Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MKSAP > GI > Flashcards

GI Flashcards

1
Q

hemochromatosis diagnosis

treat with

A

elevated transferrin sat, ferritin>1000

phlebotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

chronic diarrhea 2/2 malabsorption of artificial sweeteners

A

diarrhea, bloating, elevated osmotic gap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

SAAG 1.1 or greater+ ascitic protein of 2.5 or greater

cirrhosis/portal htn

A

cardiac cause of ascites

ascitic protein <2.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SBP treatment

A

3rd gen cephalosporin and albumin (1.5g/kg on day of diagnosis, 1g/kg on day 3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

dyspepsia + alarm features

A

age>50 yo, anemia, dysphagia, odynophagia, vomiting, weight loss, family history of cancer, PUD, gastric surgery->scope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

No alarm features, endemic h. pylori

not endemic h. pylori
partial response to PPI
if still refractory with normal scope

A

test for h. pylori, treat

PPI
increase dose to twice daily
ph monitoring->fundoplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

AKI in the setting of cirrhosis

A

25% albumin challenge, then midodrine and octreotide (rule out ATN with urinalysis first)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ulcer with arterial spurting or a nonbleeding visible vessel

A

clips, thermal therapy or sclerosants

clean based ulcers don’t need to be treated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

primary sclerosing cholangitis
diagnosis

look for

A

ANA, anti-smooth muscle
MRCP-beads on a string

ulcerative colitis (colonoscopy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

chronic NSAID use

A

start omeprazole 20mg or misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

chronic pancreatitis

A

clinical features (pain, recurrent attacks of pancreatitis, weight loss) with objective findings of steatorrhea and pancreatic calcifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

chronic diarrhea, abdominal pain, and malabsorption

confirm with

A

test for celiac with tissue transglutaminase antibodies
small bowel biopsy: intraepithelial lymphocytosis, crypt hyperplasia, and villous blunting
also elevated LFTs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

irritable bowel syndrome studies

A

no testing/imaging/procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

unexplained liver disease in patient <40 yo (+hemolytic anemia)
screen
diagnosis

A

consider Wilson disease
low alk phos, elevated ASTs
low ceruloplasmin , elevated urine copper excretion
liver biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Budd-chiari

A

ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

gallbladder polyp> 1cm

any polyp+ symptomatic OR PSC OR gallstones

A

cholecystectomy

chole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pancreatitis + presence of gallstones (obstructing or not, cholecystitis or not)

A

chole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Crohns flare while preggo

A

certolizumab (preferred), infliximab, adalimumab (anti-TNF agents)
5-aminosalicylates for UC, not Crohns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

functional dyspepsia

treatment

A

epigastric pain/discomfort, postprandial fullness, and/or early satiety in the absence of a structural explanation

treat h. pylori/ ppi/ ranitidine->TCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

nonalcoholic fatty liver disease treatment

A

weight loss

surveillance is necessary only when cirrhosis is present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

IBD (UC/Crohns) surveillance colonoscopy

PSC+ IBD

A

every 1 to 2 years beginning after 8 to 10 years of disease.

as soon as PSC diagnosis is made

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

large (≥10 mm) or dysplastic sessile serrated polyps or traditional serrated adenomas, repeat colonoscopy in

an adenoma 10 mm or larger, (2) three to ten adenomas, (3) an adenoma with a villous component or high grade dysplasia

> 20mm polyp/ removed in pieces

A

3 years

3 years

3-6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

calcified asymptomatic incidental gallstones

A

observe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

chronic diarrhea+ exposure to young kids/ water

A

giardia (O &P)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

type 1 autoimmune pancreatitis

treatment

A 
imaging features (focal pancreatic enlargement with a featureless rim and a nondilated pancreatic duct), increased serum IgG4 level, and extrapancreatic organ involvement (sclerosing cholangitis or IgG4-associated cholangitis)
steroids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

GI bleed with neg EGD/colonoscopy OR pos capsule

endoscopy

A

push enteroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

IBS with constipation treatment

IBS diarrhea

A

fiber->polyethylene glycol->linaclotide, Lubiprostone

rifaximin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

primary biliary cholangitis/cirrhosis

treatment

A

cholestatic liver enzyme profile in the setting of a positive antimitochondrial antibody test
fatigue, dry mouth/eyes, itching

ursodiol

29
Q

complicated pancreatitis management

A

enteral feeding

30
Q

hepatocellular adenoma >5 cm or β-catenin nuclear reactivity positive

otherwise

A

resection

CT q6months-1 year

31
Q

CMV esophagitis treatment

A

ganciclovir

32
Q

GI bleeding + pain

A

some sort of colitis

33
Q

suspected esophageal cancer

A

scope

34
Q

Type I (not assoc with MEN or Zollinger-Elinson) gastric neuroendocrine tumor that’s <1cm, <5 of them

A

endoscopic removal, no further management

35
Q

Roux en Y + diarrhea, bloating, flatulence, and weight loss

A

treat for SIBO (abx)

36
Q

comm acquired diarrhea <72 hours

A

supportive care, no cultures

37
Q

sporadic (no fam hx) solitary juvenile polyp

A

no future health risk once the polyp is removed and do not require surveillance endoscopy

38
Q

oropharyngeal dysphagia diagnosis

A

videofluoroscopy

39
Q

maintaining remission in ulcerative colitis

A

taper steroid, azathioprine, 6-mercaptopurine (only in high TPMT) , or an anti−tumor necrosis factor agent (infliximab)

40
Q

African, >20 yo with chronic Hep B infection

Asian men > 40 yo, women >50 yo

A

u/s of liver q 6months

41
Q

Peptic ulcers at low risk for bleeding (clean based or with a nonprotuberant pigmented spot)

A

oral PPI, early d/c

42
Q

Barrett with high grade dysplasia

no dysplasia

A

radiofrequency ablation, photodynamic therapy, or endoscopic mucosal resection

repeat endoscopy in 3-5 years

43
Q

insulinoma imaging when CT fails

workup

A

endoscopic u/s

72 hour fast, then imaging

44
Q

microscopic collagenous colitis

treatment

A

may be drug induced
loperamide or diphenoxylate for mild persistent disease, bismuth subsalicylate for moderate disease, or budesonide for severe disease

45
Q

cirrhotic HCC

up to three hepatocellular carcinoma tumors ≤3 cm or one tumor ≤5 cm
angiolymphatic or extrahepatic involvement, doesn’t meet Milan criteria

A

no need for biopsy, lesions larger than 1 cm that enhance in the arterial phase and have washout of contrast in the venous phase

transplant

sorafenib

46
Q

MYH-associated polyposis inheritance pattern

A

AR

47
Q

Variceal hemorrhage+ cirrhosis

A

antibiotics (fluoroquinolones)

48
Q

sphincter of oddi dysfunction vs choledocholithiasis

A

nothing vs h/o stones

49
Q

non–acetaminophen-related acute liver failure causes treatment
LFTs in multiple thousands + low bilirubin

A

drug induced : augmentin among others
N-acetylcysteine and transplant eval
herpes hepatitis

50
Q

young man with solid-food dysphagia that requires endoscopy for removal

endoscopy findings
treatment

A

eosinophilic esophagitis

rings, longitudinal furrows, and sometimes strictures
swallowed aerosolized topical glucocorticoids (fluticasone or budesonide)

51
Q

FAP surveillance s/p total colectomy and ileorectal anastomosis.

A

upper endoscopy q1-5 years

52
Q

Acute hep B

A

self-resolves in 90% of adults
serial monitoring of LFTs
if protracted (>6 months) or fulminant (marked dysfunction)->lamivudine, entecavir, or tenofovir

53
Q

chronic pancreatitis pain

A

Tylenol, ibuprofen->tramadol->pregabalin

Extracorporeal shock wave lithotripsy for pancreatic duct stones

54
Q 
refractory UC (to steroids)
mild to moderate disease
A

IV steroids or anti-TNF (-mabs)

5-aminosalicylate

55
Q

UGI bleed and CVD aspirin

A

resume before d/c+ daily PPI

56
Q

serrated polyposis syndrome

A

(1) five or more serrated polyps proximal to the sigmoid colon, two or more of which are 10 mm in diameter or greater, (2) any number of serrated polyps proximal to the sigmoid colon in an individual with a first-degree relative who has SPS, or (3) more than 20 serrated polyps distributed throughout the colon. (can be found over multiple scopes)
ANNUAL SCOPE

57
Q

H. pylori primary therapy

salvage therapy

A

omeprazole, clarithromycin, amoxicillin

10 days of replace clarithromycin OR BIMT

58
Q

unconjugated hyperbilirubinemia + normal rec count

A

gilbert syndrome

59
Q

history of colorectal cancer screening

A

1 year post op, 3 years post op, q5 years after

60
Q

painless watery diarrhea without bleeding

A

microscopic colitis
lymphocytic colitis: intraepithelial lymphocytosis (>20 intraepithelial lymphocytes per 100 epithelial cells)
collagenous: subepithelial collagen thickening

61
Q

Nonocclusive mesenteric ischemia

A

jejunal wall thickening and dilation, ongoing hypotension, fever, and abdominal pain in low flow state

62
Q

cirrhosis + MELD >15

A

transplant eval

63
Q

Most common cause of UGIB

A

PUD

64
Q

Acalculous cholecystitis

A

percutaneous cholecystostomy (draining tube), abx

65
Q

sporadic fundic gland polyps (1-5 mm, <10) without dysplasia

A

associated with PPI

no excision/ surveillance

66
Q

lynch syndrome colonoscopy

A

25 yo : q1-2 years

OR 2-5 years earlier than family member if he/she was <25 yo

67
Q

treat chronic hep b if

A

HBV DNA or LFTs are elevated

68
Q

IBS diarrhea, test for

A

celiac

69
Q

chest pain eval

A

rule out cardiac causes before evaluating GERD

MKSAP (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions