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Medicine SHELF Prep > GI > Flashcards

GI Flashcards

1
Q

Which abdominal pathology? metabolic acidosis, thumb printing on XR

A

Mesenteric ischemia

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2
Q

Which abdominal pathology? non-tender palpable gallbladder

A

Pancreatic cancer

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3
Q

Tx IBS constipation

A

Fiber/SSRIs

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4
Q

Tx IBS diarrhea

A

loperamide, TCAs

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5
Q

Indications for EGD in dyspepsia

A

Age>55 or alarm features

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6
Q

Indications for H pylori testing in dyspepsis

A

Age under 55 without alarm features

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7
Q

Diagnosis of GERD

A

PPI trial or ambulatory esophageal reflux monitoring

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8
Q

Frequency of endoscopy in Barrett Esophagus

A

4-5 years (no dysplasia), 6-12 months (low-grade dysplasia)

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9
Q

Dx of H pylori

A

Histology or rapid urease

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10
Q

Tx H pylori

A

PPI + metronidazole + clarithromycin, PPI + amoxicillin + clarithromycin

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11
Q

Dx Wilson Disease

A

Serum ceruloplasmin

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12
Q

Dx Autoimmune hepatitis

A

Anti-smooth muscle antibodies

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13
Q

Dx hemochromatosis

A

Ferritin, transferrin, hepcidin

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14
Q

Dx primary biliary cholangitis

A

anti-mitochondrial antibodies

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15
Q

Which liver pathology? Low alkaline phosphatase

A

Wilson disease

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16
Q

Post-exposure ppx HAV

A

HAV Ig to household/daycare/sexual contacts

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17
Q

Post-exposure ppx HBV

A

HBV Ig for exposure

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18
Q

Screening for viral hepatitis (4)

A

Born 1945-1965, transfusion before 1992, IVDU, needle-stick

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19
Q

Extra-hepatic manifestations of HBV (3)

A

Glomerulonephritis, Cryoglobulinemia, polyarteritis nodosa

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20
Q

Extra-hepatic manifestations of HCV (3)

A

Glomerulonephritis, Cryoglobulinemia, Porphyria cutanea tarda

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21
Q

Which liver pathology? inclusions on PAS stain

A

alpha-1-antitrypsin deficiency

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22
Q

Tx autoimmune hepatitis

A

azathioprine, steroids

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23
Q

Tx Wilson disease

A

Tridentine or penicillamine, zinc (decreases absorption)

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24
Q

Dx PSC

A

endoscopic cholangiography

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25
Q

Cirrhosis: serum-ascites albumin gradient

A

> 1.1

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26
Q

Dx Spontaneous bacterial peritonitis

A

Ascites granulocyte count >250

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27
Q

Cirrhosis immunization:

A

HBV, HCV, PCV, flu

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28
Q

Tx ascites

A

spironolactone + lasix

29
Q

Indication for albumin infusion in cirrhosis

A

> 5L ascitic fluid removed

30
Q

Tx SBP

A

fluoroquinolone or TMP-SMX

31
Q

Tx hepatorenal syndrome

A

decrease diuretics, norepinephrine/vasopressin (improves renal blood flow)

32
Q

Tx hepatic encephalopathy (2)

A

Lactulose, rifaximin

33
Q

Charcot Triad for Acute cholangitis

A

Fever, jaundice, RUQ pain

34
Q

Reynold Pentad for Acute cholangitis

A

Fever, jaundice, RUQ pain, AMS, shock

35
Q

Abx for acute cholecystitis

A

Metronidazole + (ampicillin-sulbactam or ciprofloxacin)

36
Q

Tx PBC

37
Q

Systemic complications of pancreatitis (5)

A

hypocalcemia, hyperglycemia, ARDS, AKI, DIC

38
Q

Tx pancreatic pseudocyst

A

Drainage ONLY IF symptomatic

39
Q

Tx pancreatic abscess

A

Abx/drainage

40
Q

Which diarrheal pathogen? Mayonnaise, potato salad

41
Q

Which diarrheal pathogen? reheated rice

A

Bacillus cereus

42
Q

Which diarrheal pathogen? shellfish

A

Vibro cholerae

43
Q

Which diarrheal pathogen? raw milk

A

Campylobacter or Yersinia

44
Q

Which diarrheal pathogens? associated with GBS

A

Campylobacter and Yersinia

45
Q

Which diarrheal pathogens? Associated with HUS

A

EHEC, Shigella

46
Q

Tx C difficile

A

Metronidazole > PO Vancomycin

47
Q

Secretory diarrhea osmotic gap

48
Q

Osmotic diarrhea osmotic gap

49
Q

Diarrhea with pH<6

A

Carbohydrate malabsorption

50
Q

Positive hydrogen breath test

A

Lactase deficiency

51
Q

Which diagnosis? chronic relapsing-remitting watery diarrhea with normal colonoscopy and abnormal biopsy

A

Microscopic colitis

52
Q

Which diagnosis? erythematous papulovesicles on extensor surfaces associated with diarrhea

A

Celiac disease

53
Q

Which diagnosis? post-prandial flushing and tachycardia

A

Dumping syndrome (often w/hx of bariatric surgery)

54
Q

Dx SIBO

A

quantitative culture of duodenal aspirate

55
Q

Which diagnosis? hx of ileal resection, cholestasis

A

Bile acid malabsorption

56
Q

Tx Bile acid malabsorption

A

cholestyramine

57
Q

Which diagnosis? arthralgia, neurologic/ophthalmologic symptoms, LAD

A

Whipple Disease

58
Q

Ophthalmologic emergencies in CD

A

Uveitis, Scleritis

59
Q

Which diagnosis? Anti-saccharyomyces antibody

60
Q

Which diagnosis? diarrhea and positive p-ANCA

61
Q

Which diagnosis? Associated with erythema nodosum and pyoderma gangrenosum

62
Q

Which IBD medication? associated with interstitial nephritis

A

5-aminosalicylates (sulfasalazine, etc.)

63
Q

Which IBD medication? antibiotics that may be used in CD

A

Metronidazole, ciprofloxacin

64
Q

Which IBD medication? Immunomodulator used in CD associated with hepatotoxicity and pneumonitis

65
Q

Which IBD medication? Immunomodulator in UC associated with nephrotoxicity and neurotoxicity

A

Cyclosporine

66
Q

Which IBD medication? Immunomodulators associated with hepatotoxicity, leukopenia, lymphoma, and pancreatitis

A

6-MP, Azathioprine

67
Q

Which IBD medication? used in CD refractory to anti-TNF therapy, associated with PML

A

Natalizumab

68
Q

Which IBD medication? Associated with demyelination, heart failure, lymphoma

69
Q

Which diagnosis? intermittent large volume upper GI bleeding

A

Dieulafoy lesion

Medicine SHELF Prep (12 decks)

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