GI

Question 1

Rectum → proximal
Continuous, only mucosa layer
Bloody diarrhea

Answer 1

UC

Question 2

UC tx

Answer 2

Prednisone + sulfasalazine

Question 3

Which has risk of cancer: UC or Crohn’s?

Answer 3

UC

Question 4

Which has risk of toxic megacolon: UC or Crohn’s?

Answer 4

UC

Question 5

Skip lesions
Transmural inflam
Ileum and right colon (rarely rectum)

Answer 5

Crohn’s

Question 6

Crohn’s tx

Answer 6

Prednisone +/- sulfasalazine

Question 7

Which can be cured by surgery? UC or Crohn’s

Answer 7

UC

Question 8

Painless rectal bleeding

Answer 8

Diverticulosis

Question 9

Most common location for diverticulitis

Answer 9

Sigmoid, LLQ

Question 10

Epigastric pain, radiates to back, better w/ leaning forward

Answer 10

Acute pancreatitis

Question 11

Complication of this condition=pancreatic abscess (2 wks after onset)

Answer 11

Hemorrhagic pancreatitis

Question 12

What is happening to someone who has GERD and coughing at night

Answer 12

Acid aspiration

Question 13

Sharp abd pain, improves w/ eating

Answer 13

Duodenal ulcer

Question 14

Burning abd pain, worse w/ food

Answer 14

Gastric ulcer

Question 15

Gastrinoma, refractory PUD

Answer 15

Zollinger- Ellison

Question 16

Caused by forceful vomiting

Answer 16

Mallory-Weiss tear

Question 17

Spontaneous esophageal rupture after prolonged vomiting

Answer 17

Boerhaave’s

Question 18

Tx for esophageal varices

Answer 18

Octreotide
Ceftriaxone (prevent sepsis)
Banding + propranolol

Question 19

Double bubble sign

Associated w/ Down syndrome

Answer 19

Duodenal atresia 
(gas in stomach and duodenum)

Question 20

CEA to monitor but not detect

Answer 20

Colorectal cancer

Question 21

Normal squamous → columnar (due to GERD)

Answer 21

Barrett’s

Question 22

Apple core lesion on barium swallow

Answer 22

Esophageal cancer

Question 23

Early satiety, bleeding

Answer 23

Gastric cancer

Question 24

Good or poor prognosis for esophageal and gastric cancers?

Answer 24

Poor prognosis

Question 25

Transmission of hep A, B, C

Answer 25

A: fecal-oral

B/C: blood, sex

Question 26

AST and ALT levels for viral vs. alcoholic cirrhosis

Answer 26

Viral: ALT more elevated than AST
Alcoholic: AST more elevated than ALT

Question 27

> 250 PMNs

Infxn of ascites

Answer 27

SBP

Question 28

Tx of SBP

Answer 28

Paracentesis

Low dose prophylactic abx for life

Question 29

High bilirubin, high alk phos

Dilated biliary ducts

Answer 29

Obstructive jaundice

Question 30

Infxn of CBD

Answer 30

Cholangitis

Question 31

Charcot’s triad

Reynold’s pentad

Answer 31

Cholangitis
Charcot’s triad: fever, RUQ pain, jaundice
Reynold’s pentad: + hypoTN and AMS (indicates sepsis)

Question 32

Cholangitis tx

Answer 32

ERCP

Question 33

“Porcelain gallbladder”

Thin walled gallbladder

Answer 33

Gallbladder cancer

Question 34

Non-healing anal fissure, suspect…

Answer 34

Crohn’s

Question 35

Goal of tx for anal fissure (and tx options)

Answer 35

Relax sphincter: CCB cream, nitro cream, stool softener, anal sphincterotomy

Question 36

Hemorrhoids external vs. internal

Answer 36

External: painful
Internal: bleed

Question 37

Hemorrhoid tx

Answer 37

Stool softener, suppositories, banding