gi, i fucking hate gi Flashcards by Paige LaPointe | Brainscape

Q

barretts esophagitis, squamous epithelium is replaced by _____ epithelium

A

columnar

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Q

barretts/smoking lead to this type of esophageal cancer

A

adenocarcinoma

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Q

etoh leads to this type of esophageal cancer

A

squamous cell

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Q

gold standard test for achalasia

A

manometry

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Q

corkscrew esophagus

A

esophageal spasm

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Q

test of choice for zenkers

A

Ba swallow/esophagram

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Q

pt has vomiting + chest pain + pneumomediastinum (crepitus), what do you suspect

A

Boerhaave’s syndrome

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Q

dysphagia
esophageal webs
Fe def anemia
this is a triad for what

A

plummer vinson syndrome

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Q

treatment of choice for esophageal varices

A

ligation

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Q

MC esophageal neoplasm

A

squamous cell

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Q

young person with esophageal neoplasm is most likely what?

A

adenocarcinoma

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Q

MC cause of gastritis

A

H PYLORI YAY MICHELLE I HOPE YOU’RE READING THIS

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Q

3 drug tx for ulcers

A

clarithro
amox
PPI

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Q

4 drug tx for ulcers

A

PPI
bismuth
tetracycline
flagyl

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Q

ulcer that is better with meals, worse 2-5h after meals, occurs in younger pts

A

duodenal ulcers

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Q

ulcer that is worse with meals, esp 1-2h after, occurs in older pts

A

gastric ulcers

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Q

ulcers caused by an increase in damaging factors

A

duodenal

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Q

ulcers caused by a decrease in protective factors

A

gastric

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Q

kissing ulcers =

A

zollinger-ellison syndrome

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Q

best test to screen for z-e syndrome

A

fasting gastrin level (inc)

there will also be + secretin

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Q

MC type of gastric cancer

A

adeno

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Q

string sign on upper EGD

A

pyloric stenosis

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Q

ascites
hepatomegaly
ruq pain
prob a woman in a hypercoag state
what is this

A

budd-chiari syndrome
wtf is this
i hate gi

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Q

in lieu of my question on the last card saying “wtf is this,” what is budd chiari syndrome

A

hepatic vein obstruction

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Q

whatever imaging you get for budd chiari syndrome (us/venography) what is it most important to assess

A

whether vena cava is being occluded

Q

tx to break up gallstones

A

ursodeoxycholic acid

Q

why dont you use morphine in gallbladder or pancreatic pain

A

increased sphincter of oddi spasm

Q

jaundice occurs at a bili of > _____

A

2.5

Q

increased direct/conjugated bili suggests what

A

obstructive/posthepatic

Q

increase indirect/unconjugated bili suggests what

A

prehepatic/hemolytic

Q

physiologic jaundice occurs on what days

A

3-5

Q

if hcv has resolved, with HCV RNA be positive or negative

A

negative

Q

lab to screen for HCC

A

serum alfa fetoprotein

Q

HBs Ag indicates what

A

+ infx at some point

Q

HBs Ab indicates what

A

vaccination OR resolved infx

Q

HBc Ag indicates what

A

exposed at some point

Q

HBc Ab indicates what

A

hx of acute or chronic infx

Q

HBe Ag

A

infective! treat!

Q

HBe Ab

A

infection cleared, don’t treat

Q

what if you get allll the HBV tests and the ONLY thing that comes back positive is the HBc Ab. what does that mean?

A

this is the window period for HBV don’t ask me what that means

Q

what drug do you give for cirrhosis with pruritis

A

cholestyramine (questran)

Q

score to assess end stage liver disease

A

MELD score

Q

incidental finding of asx increased alk phos is probably what disease

A

primary biliary sclerosis

Q

+ anti-mitochondrial Ab

A

primary biliary sclerosis

Q

liver/gallbladder sx in a person who has ulcerative colitis is most likely this disease

A

primary sclerosing cholangitis

Q

Ransons Criteria for pancreatitis

A

glucose > 200
age > 55
ldh > 350
ast > 250
wbc > 16,000

Q

person has steatorrhea, new DM diagnosis, what disease should you think

A

chronic pancreatitis

Q

currant jelly stool

A

intussusception

Q

how do you dx AND treat intussusception

A

Ba enema

Q

how do you tx volvulus

A

decompression w/ endoscopy

Q

llq pain and blood diarrhea, obviously you think of diverticulitis, but what else should you also think that presents this way

A

ischemic colitis

Q

string sign on colonoscopy

A

crohns (from strictures)

Q

stovepipe sign on colonoscopy

A

UC (from loss of haustra)

Q

when do you confirm h pylori eradication after treatment

A

4 weeks

Q

what disease can be induced by ercp

A

pancreatitis

Q

pancreas shows heterogenous appearance and fat stranding

A

chronic pancreatitis

Q

what is the tumor marker for panc cancer

A

ca19-9

Q

what is the tumor marker for colon cancer

A

cea

Q

mrcp shows “beading” of the bile ducts

A

primary biliary sclerosis

Q

kid pulls his knees up to chest

A

intussuception