GI

Question 1

Painless jaundice which condition?

Answer 1

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

Question 2

ceftriaxone 250 mg IM for GC works against what?

Answer 2

Gonococcus

Question 3

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

Answer 3

Chlamydia

Also Azirhromycin 1gm PO

Question 4

Proctitis organism MC?

Answer 4

Gonorhea

Question 5

Test for pyloric stenosis?

Answer 5

Abd US

Question 6

Tx for esophageal stricture?

Answer 6

Dilation

Question 7

Infant drawing knees to chest with vomiting which condition?

Answer 7

Intusussepection

Question 8

Currant Jelly which condition?

Answer 8

Intusussecption

Question 9

Pyloric stenosis mass which shape?

Answer 9

Olive shaped

Question 10

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

Answer 10

Hypocholemic hypokalemic metabolic alkalosis

Question 11

Pyloric stenosis vomiting billious or non-billious?

Answer 11

Non-billious

Question 12

Wernicke’s syndrome improves with administration of what?

Answer 12

Thiamine

Question 13

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

Answer 13

Wernicke encephalopathy

Question 14

Which line separates internal and external hemerrhoids?

Answer 14

Dentate line

Question 15

Internal hemerrhoid which side of the dentate line?

Answer 15

Proximal

Question 16

External hemerrhoid which side of the dentate line?

Answer 16

Distal

Question 17

Inferior Mesenteric Artery supplies which half of the colon?

Answer 17

Left half

Question 18

Superior Mesenteric Artery supplies which half of the colon?

Answer 18

Right

Question 19

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

Answer 19

Elliptical excision

Question 20

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

Answer 20

Niacin

Question 21

Tx for H Pylori ulcers?

Answer 21

CAP=
Clarithromycin
Amoxicillin
PPI
BID x10-14d

Question 22

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

Answer 22

Achalasia

Question 23

Achalasia what appearance on barium swallow study?

Answer 23

Bird’s Beak

Question 24

Achalasia dx?

Answer 24

Esophageal manometry showing increased LES

Question 25

Adult intususseption which part of intestine MC??

Answer 25

Small intestine

Question 26

Cephalexin ok for G6PD deficiency?

Answer 26

Yup!

Question 27

HIV meds and the pancreas?

Answer 27

nucleoside reverse transcriptase inhibitors can cause pancreatitis. Ex: tenofovir

Question 28

Tx for Ascending Cholangitis?

Answer 28

ECRP to decompress

Question 29

Which sign on xray suggests colon cancer?

Answer 29

Apple Core sign

Question 30

Giardia transmitted through what?

Answer 30

Water

Question 31

Giardia poop smells normal or foul?

Answer 31

Foul

Question 32

When do giardia sx start?

Answer 32

1-2 weeks after drining the bad water

Question 34

Tx for giardia?

Answer 34

Metronidazole

Question 35

HepB immunity from vaccination surface antigen and surface antibody?

Answer 35

Surface antigen=negative | Surface antibody=positive

Question 36

Anti-HBS Ab means?

Answer 36

Immune to hep b from vaccination

Question 37

Level and muscle swallowed foreign bodies obstruct at?

Answer 37

C6, cricopharyngeus muscle

Question 38

MC cause of pancreatits worldwide?

Answer 38

Gallstones

Question 39

Febrile seizures with which bacterial gastroenteritis?

Answer 39

Shigella

Question 40

Which bacteria MC bacterial gastroenteritis in Japan?

Answer 40

Vibrio

Question 41

Which bacteria gastroenteritis starts watery and then become bloody?

Answer 41

Yersinia

Question 42

Jaundice in cholecystitis or cholangitis?

Answer 42

Cholangitis

Question 43

High-pitch bowel sounds in SBO or LBO?

Answer 43

SBO

Question 44

Type of vomiting in SBO?

Answer 44

Bilious vomiting

Question 45

Whigh gen cephalosporin for Spontaneous Bacterial Peritonitis?

Answer 45

Third (Cefotaxime, Ceftriaxone)

Question 46

Misoprostol safe for preggers?

Answer 46

NO!!!

Question 47

Tx for mild to moderate Cdiff?

Answer 47

1. PO Metronidazole | 2. PO Vanco

Question 48

Biggest risk factor for PUD?

Answer 48

H Pylori infection

Question 49

MC form of liver dz in the USA?

Answer 49

Nonalcoholic fatty liver dz

Question 50

IBS patients feel better after doing what?

Answer 50

Pooping

Question 51

Tx for traveler’s diarrhea?

Answer 51

Rehydration and Cipro

Question 52

Tx for Traveler’s Diarrhea if preggers?

Answer 52

Rehydration and Azithromycin

Question 53

MC bacteria causing diarrhea in HIV/AIDS?

Answer 53

Crypto

Question 54

What does after barium to confirm achalasia?

Answer 54

Esophageal Manometry

Question 55

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

Answer 55

Psyllium or methylcellulose products to increase bulk and add fiber

Question 56

What type of IV fluids for acute pancreatitis?

Answer 56

Crystallouis (NS or LR)

Question 57

Bean sprouts can cause which bacterial diarrhea?

Answer 57

Salmonella

Question 58

Tx for Salmonella if immunocompromised or very young?

Answer 58

Cipro

Question 59

Salmonella causes with in sick cell kids?

Answer 59

Osteomyelitis

Question 60

Tx for hepatic encephalopathy

Answer 60

Lactulose

Question 61

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

Answer 61

Neostygmine

Question 62

Tx for SEVERE constipation?

Answer 62

Suppositories

Question 63

Adult SBOs MC due to?

Answer 63

Adhensions from prior surgery

Question 64

Dilated bowel loops occur where relative to the obstruction?

Answer 64

ABOVE the obstruction

Question 65

First step in suspected uncomplicated GERD?

Answer 65

Emperic trial of PPI

Question 66

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

Answer 66

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

Question 67

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

Answer 67

Vitamin A

Question 68

MC type of colon cancer?

Answer 68

Adenocarcinoma

Question 69

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

Answer 69

Lipid panel | CMP

Question 70

Elevated lactate in a SBO can mean what?

Answer 70

Intestinal ischemia

Question 71

MC surgical emergency in preggers?

Answer 71

Appendicitis

Question 72

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

Answer 72

High in veggies | Low in meats

Question 73

Cobblestoning in Chron’s Disease or Ulcerative Colitis?

Answer 73

Chron’s disease

Question 74

Gastritis can cause deficiency in which vitamin?

Answer 74

B12 d/t pernicious anemia

Question 75

Acute Gastritis due to?

Answer 75

EtOH

Question 76

Chronic Gastritis d/t? (Hint: 2)

Answer 76

1. H Pylori | 2. Pernicious anemia

Question 77

MC cause of gastric cancer?

Answer 77

H Pylori

Question 78

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

Answer 78

Hypokalemia

Question 79

Lateral anal fissure concerning for systemic issues?

Answer 79

YUP!

Question 80

Which bacteria causes ileocecitis and mimics appendicitis?

Answer 80

Yersinia

Question 81

Blood test for colon cancer?

Answer 81

Colon embryonic cancer (CAC) something