GI (New)

Question 1

What is the likely diagnosis with a newborn that has delayed meconium passage?

Answer 1

Hirschsprung Disease

Question 2

What type of hepatitis is least likely to cause fulminant hepatitis with massive hepatic necrosis and impairment of consciousness?

Answer 2

Hepatitis C

Question 3

What are some complications of Transjugular Intrahepatic Portosystemic Shunt (TIPS)?

Answer 3

Hepatic encephalopathy, shunt stenosis or occlusion, infection

Question 4

Charcot triad is seen in:

Answer 4

Acute Cholangitis

chArcot, cholAngitis

Question 5

Which condition can be treated with sigmoidoscopy?

Answer 5

Sigmoid Volvulus

Question 6

What is the gold treatment for Esophageal Varices?

Answer 6

Endoscopic band ligation

Question 7

What is the age range for Intussusception to occur?

Answer 7

5 months to 3 years

Question 8

What is the most likely cell type for stomach carcinoma?

Answer 8

Adenocarcinoma

Question 9

What is the classic triad of Chronic Pancreatitis?

Answer 9

1. Pancreatic calcifications on KUB
2. DM
3. Steatorrhea

Question 10

What meds fall under osmotic laxatives? What is the MOA?

Answer 10

• PEG, Lactulose, Sarbitol, Saline laxatives (MOM, Mg Citrate)
• H2O retention in stool, pulls H2O into gut.

Question 11

What lab test is specific for Portal HTN?

Answer 11

↑ ascites albumin gradient

Question 12

What diagnostic study is most likely to be positive in the setting of Crohn disease?

Answer 12

(+) ASCA: Anti-Saccharomyces cerevisiae antibodies

Question 13

Antimitochondrial antibodies are seen in:

Answer 13

Primary biliary cirrhosis** > Primary biliary cholangitis

Question 14

A patient presents with sudden onset of frequent watery stools, fever and abdominal pain. She is healthy, but she is being treated with Topical Benzoyl Peroxide and PO Clindamycin for Acne. What is the diagnosis?

Answer 14

-Pseudomembranous enterocolitis caused by C. difficile

Question 15

How is Diverticular Disease diagnosed?

Answer 15

Contrast CT

Question 16

What PE is pathognomonic in Wilson Disease? What labs are seen?

Answer 16

• Kayser-Fleischer rings

- ↓ serum ceruloplasmin

Question 17

On an upper endoscopy, small, deep ulcers at the distal esophagus are seen. What is the likely diagnosis and etiology?

Answer 17

Infectious Esophagitis d/t HSV

Question 18

A HIDA scan and IV Cholecystokinin fail to show contractility of gallbladder. What is the likely diagnosis?

Answer 18

Biliary Dyskinesia

Question 19

To control a bleed prior to surgical resection of diverticula, what medication can be given IV?

Answer 19

Vasopressin

Question 20

What meds fall under stimulant laxatives? What is the MOA?

Answer 20

• Bisacodyl, Senna

- ↑ Ach regulated GI motility and alters electrolyte transport in the mucosa.

Question 21

How is Hirschsprung Disease diagnosed?

Answer 21

Rectal biopsy

Question 22

What meds fall under bulk forming laxatives? What is the MOA?

Answer 22

• Psyllium, Methylcellulose, Polycarbophil, Wheat Dextran

- Absorbs H2O and ↑ fecal mass.

Question 23

On an upper endoscopy, large superficial shallow esophageal ulcers are seen. What is the likely diagnosis and etiology?

Answer 23

Infectious Esophagitis d/t CMV.

Question 24

What x-ray finding will be seen in a GI perforation?

Answer 24

Free air under the diaphragm

Question 25

What is the treatment for Infectious Esophagitis caused by Candida?

Answer 25

Fluconazole

Question 26

What is the endoscopic finding for Eosinophilic Esophagitis?

Answer 26

Stacked circular rings

Question 27

What is the most sensitive and specific test for GERD?

Answer 27

24 h pH monitoring

Question 28

What lab abnormality is seen in severe diarrhea?

Answer 28

Metabolic Acidosis and Hypokalemia (d/t loss of K and HCO3)

Question 29

What medication(s) improves survival by decreasing the occurrence of hepatorenal syndrome in alcoholic hepatitis?

Answer 29

Pentoxifylline or Prednisone