GI CME - Sheet1

Question 1

What is a modality for a patient with significant night time GERD symptoms?

Answer 1

H2 blocker at night and a PPI in the day

Question 2

What are common viral causes of esophagitis?

Answer 2

CMV and HSV

Question 3

What are common causes of esophagitis in a patient with HIV?

Answer 3

Mycobacterium tuberculosis, EBV, Mycobacterium Avium Complex

Question 4

How do we treat HSV esophagitis?

Answer 4

Acyclovir

Question 5

How do we treat CMV esophagitis?

Answer 5

Ganciclovir

Question 6

What is a key feature of Zenkerís diverticulum?

Answer 6

Vomiting undigested food after several hours

Question 7

What is the classic finding on barium swallow in a patient with Achalasia?

Answer 7

Parrot beak

Question 8

What is the condition called that is caused by thrombosis of the portal vein that leads to esophageal varices?

Answer 8

Budd-Chiari syndrome

Question 9

What three diseases does H. Pylori cause?

Answer 9

Peptic ulcers, gastric adenocarcinoma and gastric

Question 10

What is the most common cause of PUD ( peptic ulcer disease)?

Answer 10

H. Pylori

Question 11

What is the name of a gastrin secreting tumor that causes hypergastrinemia?

Answer 11

Zollinger-Ellison Syndrome

Question 12

What is diagnostic of Zollinger-Ellison Syndrome?

Answer 12

Fasting Gastrin level greater than 150pg/mL

Question 13

What is strongly associated with gastric adenocarcinoma?

Answer 13

H. Pylori

Question 14

What is the supraclavicular lymphadenopathy of gastric adenocarcinoma called?

Answer 14

Virchowís node

Question 15

What is the umbilical nodule of gastric adenocarcinoma called?

Answer 15

Sister Mary Joseph nodule

Question 16

Which organism causes the most rapid onset of diarrhea?

Answer 16

S. Aureus

Question 17

What denotes an inflammatory process in diarrhea?

Answer 17

WBC in stool

Question 18

When should a colonoscopy be ordered in a patient with constipation?

Answer 18

Patients older than 50 with new onset constipation

Question 19

What causes most small bowel obstructions?

Answer 19

Adhesions and hernias

Question 20

What is the most common cause of a large bowel obstruction?

Answer 20

Tumor

Question 21

What test distinguishes mal-digestion from malabsorption?

Answer 21

D-xylose test

Question 22

What is the most common genetic condition in the USA?

Answer 22

Celiac

Question 23

What are the screen tests for Celiac disease?

Answer 23

IgA antiendomysial and anti-tissue transglutaminase

Question 24

What is the age of onset of Crohnís disease?

Answer 24

25 years old M=F

Question 25

What is possible curative in ulcerative colitis?

Answer 25

Surgery

Question 26

What is the most *common cause of chronic or recurrent ABD pain in the USA?*

Answer 26

IBS

Question 27

What is the *most common cause of intussusception in a child and adult?*

Answer 27

Child ñ viral infection and adult ñ neoplasm

Question 28

What is the presentation of intussusception?

Answer 28

Colicky pain, current jelly stool and a sausage like mass

Question 29

How do we both diagnose and treat intussusception in a child?

Answer 29

Barium or air enema

Question 30

How do we *diagnose intussusception in an adult?*

Answer 30

CT

Question 31

What *test is avoided in diverticulitis?*

Answer 31

Barium enema

Question 32

What is the *risk of inherited polyposis syndrome?*

Answer 32

Near-100% risk of CA

Question 33

What *lab test is used to monitor colorectal CA?*

Answer 33

Carcinoembryonic antigen (CEA)

Question 34

What is the *most common cause of appendicitis?*

Answer 34

Fecalith

Question 35

What is the *most common emergency surgery?*

Answer 35

Appendicitis

Question 36

What is the *initial symptom of appendicitis?*

Answer 36

Periumbilical or epigastric pain

Question 37

What are the *most common causes of pancreatitis?*

Answer 37

ETOH and cholelithiasis

Question 38

What is the *classic pain pattern of pancreatitis?*

Answer 38

Epigastric pain radiating to back

Question 39

What is *bleeding into the flanks* called?

Answer 39

Grey Turner sign

Question 40

What is *bleeding into the umbilical area* called?

Answer 40

Cullen sign

Question 41

What is a *palpable gallbladder and jaundice* called?

Answer 41

Courvoisier sign

Question 42

What is the* surgical resection of pancreatic cancer* called?

Answer 42

Whipple procedure

Question 43

What are the *complications of choledocholithiasis?*

Answer 43

Cholecystitis, pancreatitis and acute cholangitis

Question 44

What is *Charcot triad?*

Answer 44

RUQ pain, jaundice and fever

Question 45

What is *Charcotís triad that also has an altered mental status and hypotension* called?

Answer 45

Reynoldís Pentad

Question 46

What is *primary sclerosing cholangitis* associated with?

Answer 46

Ulcerative colitis

Question 47

What is the *most common presentation of primary sclerosing cholangitis?*

Answer 47

Jaundice and pruritus

Question 48

What is the *only known treatment for primary sclerosing cholangitis?*

Answer 48

Liver transplant

Question 49

What represents *ongoing hepatitis B infection?*

Answer 49

Hepatitis B SURFACE antigen (HBsAg)

Question 50

What *represents immunity to hepatitis B?*

Answer 50

Anti-HBs ñ Antibody against hepatitis B surface antigen

Question 51

What medication is used for acetaminophen toxicity?

Answer 51

Acetlycysteine

Question 52

What is the general *cause of a liver abscess?*

Answer 52

Entamoeba histolytica

Question 53

Where is the liver a common source or metastases from?

Answer 53

Lung and breast

Question 54

Which *diseases cause an elevation of Alpha fetoprotein?*

Answer 54

Hepatic carcinoma, hepatitis C and cirrhosis

Question 55

What is the *location of an indirect inguinal hernia?*

Answer 55

Through internal inguinal ring

Question 56

What is the *location of a direct inguinal hernia?*

Answer 56

Through the external ring at Hesselbachís triangle

Question 57

What is the *basic patient demographic for pyloric stenosis?*

Answer 57

5 week old male

Question 58

What is the *radiographic finding of pyloric stenosis?*

Answer 58

String sign

Question 59

What is the *disease caused by vitamin D deficiency?*

Answer 59

Rickets

Question 60

What is the *disease caused by a lack of Thiamine?*

Answer 60

Beriberi

Question 61

What is another *name for vitamin B6?*

Answer 61

Pyridoxine

Question 62

What is the *problem with phenylketonuria?*

Answer 62

Inability to metabolize phenylalanine

Question 63

What is the *treatment for phenylketonuria?*

Answer 63

Low phenylalanine diet and tyrosine supplementation