GI hepatitis and more

Question 1

Viral hepatitis AST and ALT?

Answer 1

Up about the same. Also have high alk phos and bili

Question 2

Hep B core antibody means what?

Answer 2

IgM early in infection, IgG late (or past infection)

Question 3

HbEAg means what?

Answer 3

High transmissibility, if low, not being transmitted (MEANS ENVELOPE, so that makes sense)

Question 4

What is the window period?

Answer 4

Almost everything comes back NEGATIVE!! (surface antigen equals antibodies, it is a STALEMATE!!!)

Core antibody comes back IgM!

SO THAT MEANS POSITIVE for infection!!! (IgM for core antibody HBcAb)

Question 5

Chronic hep B trasmissible vs not?

Answer 5

HBsAg is present b/c still infected. But HBeAg is present, so transmissible.

HBeAb is absent b/c able to infect

Question 6

Hep B tx?

Answer 6

Hep B vaccine

IFN alpha or other antivirals

Question 7

Extrahepatic manifesto of hepatitis B?

Answer 7

Polyarteritis nodosa. And glomerular disease

REMEMBER THAT HITS KIDNES, but not lungs

Question 8

Glom disease with hepatitis B?

Answer 8

Membranous nephropathy or rarely membranoproliferative GN

Proteinuria

Question 9

Hep C tx?

Answer 9

Ribavirin or IFN alpha.

80% get it chronic
50% will get cirrhosis

Question 10

Hep c extrahepatic manifestation?

Answer 10

Membranoprolif kidney, essential cryoglobin, Lichen plans…. A ton of stuff

Question 11

Tx hep D?

Answer 11

IFN alpha, prevent by preventing Hep B

Question 12

Hep c is higher risk of what compared to Hep B?

B is higher risk for what than C

Answer 12

C more likely chronic

B more likely to lead to cancer

Question 13

HBsAg is present with infection

Answer 13

Gone if absent infection, immune, or WINDOW PERIOD!

Question 14

Most common neoplasm of salivary?

Answer 14

Pleomorphic adenoma (benign)

Question 15

Plumer vinson syndrome?

Answer 15

Iron deficiency, dysphagia, esophageal webs

Question 16

Dysphagia workup?

Answer 16

First barium, then EGD, then manometry.

Question 17

Acalculus cholecystits is complication of TPN

Answer 17

oho ok

Question 18

Chest pain with dysphagia?

What do you see on barium swallow?

Tx?

Answer 18

Cork screw on swallow for diffuse esophageal spasm

Monometry shows uncoordinated

Tx: CCBs, TCA, Nitrates

Question 19

Zenker tx?

Answer 19

Cricopharyngeal myotomy. IT IS A CANCER RISK IF LEFT

Think about all the brewing infection in that stuff

Question 20

Milk of magnesia can help acid, but causes what?

Answer 20

diarrhea

Question 21

Calcium and aluminum antacids can cause what?

Answer 21

N/V

Best to use less than 2 times per week

Question 22

All GERD meds are safe in preggers

Answer 22

OH OK

Question 23

Barrets is risk of what cancer?

Answer 23

ADENO

Question 24

Esophageal cancer has poor prognosis, sow hat do you do?

Answer 24

RESECT AND THEN CHEMORADIATION

Question 25

Mallory wise vs boorehave?

Answer 25

Wise is tear in mucosa, BOORHAVE is bad rupture all the way through