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Step 2 > GI FA > Flashcards

GI FA Flashcards

1
Q

Most common cause of lower GI bleed > 40

A

Diverticulosis

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2
Q

Diagnostic test for equivocal US in cholecystitis

A

HIDA scan

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3
Q

Risk factors for cholithiasis

A

Fat, forty, female, fertile, flatulent

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4
Q

Inspiratory arrest during palpation of the RUQ

A

Murphy’s sign (acute cholecystitis)

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5
Q

Most common cause of SBO with or without history of abd surgery

A

Adhesions

Hernia

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6
Q

Charcot’s triad

A

RUQ pain, jaundice, fever/chills. (Ascending cholangitis)

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7
Q

Difference between Mallory-Weiss and Boerhaavr tears

A

Mallory-Weiss: superficial tear. Boerhaave: full-thickness rupture

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8
Q

IBD extraintestinal findings

A

Uveitis, ankylosing spondylitis, pyoderma gangrenosum, erythema nodosum, primary sclerosing cholangitis

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9
Q

25 year old with pain, watery diarrhea after meals. Fistulas between bowel and skin, nodular tibia lesions.

A

Crohn’s

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10
Q

Most common diarrhea?

A

Campylobacter

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11
Q

Diarrhea with recent abtibiotics

A

C diff

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12
Q

Camping diarrhea

A

Giardia

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13
Q

Traveler’s diarrhea

A

ETEC

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14
Q

Church picnics/mayonnaise diarrhea

A

S aureus

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15
Q

Uncooked hamburgers diarrhea

A

E Coli O157:H7

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16
Q

Fried rice diarrhea

A

Bacillus cereus

17
Q

Poultry/eggs diarrhea

A

Salmonella

18
Q

Raw seafood diarrhea

A

Vibrio, HAV

19
Q

AIDS diarrhea

A

Isospira, Cryptosporidium, MAC

20
Q

Pseudoappenditicitis diarrhea

21
Q

Sudden onset of severe, diffuse abd pain. Peritoneal signs, AXR with free air under diaphragm. Management?

A

Emergent laparotomy to repair perforated viscus

22
Q

Reynold’s pentad

A

Charcot’s (RUQ pain, jaundice, fever/chills) + shock and AMS (supprative ascending cholangitis

23
Q

Med treatment for hepatic encephalopathy

A

Dec protein intake, lactulose, rifaximin

24
Q

First step for acute GI bleed management

25
Q

4 year old with oliguria, petechiae, jaundice following bloody diarrhea

A

HUS due to E coli O157:H7

26
Q

Post-HBV exposure treatment

A

HBV immunoglobulin

27
Q

Drug induced causes of hepatitis

A

TB meds (INH, rifampin, pyrazinamide), tetracycline, acetominophen

28
Q

Highest risk of incarcerated hernia

29
Q

40 year old female with elevated Alk Phos, bilirubin, pruritis, dark urine, and clay-colored stools

A

Biliary tract obstruction

30
Q

50 yo man with history of alcohol abuse, epigastric pain radiating to the back, relieved by sitting forward

A

Confirm acute pancreatitis with elevated amylase and lipase. Make the pt NPO and on IV fluids, O2, analgesia, “tincture of time”

Step 2 (9 decks)

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