GI

Question 1

Is the MCV high or low in B12 def?

Answer 1

High

Question 2

Skip lesions and fistulas are present in what disorder?

Answer 2

Crohn’s

Question 3

Mucosal irritation of the colon only is what?

Answer 3

Ulcerative colitis

Question 4

How do we Dx and treat diverticulitis?

Answer 4

Cipro and flagyl

Diagnose with a CT

Question 5

Epigastric pain that radiates to the back indicates what?

Answer 5

Pancreatitis

Question 6

Is amilase or lipase more sensitive?

Answer 6

Lipase

Question 7

If a stone is in the cystic duct – dx?

Answer 7

Cholecystitis

Question 8

if the stone is in the common bile duct – dx?

Answer 8

Choledocolithiasis

Question 9

What would tell us we have an active infection of Hep C?

Answer 9

+Antibody/+RNA

Question 10

A + surface antibody for Hep B indicates?

Answer 10

vaccinated or past infection

Question 11

A + surface antigen for Hep B indicates?

Answer 11

Active infection

Question 12

If a barium swallow shows a birds beak – dx?

Answer 12

Achalasia

Question 13

How do you treat achalasia?

Answer 13

CCB & Nitrates

Question 14

Sudden onset of bilious vomit in an inconsolable child – dx?

Answer 14

volvulus

Question 15

If a child doesn’t pass their meconium -dx?

Answer 15

Hirschsprung’s disease

Question 16

What form of hepatitis can be transferred from mom to baby?

Answer 16

Hep B

Question 17

If a child is struggling to keep food down after vomiting, you note and olive shaped mass – dx?

Answer 17

Pyloric stenosis

Question 18

How do we replenish fluids in a child?

Answer 18

1st 10kg = 100ml/kg/d

2nd 10kg (20 kg baby) = ADD 50ml/kg/d

3rd for each additional 20kg (so 40kg baby) ADD ANOTHER 20ml/kg/d

Question 19

AST>ALT is what?

Answer 19

Alcoholic hepatitis

Question 20

Pain is out of proportion to exam – you think of ischemic bowel – what should you ask about the patient’s history?

Answer 20

Afib!!