GI

Question 1

High triglycerides increase the risk of?

Answer 1

pancreatitis.

Question 2

What will be elevated in a patient with Hep C? AST, ALT, or both?

Answer 2

ALT

Question 3

1st line treatment for GERD

Answer 3

PPI

Question 4

What does a positive Psoas maneuver indicate? (pain with straightening R leg against resistance)

Answer 4

appendicitis.

Question 5

What is a positive Rovsing’s sign and what does it indicate?

Answer 5

push LLQ= rebound pain in RLQ. Appendicitis.

Question 6

Next step for a pt with GERD and Barrett’s esophagus?

Answer 6

Refer to GI oncologist.

Question 7

5 week old infant with projectile vomiting after feeding, olive-like mass is palpated.

Answer 7

Pyloric stenosis.

Question 8

What HTN medication can contribute to GERD?

Answer 8

CCB.

Question 9

gastrinomas (tumors) in the intestine or pancreas produce excessive amounts of gastrin which increased stomach acid producing ulcers of the stomach or duodenum. What is it and what is the treatment?

Answer 9

Zollinger- Ellison syndrome
TX: 1st line PPIs
then chemo/surgery

Question 10

Screening for colon cancer?

Answer 10

start age 50 (now age 45)
baseline colonoscopy (repeat every 7-10 years)

Question 11

Ribbon-like stool in the older adult with iron-def. anemia. What could this be?

Answer 11

Colon cancer

Question 12

normal ALT

normal AST

Answer 12

ALT 0-40 (more specific to the liver)
think L for liver and lower number (40)
AST 0-45

Question 13

What does the ast/alt ratio mean

Answer 13

ratio of 2.0 and higher indicates alcohol abuse

Question 14

what is higher in hepatitis, alt or ast?

Answer 14

ALT

Question 15

Hep A and E

Answer 15

vowel comes from the bowel
fecal-oral (contaminated food/water)
Vaccine for Hep A

Question 16

Hep B

Answer 16

Bodily fluids (Blood, semen, saliva)
sex, mom-baby
has a vaccine
can be chronic

Question 17

Hep C

Answer 17

Circulation (blood, semen)
IV drug abuse
refer to GI
NO vaccine
chronic- high rate for cirrhosis and cancer

Question 18

hep D

Answer 18

D needs B (Blood)
can’t get hep D without having hep B
prevention with hep B vaccine

Question 19

enterobiasis infection

Answer 19

pinworms, scotch-tape test
itchy anus, especially at night
treat with oral agent

Question 20

When to refer to GI to rule out Barretts?

Answer 20

10+ years of GERD

Question 21

tx for Barretts

Answer 21

REFER for biopsy

PPI (pantoprazole) and H2 blocker (ranitidine, famotidine)

Question 22

palpate RLQ midway between umbilicus and superior iliac spine:
Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

Answer 22

McBurney’s point

Question 23

push LLQ, rebound pain in RLQ:

Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

Answer 23

Rosving’s sign

Question 24

right knee 90*, pain with flexion/rotation of hip:

Is this Rosving’s sign, McBurney’s point, Psoa’s sign, or Obturator sign?

Answer 24

Obturator sign

Question 25

pain with straightening R leg against resistance: | Is this Rosving's sign, McBurney's point, Psoa's sign, or Obturator sign?

Answer 25

Psoa’s sign

Question 26

mild episodic epigastric pain relieved by food or antacids

Answer 26

Gastric/Peptic ulcer disease

Question 27

upper abdomen rad. to flank pain

Answer 27

pancreatitis

Question 28

LLQ pain with fever, N/V

Answer 28

diverticulitis

Question 29

RUQ or epigastric pain after eating a fatty meal

Answer 29

cholecystitis

Question 30

RLQ or periumbilical pain that is steadily getting worse

Answer 30

appendicitis

Question 31

Diarrhea with mucus

Answer 31

Crohn's Dx

Question 32

What is Murphy's sign and when is it (+)?

Answer 32

pain with deep palpation of RUQ during inspiration | (+) for cholecystitis

Question 33

Cullen and Grey Turner signs

Answer 33

Cullen: blue umbilicus GreyTurner: blue flank Emergency signs of pancreatitis

Question 34

urea breath test is (+) for?

Answer 34

H.pylori

Question 35

PPI + Pepto Bismol + metronidazole + tetracycline is treatment for????

Answer 35

H. pylori

Question 36

treatment for acute diverticulitis

Answer 36

flagyl + cipro x 10-14 days

Question 37

dietary treatment for diverticulitis

Answer 37

increase fiber (metamucil or citrucel)

Question 38

treatment for c.diff

Answer 38

PO vanco or flagyl

Question 39

serum GGT

Answer 39

indicator of etoh abuse

Question 40

two labs to diagnose pancreatitits

Answer 40

amylase and lipase

Question 41

increased weight, BP, sugar, cholesterol

Answer 41

metabolic syndrome

Question 42

aphthous stomatitis

Answer 42

canker sores

Question 43

HBsAg

Answer 43

surface antigen = current infection

Question 44

HBeAg

Answer 44

active infection, highly contagious

Question 45

AntiHBs

Answer 45

(+) antibodies= person has been exposed to Hep B and has the antibodies or they have been vaccinated

Question 46

cramping and bloody diarrhea | UC or Crohns?

Answer 46

UC

Question 47

mucus in diarrhea, and anal fissure | UC or Crohns?

Answer 47

Crohns