GI

Question 1

high risk colon cancer patients

Answer 1

1st degree relative had CRC or adenopatous polyp before 60
OR
2 2nd degree relatives w/ CRC

Question 2

screening for high risk colorectal cancer

Answer 2

age 40 or 10 years before earliest age

rescreen every 5 years

Question 3

RUQ pain, jaundice, palpable mass

Answer 3

choledochal cyst

Question 4

IBD workup

Answer 4

1st: CBC, BMP, ESR

if positive or severe sxs, do endoscopy

Question 5

1-2 tubular adenomas found on colonoscopy, FU in

Answer 5

5-10 years

Question 6

3+ tubular adenomas found on colonoscopy, FU in

Answer 6

3 years

Question 7

hyperplastic polyp

Answer 7

4 years

Question 8

herbal tx for hepatic cirrhosis

Answer 8

milk thistle

Question 9

effects of omeprazole on the body

Answer 9

incr risk of community acquired pneumonia
incr C diff
decr abs B12

Question 10

Tx of thromboses external hemorrhoid diagnosed in first 24 hrs

Answer 10

thrombectomy under local anesthesia

Question 11

herbal tx helpful for IBS

Answer 11

peppermint oil

Question 12

avoid NSAIDs in ppl w/

Answer 12

hepatic cirrhosis

Question 13

next step if suspect acute diverticulitis

Answer 13

CT abd and pelvis

Question 14

MCC of diarrhea in adults

Answer 14

Norwalk virus

Question 15

prophylaxis for traveler’s diarrhea

Answer 15

rifaximin

Question 16

workup of active bleeding / hematochezia

Answer 16

lower GI endoscopy, then technetium 99 scan if too active bleeding and can’t tell what the cause is

Question 17

episodic, sharp, sudden pains in anorectal area lasting seconds to minutes

Answer 17

proctalgia fugax

Question 18

fever, fatigue, wt loss, diarrhea, LLQ mass

Answer 18

diverticulitis

Question 19

outpatient tx for diverticulitis

Answer 19

amox/clavulanate

Question 20

fecal incontinence in elderly usually from

Answer 20

overflow incontinence (ex from constipation from many meds)

Question 21

high ALT and pancreas problem

Answer 21

gallstone pancreatitis

Question 22

high CRP and pancreas problem

Answer 22

pancreatic necrosis

Question 23

barrett’s esophagus may lead to

Answer 23

esophageal adenocarcinoma

Question 24

dx of constipation

Answer 24

Rome criteria (at least 2)

• straining on defecation
• hard stools
• incomplete evacuation
• less than 3 BM a week

Question 25

contraindications for probiotics

Answer 25

short gut syndrome

immunocompromised

Question 26

gastroparesis usually seen in what type of patienta

Answer 26

T1DM

women

Question 27

risk factors for proximal neoplasia (and FU colonoscopy in 3 yrs)

Answer 27

high grade dysplasia
3 or more adenomas
adenomas with villous features
adenoma at least 1 cm

Question 28

more sensitive and specific lab for pancreatitis

Answer 28

lipase

Question 29

preferred imaging for RLQ pain

Answer 29

abd CT with IV contrast

Question 30

preferred imaging for LLQ pain

Answer 30

abd CT with IV and PO contrast

Question 31

Rome criteria for IBS

Answer 31

3 days per week of abdominal pain for past 3 months
change in frequency of stool
improvement with defecation

Question 32

diagnostic of spontaneous bacterial peritonitis

Answer 32

paracentesis shows neutrophil count > 250

Question 33

MCC of PUD

Answer 33

H. pylori

Question 34

tx thromboses external hemorrhoids after 24 hrs

Answer 34

excision

Question 35

tx internal hemorrhoid

Answer 35

rubber band ligation or sclerotherapy

Question 36

which hepatitis is most associated w/ hepatocellular carcinoma

Answer 36

hepatitis B

Question 37

what bodily fluid is hepatitis C found in

Answer 37

blood only

Question 38

tx gastroparesis

Answer 38

metoclopramide (Reglan)

Question 39

rising blood level of ___ is bad in primary biliary cirrhosis

Answer 39

bilirubin

Question 40

pathology of sodium in patients with ascites

Answer 40

high lvld ADH –> pt can’t excrete water –> pt hyponatremic