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CORE GI > GI CORE - Sheet1 > Flashcards

GI CORE - Sheet1 Flashcards

1
Q

dilated esophagus + ground glass in lung bases (+/- subpleural sparing)

A

scleroderma + NSIP

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2
Q

upper GI location: H pylori gastritis

A

antrum

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3
Q

upper GI location: zollinger ellison

A

ulcerations in stomach, duodenal bulb is most common location for ulcers (jejunal ulcer is buzzword)

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4
Q

upper GI location: crohns

A

uncommon in stomach, but when it is, it likes the antrum

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5
Q

upper GI location: menetrier

A

usually fundus (classically spares the antrum)

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6
Q

upper GI location: lymphoma

A

“crosses the pylorus”

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7
Q

infection location: giardia

A

duodenum

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8
Q

infection location: stronglyoides

A

duodenum

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9
Q

infection location: TB

A

terminal ileum

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10
Q

infection location: yersinia

A

terminal ileum

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11
Q

size of ulcers: herpes esophagitis vs. CMV + AIDS

A

Herpes Esophagitis = Multiple Small Ulcers

CMV and AIDS = Solitary Large Ulcer

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12
Q

squamous vs. adenocarcinoma esophageal cancer

A

Squamous Cell = Black Guy who drinks and smokes- mid esophagus
Adenocarcinoma = White Guy with reflux (history of PPls) - lower esophagus

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13
Q

uphill vs. downhill varices

A

uphill: portal HTN, bottom half of esophagus; downhill: SVC syndrome, top half of esophagus

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14
Q

traction vs. pulsion diverticulum

A

traction: triangular, will empty; pulsion: round, will NOT empty (no muscle in walls)

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15
Q

sliding vs. rolling esophageal hernias

A

sliding: GE junction above the diaphragm; rolling: GE junction below the diaphragm

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16
Q

Carney’s Triad vs. Carney’s Complex

A

Carney’s triad: extra-adrenal pheo, GIST, pulmonary chondroma; Carney’s complex: Cardiac myxoma, skin stuff, endocrine stuff

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17
Q

direct vs. indirect inguinal hernia: most common?

A

indirect is more common

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18
Q

direct vs. indirect inguinal hernia: location relative to inferior epigastric?

A

direct: medial to inferior epigastric, indirect: lateral to inferior epigastric

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19
Q

direct vs. indirect inguinal hernia: what went wrong?

A

direct: defect in Hesselbach triangle, indirect: failure of processus vaginalis to close

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20
Q

direct vs. indirect inguinal hernia: covered by spermatic fascia?

A

direct: NOT covered by internal spermatic fascia, indirect: covered by internal spermatic fascia

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21
Q

sigmoid vs. cecal volvulus:

A

sigmoid: old constipated person, points to RUQ; cecal: younger (mass, surgery, 3rd trimester), points to LUQ

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22
Q

regenerative vs dysplastic liver nodules contents

A

regenerative: contains iron, dysplastic: contains fat, glycoprotein

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23
Q

regenerative vs dysplastic liver nodules vs HCC: MRI signal

A

regen: T1 dark, T2 bright; dysplastic: T1 bright, T2 dark; HCC: T2 bright

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24
Q

regenerative vs dysplastic liver nodules vs HCC: enhancement

A

HCC enhances, regen + dysplastic do NOT enhance

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25
Q

FNH vs. fibrolamellar HCC central scars: T2 signal

A

FNH: T2 bright; FL HCC: T2 dark (usually)

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26
Q

FNH vs. fibrolamellar HCC central scars: enhancement

A

FNH: enhances on delays; FL HCC: does NOT enhance

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27
Q

FNH vs. fibrolamellar HCC: nucs

A

FNH: mass is SC avid (sometimes); FL HCC: mass is gallium avid

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28
Q

HCC vs. fibrolamellar HCC: cirrhosis?

A

no cirrhosis in FL HCC

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29
Q

HCC vs. fibrolamellar HCC: demographics

A

HCC: older (50-60s) vs. FL HCC: younger (30s)

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30
Q

HCC vs. fibrolamellar HCC: calcification?

A

HCC: rarely calcifies vs. FL HCC: sometimes calcifies

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31
Q

HCC vs. fibrolamellar HCC: AFP?

A

HCC: elevated AFP vs. FL HCC: normal

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32
Q

primary vs. secondary hemochromatosis: organs

A

primary: liver + Pancreas (heart, thyroid, pituitary) vs. secondary: liver + Spleen (RES)

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33
Q

primary vs. secondary hemochromatosis: what went wrong

A

primary: genetic, increased absportion vs. secondary: acquired, multiple transfusions

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34
Q

When I say “narrowed B Ring,” You say

A

Schatzki

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35
Q

When I say “esophageal concentric rings,” You say

A

Eosinophilic Esophagitis

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36
Q

When I say “shaggy” or “plaque like” esophagus, You say

A

Candidiasis

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37
Q

When I say “ looks like candida, but an asymptomatic old lady,” you say

A

glycogen acanthosis

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38
Q

When I say “reticular mucosal pattern,” you say

A

Barretts

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39
Q

When I say “high stricture with an associated hiatal hernia,” you say

A

Barretts

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40
Q

When I say “abrupt shoulders,” you say

A

cancer

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41
Q

When I say “Killian Dehiscence,” you say

A

Zenker Diverticulum

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42
Q

When I say “transient, fine transverse folds across the esophagus,” you say

A

Feline esophagus

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43
Q

When I say “bird’s beak,” you say

A

Achalasia

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44
Q

When I say “solitary esophageal ulcer,” you say

A

CMV or AIDS

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45
Q

When I say “ulcers at the level of the arch or distal esophagus,” you say

A

medication induced

46
Q

When I say “Breast Cancer + Bowel Hamartomas,” you say

A

Cowdens

47
Q

When I say “Desmoid Tumors + Bowel Polyps,” you say

A

Gardners

48
Q

When I say “Brain Tumors + Bowel Polyps,” you say

A

Turcots

49
Q

When I say “enlarged left supraclavicular node,” you say

A

Virchow Node (GI Cancer)

50
Q

When I say “crosses the pylorus,” you say

A

Gastric Lymphoma

51
Q

When I say “ isolated gastric varices,” you say

A

splenic vein thrombus

52
Q

When I say “multiple gastric ulcers,” you say

A

Chronic Aspirin Therapy.

53
Q

When I say “multiple duodenal (or jejunal) ulcers,” you say

A

Zollinger-Elision

54
Q

When I say “pancreatitis after Billroth 2,” you say

A

Afferent Loop Syndrome

55
Q

When I say “Weight gain years after Roux-en-Y,” you say

A

Gastro-Gastro Fistula

56
Q

When I say “Clover Leak Sign - Duodenum,” you say

A

healed peptic ulcer.

57
Q

When I say “Sand Like Nodules in the Jejunum,” you say

A

Whipples

58
Q

When I say “Sand Like Nodules in the Jejunum + CD4 < 100,” you say

A

MAl

59
Q

When I say “Ribbon-like bowel,” you say

A

Graft vs Host

60
Q

When I say “Ribbon like Jejunum,” you say

A

Long Standing Celiac

61
Q

When I say “Moulage Pattern,” you say

A

Celiac

62
Q

When I say “Fold Reversal - of jejunum and ileum,” you say

A

Celiac

63
Q

When I say “Cavitary (low density) Lymph nodes,” you say

A

Celiac

64
Q

When I say “hide bound” or “Stack or coins,” you say

A

Scleroderma

65
Q

When I say “Megaduodenum,” you say

A

Scleroderma

66
Q

When I say “Duodenal obstruction, with recent weight loss,” you say

A

SMA Syndrome

67
Q

When I say “Coned shaped cecum,” you say

A

Amebiasis

68
Q

When I say “Lead Pipe,” you say

A

Ulcerative Colitis

69
Q

When I say “String Sign,” you say

A

Crohns

70
Q

When I say “Massive circumferential thickening, without obstruction,” you say

A

Lymphoma

71
Q

When I say “Multiple small bowel target signs,” you say

A

Melanoma

72
Q

When I say “Obstructing Old Lady Hernia,” you say

A

Femoral Hernia

73
Q

When I say “sac of bowel,” you say

A

Paraduodenal hernia.

74
Q

When I say “scalloped appearance of the liver,” you say

A

Pseudomyxoma Peritonei

75
Q

When I say “HCC without cirrhosis,” you say

A

Hepatitis B

76
Q

When I say “Capsular retraction,” you say

A

Cholangiocarcinoma

77
Q

When I say “Periportal hypocchoic infiltration + AIDS,” you say

A

Kaposi’s

78
Q

When I say “sparing of the caudate lobe,” you say

A

Budd Chiari

79
Q

When I say “ large T2 bright nodes+ Budd Chiari,” you say

A

Hyperplastic nodules

80
Q

When I say “liver high signal in phase, low signal out phase,” you say

A

fatty liver

81
Q

When I say “liver low signal in phase, and high signal out phase,” you say

A

hemochromatosis

82
Q

When I say “multi focal intrahepatic and extrahepatic stricture,” you say

A

PSC

83
Q

When I say “multi focal intrahepatic and extrahepatic strictures + papillary stenosis,” you

A

say AIDS Cholangiopathy.

84
Q

When I say “bile ducts full of stones,” you say

A

Recurrent Pyogenic Cholangitis

85
Q

When I say “Gallbladder Comet Tail Artifact,” you say

A

Adenomyomatosis

86
Q

When I say “lipomatous pseudohypertrophy of the pancreas,” you say

A

CF

87
Q

When I say “sausage shaped pancreas,” you say

A

autoimmune pancreatitis

88
Q

When I say “autoimmune pancreatitis,” you say

A

IgG4

89
Q

When I say “ IgG4” you say

A

RP Fibrosis, Sclerosing Cholangitis, Fibrosing Medianstinitis, Inflammatory Pseudotumor

90
Q

When I say “Wide duodenal Sweep,” you say

A

Pancreatic Cancer

91
Q

most common benign mucosal lesion of the esophagus

A

papilloma

92
Q

esophageal webs have increased risk for (2)?

A

cancer and plummer-vinson syndrome (anemia + web)

93
Q

achalasia has an increased risk of what kind of cancer?

A

squamous (20 years later)

94
Q

most common mesenchymal tumor of the GI tract

A

GIST

95
Q

most common location for GIST

A

stomach

96
Q

what’s a krukenberg tumor?

A

Stomach (GI) met to the ovary

97
Q

most common location for sarcoid in the GI tract

A

stomach

98
Q

most common internal hernia?

A

left sided paraduodenal

99
Q

Most common site of peritoneal carcinomatosis

A

retrovesical space

100
Q

An injury to the bare area of the liver can cause a

A

retroperitoneal bleed

101
Q

what antibodies are positive in PBC

A

antimitochondrial

102
Q

Mirizzi Syndrome

A

the stone in the cystic duct obstructs the CBD.

103
Q

Mirizzi Syndrome has a 5 x increased risk of?

A

GB cancer

104
Q

dorsal pancreatic agenesis is associated with these 2 random things

A

diabetes and polysplenia

105
Q

When I say “Grandmother Pancreatic Cyst” you say

A

Serous Cystadenoma

106
Q

When I say “Mother Pancreatic Cyst” you say

A

Mucinous

107
Q

When I say “Daughter Pancreatic Cyst,” you say

A

Solid Pseudopapillary

108
Q

Felty’s Syndrome

A

Big Spleen, RA, and Neutropenia

109
Q

most common islet cell tumor

A

insulinoma

110
Q

most common islet cell tumor with MEN

A

gastrinoma

111
Q

NSAID erosive gastritis - finding in fluoro

A

“shallow”/aphthoid/erosive, multiple ulcers (hole with central dot)

CORE GI (1 decks)

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