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Internal Medicine > GI > Flashcards

GI Flashcards

1
Q

Rectum → proximal
Continuous, only mucosa layer
Bloody diarrhea

A

UC

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2
Q

UC tx

A

Prednisone + sulfasalazine

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3
Q

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

A

UC

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4
Q

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

A

UC

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5
Q

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

A

Crohn’s

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6
Q

Crohn’s tx

A

Prednisone +/- sulfasalazine

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7
Q

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

A

UC

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8
Q

Painless rectal bleeding

A

Diverticulosis

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9
Q

Most common location for diverticulitis

A

Sigmoid, LLQ

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10
Q

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

A

Acute pancreatitis

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11
Q

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

A

Hemorrhagic pancreatitis

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12
Q

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

A

Acid aspiration

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13
Q

Sharp abd pain, improves w/ eating

A

Duodenal ulcer

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14
Q

Burning abd pain, worse w/ food

A

Gastric ulcer

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15
Q

Gastrinoma, refractory PUD

A

Zollinger- Ellison

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16
Q

Caused by forceful vomiting

A

Mallory-Weiss tear

17
Q

Spontaneous esophageal rupture after prolonged vomiting

A

Boerhaave’s

18
Q

Tx for esophageal varices

A

Octreotide
Ceftriaxone (prevent sepsis)
Banding + propranolol

19
Q

Double bubble sign

Associated w/ Down syndrome

A 
Duodenal atresia 
(gas in stomach and duodenum)
20
Q

CEA to monitor but not detect

A

Colorectal cancer

21
Q

Normal squamous → columnar (due to GERD)

A

Barrett’s

22
Q

Apple core lesion on barium swallow

A

Esophageal cancer

23
Q

Early satiety, bleeding

A

Gastric cancer

24
Q

Good or poor prognosis for esophageal and gastric cancers?

A

Poor prognosis

25
Q

Transmission of hep A, B, C

A

A: fecal-oral

B/C: blood, sex

26
Q

AST and ALT levels for viral vs. alcoholic cirrhosis

A

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

27
Q

> 250 PMNs

Infxn of ascites

A

SBP

28
Q

Tx of SBP

A

Paracentesis

Low dose prophylactic abx for life

29
Q

High bilirubin, high alk phos

Dilated biliary ducts

A

Obstructive jaundice

30
Q

Infxn of CBD

A

Cholangitis

31
Q

Charcot’s triad

Reynold’s pentad

A

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

32
Q

Cholangitis tx

A

ERCP

33
Q

“Porcelain gallbladder”

Thin walled gallbladder

A

Gallbladder cancer

34
Q

Non-healing anal fissure, suspect…

A

Crohn’s

35
Q

Goal of tx for anal fissure (and tx options)

A

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

36
Q

Hemorrhoids external vs. internal

A

External: painful
Internal: bleed

37
Q

Hemorrhoid tx

A

Stool softener, suppositories, banding

Internal Medicine (10 decks)

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