GI

Question 1

And patients without alarm features, confirm diagnosis of GERD with?

If patient has alarm features?

If no alarm symptoms but only partial response to once daily proton pump inhibitor?

Answer 1

Trial of proton pump inhibitor

Endoscopy

Increased dose to BID

Question 2

Role of screening for Barrett’s esophagus based on GERD symptoms?

In patients with Barrett esophagus and no dysplasia, when to perform surveillance endoscopy?

Answer 2

No role

3 to 5 years

Question 3

Patient presents to ER with stomach pain. Endoscopy shows ulcer with non-protuberant pigmented spot. Management during this admission?

Answer 3

#proton pump inhibitor therapy
#Refeeding within 24 hours
#Early Hospital Discharge

Question 4

Patient with a history of GERD is found to have fundic gland polyps on endoscopy – management?

Answer 4

Fundic gland polyps associated with proton pump inhibitors. No further management required

Question 5

Rate of treatment failure of H pylori?

Noninvasive testing to confirm eradication of H pylori? (Do not use?)

Answer 5

25%

Urea breath test or fecal antigen test

Question 6

Three prognostic indicators that to just poor prognosis for acute pancreatitis?

Answer 6

#BUN>20
#Hematocrit>44
#Elevated serum Creatinine

Question 7

G.I. Red flags?

Answer 7

#Dysphagia
#Unintentional Weight Loss
#Hematemesis
#Melena