GI - Emma Holliday Review

Question 1

Inflammatory bowel disease… involves terminal ileum?

Answer 1

Crohn’s

Question 2

What can crohn’s mimic?

Answer 2

Appendicitis

Question 3

Nutritional deficiency associated with Crohn’s?

Answer 3

Fe

Question 4

Inflammatory bowel disease… continuous involving rectum?

Answer 4

UC

Question 5

UC has an increased risk for what?

Answer 5

Primary sclerosing cholangitis –> cholangioCA

Question 6

Inflammatory bowel disease… with fistulaes? Tx?

Answer 6

Crohn’s

Metronidazole

Question 7

Inflammatory bowel disease… granulomas on biopsy?

Answer 7

Crohn’s

Question 8

Inflammatory bowel disease… transmural inflammation?

Answer 8

Crohn’s

Question 9

Inflammatory bowel disease… cured by colectomy

Answer 9

UC

Question 10

Inflammatory bowel disease… smokers have a lower risk? higher risk?

Answer 10

LR - UC

HR - Crohn’s

Question 11

Inflammatory bowel disease… higher risk for colon cancer?

Answer 11

UC

Question 12

Inflammatory bowel disease… associated with p-ANCA?

Answer 12

UC

Question 13

Inflammatory bowel disease… Tx?

Answer 13

ASA

Question 14

Inflammatory bowel disease… maintain remission?

Answer 14

sulfasalzine

Question 15

Inflammatory bowel disease… induce remission?

Answer 15

Corticosteroids

Question 16

What do you give patients with CD and ANY ulcer or abscess?

Answer 16

Metranidazole

Question 17

Inflammatory bowel disease… tx severe dz?

Answer 17

Azathiprine, 6MP. and methotrexate

Question 18

AST > ALT (2x) + high GGT?

Answer 18

Alcholic hepatitis

Question 19

ALT>AST & in the 1000s

Answer 19

Viral hepatitis

Question 20

AST and ALT in 1000s after surgery or hemorrhage?

Answer 20

Ischemic hepatitis (“shock liver”)

Question 21

Elevated d-bili?

Answer 21

Obstructive (stone/cancer) or Dubin’s johnson, Rotor

Question 22

Elevated i-bili?

Answer 22

Hemolysis or Gilbert’s, Crigler Naijer

Question 23

Elevated alk phos and GGT? If IBD?

Answer 23

Bile duct obstruction

PSC

Question 24

Elevated alk phos, normal GGT, normal Ca?

Answer 24

Paget’s disease

Question 25

Signs and symptoms of paget’s disease?

Answer 25

Increase head size, HA, hearing loss

Question 26

ANA + antismooth muscle antibody? tx?

Answer 26

Autoimmune hepatitis

steroids

Question 27

Antimitochondrial antibody?

Answer 27

primary biliary cirrhosis

Question 28

High Fe, low ferritin, low Fe binding capacity? S&S?

Answer 28

Hemachromatosis - hepatitis, DM, golden skin

Question 29

Low ceruloplasmin, high urinary Ca? S&S?

Answer 29

Wilson’s - hepatitis, psychiatric symptoms, corneal deposits