator sign

Answer 10

internal rotation R hip causes RLQ pain

Question 11

TX diverticulitis

Answer 11

Augmentin OR metronidazole + Cipro

6 weeks after ABX–> colonoscopy

Question 12

Tx intusussception

Answer 12

Barium enema: therapeutic and diagnostic

Question 13

Gold standard diagnosis ischemic bowel

Answer 13

angiography

Question 14

Five year survival rate for colon CA stage 1 vs stage 4

Answer 14

Stage 1: 95 %

Stage 4: under 10%

Question 15

umbilical hernia in a child

Answer 15

usually resolved by age 3, if not resolved by age 3- surgery

Question 16

C Diff most commonly associated with what antibiotic?

Answer 16

Clindamycin

Question 17

TX C Diff

Answer 17

Metronidazole

2nd line Vanco

Question 18

Most common organism causing infectious diarrhea?

Answer 18

Campylobacter

Question 19

Why should you not treat a pt with suspect enterhemorrhagic E Coli diarrhea with ABX?

Answer 19

Possible hemolytic uremic syndrome

Question 20

Diarrhea sx that begin within 6 hours suggest what organisms?

Answer 20

Staph or Bacillus Cereus

Question 21

Zencker Diverticulum

Answer 21

outpouching of the pharynx, causes foul smelling breath and regurgitation of undigested food

Question 22

Medication to control bleeding from esophageal varices

Answer 22

Octreotide

Question 23

non bleeding esophageal varices treated with what medication as prophylaxis?

Answer 23

Propranolol

Question 24

Diagnostic test for pyloric stenosis

Answer 24

abdominal US

Question 25

2 most common causes of cirrhosis

Answer 25

Hep C and ETOH

Question 26

What AST: ALT ratio indicative of alcoholic cirrhosis?

Answer 26

2:1 AST to ALT (AlcoholicS)

Question 27

Grey Turner sign

Answer 27

ecchymosis of flanks (pancreatitis)

Cullen’s: umbillical ecchymosis

Question 28

PANCA positive

Answer 28

UC

Question 29

Xray findings toxic megacolon

Answer 29

Dilation> 6cm

Question 30

cobblestoning

Answer 30

crohns