GI

Question 1

IGETSMASHED Pancreatitis

Answer 1

Idiopathic
Gallstones
EtOH
Scorpion bites
Mumps (viral)
Autoimmune 
Steroids 
Hyperlipidemia
ERCP
Drugs

Question 2

Ransom Criteria of Pancreatitis

Answer 2

Gluc >200
Age 55+
LDH >350
AST >250
WBC >16

3 or more indicate severe pancreatic

Question 3

What is a Peterson’s hernia?

Answer 3

Herniation of the small bowel through the mesenteric defect created during Roux En Y gastric bypass

Question 4

EBW Loss with Roux En Y

Answer 4

60-80%

Question 5

Borchardt’s Triad of Gastric Volvulus

Answer 5

Emesis followed by retching
Epigastric Distention
Failure to pass an NG tube

Question 6

Boas Sign

Answer 6

Right subscapular pain resulting from cholelithiasis

Question 7

Lab Test for Ulcerative Colitis

Answer 7

pANCA

Question 8

Lab test for Chron’s

Answer 8

+ASCA

Question 9

Hylerkalemia Lab Value

Answer 9

5-5.5

Question 10

Hyperkalemia ECG Changes

Answer 10

Tall, Peaked T waves (seen best in precordial leads)
Short QT intervals
ST segment depression

Question 11

Hyperkalemia Treatment

Answer 11

Immediate:
IV calcium gluconate/chloride, IV glucose, insulin

Long Term:
Loop diuretics
Potassium binder (Kayexalate)
Emergency dialysis

Question 12

Hypokalemia Lab Value

Answer 12

<3.5

Question 13

Hypokalemia causes

Answer 13

Loop diuretics
Vomiting
Diarrhea
Metabolic alkalosis
Insulin
Beta agonists

Question 14

Hypokalemia Physical Exam Findings

Answer 14

Cramps
Constipation
Decreased

Question 15

Hypokalemia EKG Findings

Answer 15

T wave flattening

Inverted prominent U waves

Question 16

Hypokalemia Treatment

Answer 16

Correction at rate of 10-20 mEq/hr
10 mEg raises K 0.1
Use oral or IV KCl

Question 17

Hypercalcemia value

Answer 17

> 10

Question 18

Hylercalcemia Complaints

Answer 18

Kidney stones
Nephrogenic DI
Constipation/ileus
Weakness
Fatigue 
Osteoporosis

Question 19

Hypercalcemia EKG Findings

Answer 19

Short QT

Arrhythmias

Question 20

Hypercalcemia Treatment

Answer 20

IV Saline and Furosemide

Question 21

Hypocalcemia Value

Answer 21

<8.5

Question 22

Hypocalcemia Physical Exam/complaints

Answer 22

Chovstek’s
Trousseaus
Increased DTR
Arrhythmias
CHF
Diarrhea
Abdominal Pain
Cramps

Question 23

Hypocalcemia EKG

Answer 23

QT Prolongation

Question 24

Hypocalcemia Treatment

Answer 24

IV Calcium gluconate if severe
Mild/Moderate PO calcium with Vitamin D

*if Mg also low, do calcium carbonate, calcium citrate , vitamin d