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GI Flashcards

1
Q

Painless jaundice which condition?

A

Pancreatic CA. mass at the head of the pancreas compressing the bile duct.

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2
Q

ceftriaxone 250 mg IM for GC works against what?

A

Gonococcus

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3
Q

doxycycline 100 mg PO BID for 7 days for GC works against which bacteria?

A

Chlamydia

Also Azirhromycin 1gm PO

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4
Q

Proctitis organism MC?

A

Gonorhea

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5
Q

Test for pyloric stenosis?

A

Abd US

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6
Q

Tx for esophageal stricture?

A

Dilation

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7
Q

Infant drawing knees to chest with vomiting which condition?

A

Intusussepection

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8
Q

Currant Jelly which condition?

A

Intusussecption

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9
Q

Pyloric stenosis mass which shape?

A

Olive shaped

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10
Q

Pyloric stenosis causes what type of alkalosis? (hint: 2 electrolytes)

A

Hypocholemic hypokalemic metabolic alkalosis

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11
Q

Pyloric stenosis vomiting billious or non-billious?

A

Non-billious

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12
Q

Wernicke’s syndrome improves with administration of what?

A

Thiamine

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13
Q

Chronic alcoholic who stopped drinking and now has nystagmus and ataxic gait which condition?

A

Wernicke encephalopathy

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14
Q

Which line separates internal and external hemerrhoids?

A

Dentate line

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15
Q

Internal hemerrhoid which side of the dentate line?

A

Proximal

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16
Q

External hemerrhoid which side of the dentate line?

A

Distal

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17
Q

Inferior Mesenteric Artery supplies which half of the colon?

A

Left half

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18
Q

Superior Mesenteric Artery supplies which half of the colon?

A

Right

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19
Q

Tx of thrombosed hemorrhoid presenting within 72 hours of the onset of symptoms?

A

Elliptical excision

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20
Q

Which vitamin deficiency is photosensitive dermatitis, diarrhea, and dementia?

A

Niacin

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21
Q

Tx for H Pylori ulcers?

A 
CAP=
Clarithromycin
Amoxicillin
PPI
BID x10-14d
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22
Q

Progressive solid and liquid dysphagia (difficulty swallowing) is the hallmarkfor which condition?

A

Achalasia

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23
Q

Achalasia what appearance on barium swallow study?

A

Bird’s Beak

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24
Q

Achalasia dx?

A

Esophageal manometry showing increased LES

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25
Q

Adult intususseption which part of intestine MC??

A

Small intestine

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26
Q

Cephalexin ok for G6PD deficiency?

A

Yup!

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27
Q

HIV meds and the pancreas?

A

nucleoside reverse transcriptase inhibitors can cause pancreatitis. Ex: tenofovir

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28
Q

Tx for Ascending Cholangitis?

A

ECRP to decompress

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29
Q

Which sign on xray suggests colon cancer?

A

Apple Core sign

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30
Q

Giardia transmitted through what?

A

Water

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31
Q

Giardia poop smells normal or foul?

A

Foul

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32
Q

When do giardia sx start?

A

1-2 weeks after drining the bad water

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34
Q

Tx for giardia?

A

Metronidazole

35
Q

HepB immunity from vaccination surface antigen and surface antibody?

A

Surface antigen=negative

Surface antibody=positive

36
Q

Anti-HBS Ab means?

A

Immune to hep b from vaccination

37
Q

Level and muscle swallowed foreign bodies obstruct at?

A

C6, cricopharyngeus muscle

38
Q

MC cause of pancreatits worldwide?

A

Gallstones

39
Q

Febrile seizures with which bacterial gastroenteritis?

40
Q

Which bacteria MC bacterial gastroenteritis in Japan?

41
Q

Which bacteria gastroenteritis starts watery and then become bloody?

42
Q

Jaundice in cholecystitis or cholangitis?

A

Cholangitis

43
Q

High-pitch bowel sounds in SBO or LBO?

44
Q

Type of vomiting in SBO?

A

Bilious vomiting

45
Q

Whigh gen cephalosporin for Spontaneous Bacterial Peritonitis?

A

Third (Cefotaxime, Ceftriaxone)

46
Q

Misoprostol safe for preggers?

47
Q

Tx for mild to moderate Cdiff?

A
  1. PO Metronidazole

2. PO Vanco

48
Q

Biggest risk factor for PUD?

A

H Pylori infection

49
Q

MC form of liver dz in the USA?

A

Nonalcoholic fatty liver dz

50
Q

IBS patients feel better after doing what?

51
Q

Tx for traveler’s diarrhea?

A

Rehydration and Cipro

52
Q

Tx for Traveler’s Diarrhea if preggers?

A

Rehydration and Azithromycin

53
Q

MC bacteria causing diarrhea in HIV/AIDS?

54
Q

What does after barium to confirm achalasia?

A

Esophageal Manometry

55
Q

First-line tx for constipation other than diet and exercise?

A

Psyllium or methylcellulose products to increase bulk and add fiber

56
Q

What type of IV fluids for acute pancreatitis?

A

Crystallouis (NS or LR)

57
Q

Bean sprouts can cause which bacterial diarrhea?

A

Salmonella

58
Q

Tx for Salmonella if immunocompromised or very young?

59
Q

Salmonella causes with in sick cell kids?

A

Osteomyelitis

60
Q

Tx for hepatic encephalopathy

61
Q

Tx for Olgilvie’s Syndrom (pseudo-obstruction of colon)

A

Neostygmine

62
Q

Tx for SEVERE constipation?

A

Suppositories

63
Q

Adult SBOs MC due to?

A

Adhensions from prior surgery

64
Q

Dilated bowel loops occur where relative to the obstruction?

A

ABOVE the obstruction

65
Q

First step in suspected uncomplicated GERD?

A

Emperic trial of PPI

66
Q

Women 40-50 with fatigue, jaundice, pruritus, right upper quadrant discomfort, and/or weight loss

A

Primary Biliary Cholangitis (Primary Biliary Cirrhosis). Autoimmune dz.

67
Q

Papilledema, splenomegaly, hepatomegaly, increased IC pressure from which vitamin overdose?

68
Q

MC type of colon cancer?

A

Adenocarcinoma

69
Q

Kids with BMI between 85-94% get what labs?

A

Lipid panel

CMP

70
Q

Elevated lactate in a SBO can mean what?

A

Intestinal ischemia

71
Q

MC surgical emergency in preggers?

A

Appendicitis

72
Q

PKU died high in what food group and low in what food group?

A

High in veggies

Low in meats

73
Q

Cobblestoning in Chron’s Disease or Ulcerative Colitis?

A

Chron’s disease

74
Q

Gastritis can cause deficiency in which vitamin?

A

B12 d/t pernicious anemia

75
Q

Acute Gastritis due to?

76
Q

Chronic Gastritis d/t? (Hint: 2)

A
  1. H Pylori

2. Pernicious anemia

77
Q

MC cause of gastric cancer?

78
Q

Post-operative ileus can be caused by which electrolyte abnormality?

A

Hypokalemia

79
Q

Lateral anal fissure concerning for systemic issues?

80
Q

Which bacteria causes ileocecitis and mimics appendicitis?

81
Q

Blood test for colon cancer?

A

Colon embryonic cancer (CAC) something

PANCE (6 decks)

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