GI

Question 1

Primary biliary cholangitis

1) SSx
2) Labs: Include most specific Ix (90%)

Answer 1

1) Pruritis, hepatomegaly, & fatigue

2) Elevated AlkP, ANA (70%), and Antimitochondrial Ab (90%)

Question 2

Esophageal Spasm: Typical SSx?

Answer 2

Sensation of food getting stuck & retrosternal CP

Question 3

Paraesophageal hernia: XR finding?

Answer 3

Gas-filled stomach protruding through esophageal hiatus. (This is a type of hiatus hernia.)

Question 4

Importance of AlkP in Dx of liver disease

Answer 4

Elevated AlkP indicates Cholestatic disease.

e.g., Biliary obstruction.

Question 5

Elderly patient with changing in bowl habit

1) Ix

Answer 5

1) Colonoscopy is the gold standard in order to rule out CA.
Cf. FOBT is a screening tool that is not appropriate for symptomatic Pt (bowl habit change). Sigmoidoscopy does not examine entire colon.

Question 6

Amsterdam Criteria

1) Purpose
2) 3-2-1 Rule

Answer 6

1) When to suspect HNPCC (Hereditasry non-polyposus colorectal cancer; Lynch syndrome)
2)
3 family members (1 of whom is 1st degree relative)
2 successive generations
1 individual diagnosed before age 50