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Gastrointestinal System > GI Endoscopy > Flashcards

GI Endoscopy Flashcards

1
Q

Indications for EGD

A
  • GERD/Barrett’s
  • Dysphagia
  • Upper abdominal pain
  • Celiac Dx
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2
Q

When are barium studies indicated first before EGD?

A

Motility disorders like Achalasia

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3
Q

Dyspepsia

A

Abdominal discomfort w/ no alarming S/S. normal include:

  • Belching
  • bloating
  • gurgling
  • gas
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4
Q

Management of GI hemorrhage

A
  • Volume resuscitation
  • Acid suppression
  • Endoscopy
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5
Q

Diagnostic Conditions via endoscopy

A
  • Esophagitis
  • Mallory-Weiss tears
  • PUD
  • Varices
  • Malignancies
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6
Q

EUS indications

A
  • Cancer staging
  • GIST
  • Pancreatic
    Cystic Neoplasms
  • Choledocholithiasis
  • Liver/spleen masses
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7
Q

Which two organs are major limitations for WCE camera?

A

Stomach + Colon

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8
Q

Indications for WCE (camera pill)

A
  • Occult’s GIB
  • Abnormal small bowel imaging
  • Crohns eval
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9
Q

ERCP indications

A
  • Choledocholithiasis
  • Obstructive jaundice
  • Chronic pancreatitis
  • abnormal liver tests
  • therapeutics
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10
Q

Which is true of ERCP?

 A. It is the easiest of all GI procedures to
perform
 B. It has the ability to image the liver
parenchyma
 C. Rarely fatal pancreatitis is a feared
complication
 D. A forward viewing camera is used to better see the ampulla

A

C

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11
Q

Colonoscopy Indications

A
  • Screening
  • Rectal bleeding
  • Diahrrea/Bowel habits
  • IBS Diagnosis/management
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12
Q 
Limitations of:
CT Colon
Barium enema
Flexible sigmoidoscopy
FIT/DNA
A

CT Colon: Not therapeutic
Barium Enema: No fun + Not therapeutic
Sigmoid: limited extent
FIT:sensitive w/ only advanced lesions

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13
Q

First teir colon screening

A

Colonoscopy + FIT

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14
Q

2nd tier colon testing

A

CT Colonography
FIT-fecal DNA test
Sigmoidoscopy

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15
Q

3rd tier Colon screening

A

Capsule Colonoscopy

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16
Q

What age should African Americans begin screening for CRC?

A

45 YO

17
Q

Painful bright red blood in stool

A
  • Fissure
  • Colitis
  • External hemorrhoids
18
Q

Painless bright red blood in stool

A

Internal hemorrhoids

19
Q

Hemodynamically unstable painless LGIB

A
  1. Diverticulosis

2. AVM

20
Q

Hemodynamically unstable painful LGIB

A

Ischemic colitis

Rarely: malignancy

21
Q

Diverticulosis/itis

A

Diverticulosis: Presence of pockets; painless

Diverticulitis: Infected pockets w/ inflammation; painful

22
Q 
The terminal ileum is seen by all of the following modalities EXCEPT:
A.  WCE
B.  ERCP
C.  Colonoscopy
D.  Small bowel series
A

B. ERCP

23
Q 
The most common cause of painless, hemodymanically significant hematochezia in the elderly is:
A.  Ischemic colitis
B.  Colorectal malignancy
C.  Internal hemorrhoids
D.  Diverticulosis
A

C. Internal hemorrhoids

Gastrointestinal System (32 decks)

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