GI

Question 1

Three G’s of Gastric Ulcer?

Answer 1

Gastric
Greater pain with eating
Get a biopsy (r/o CA)

Question 2

ZE associated with what endocrine disease?`

Answer 2

MEN1

Question 3

“flask shaped ulcers” in GI with fever and diarrhea?

Answer 3

Entamoeba Histolytica

Question 4

Carcinoid syndrome becomes deficient in what nutrient? Why?

Answer 4

Niacin

b/c Niacin –> 5HT

Question 5

Cardiac disease associated with carcinoid syndrome?

Answer 5

R sided valvular disease due to restrictive fibrosis (Tricuspid regurg, Pulm stenosis)

Question 6

Ileus vs. SBO?

Answer 6

SBO has air-fluid levels ONLY in SB, with transition point

Question 7

EGD before colonoscopy in GI bleed IF:

Answer 7

Suspect upper source
BUN/cr >20
NSAID use

Question 8

Conjugated hyperbilirubinemia?

Answer 8

Dubin Johnson or Rotor syndrome

Question 9

SBP diagnosis?

Answer 9

Paracentesis with >250 PMNs

Question 10

SAAG

Answer 10

Portal HTN

Question 11

Treatment for PBC?

Answer 11

Ursodeoxycholic acid (slows progression)

Question 12

Insulinoma associated with what endocrine disease?

Answer 12

MEN1

Question 13

Tx for pancreatic pseudocyst?

Answer 13

No symptoms = NPO, expectorant

Symptoms = percutaneous drainage

Question 14

MCC of travelers diarrhea?

Answer 14

E coli

Question 15

Elevated ALP, AST/ALT, RUQ pain + history of cholecystectomy?

Next step?

Answer 15

Post-chole syndrome

ERCP (stone is still there)

Question 16

Esophageal adenocarcinoma vs. esophageal stricture on barium swallow?

Answer 16

Stricture = symmetric narrowing

Adenocarcinoma = assymmetric

Question 17

CP after hot or cold foods? Relieved by nitro?
Dx?
tx?

Answer 17

Diffuse esophageal spasm

Dx manometry

CCB, Nitrates, TCAs