GI - non - biliary and liver Flashcards

1
Q

what are the causes of dysphagia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how do you diagnose dysphagia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what complication of dysphagia do you need to be wary of? what to do?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the pathogenesis of Achalasia? characteristic and dx features?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the characteristic features of achalasia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what tests are used to diagnose achalasia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is an important dd of achalasia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the tx of achalasia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the presentation of dysphagia 2/2 neurologic dysfunction?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is diffuse esophageal spasms?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how do you diagnose DES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the tx of DES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how does esophageal anatomic obstruction present?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is a schatzki ring? tx?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Presentation and tx of esophageal stricture?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

presentation and tx of malignant obstruction?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is plummer vinson syndrome?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

presentation of scleroderma and SSC?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how do you work up and tx scleroderma and SSC?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

presentation and x of mallory-weiss syndrome

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

presentation and tx of esophageal rupture/perforation?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

presentation and diagnosis of Eosinophlic eosphagitis?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

tx of eosinophilic esophagitis?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

causes of esophagitis?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the side effects of PPI?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

pathophysiology of GERD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

symptoms and extra-esophageal symptoms of GERD? complications?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

dx and work up of GERD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

when do you use ambulatory PH monitoring for GERD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

tx of mild-moderate GERD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

tx of severe GERD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what is barrett esophagus?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

tx and screening of barrett esophagus?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

esophageal cancer - types, risk factors, dx and treatment?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

presentation and tx of zenker diverticulum?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what is the dominant mediator of postprandial gastric acid production?

A

Gastrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

describe the physiology of the stomach?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what stimulates and inhibits gastrin?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

what is dyspepsia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

how do you manage dyspepsia?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

what is gastritis? classifications?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

what can cause erosive gastropathy? tx?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

what can h.pylori cause?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

when do you test for H.pylori?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

what are the invasive tests for H.Pylori?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

what are the non-invasive evaluation tests for H.Pylori?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

what is the tx for h.pylori?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

what are the 3 major causes of PUD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

how do you make the dx of pUD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

tx of nonbleeding PUD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

what are the indications for surgery in PUD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

most common causes of duodenal ulcers?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

what are the risk factors associated with bleeding peptic ulcers associated with NSAIDs?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

what is the work up for UGI bleeding? when do you do EGD?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

tx of active bleeding GI ulcer?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

what are non-ulcers causes of UGI bleeds?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

what is ZES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

when should you consider dx of ZES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

how do you evaluate for ZES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

what is the tx for ZES?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

what other conditions outside of ZES that have elevated gastrin levels?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

what is the usual cause of gastric NET?

63
Q

what are the 3 types of gastric NETs?

64
Q

Gastric NETs can be associated with which skin condition?

65
Q

what is dumping syndrome? symptoms and tx?

66
Q

what is the clinical presentation of gastroparesis in diabetics?

67
Q

other than DM, what are other causes of gastroparesis?

68
Q

what is the dx/work up of gastroparesis?

69
Q

how do you treat gastroparesis?

70
Q

when is colonoscopy contraindicated in IBD?

71
Q

what clinical features are the same/different in crohn vs UC?

  1. Lesions
  2. Clinical course
  3. Prednisone
  4. Granulomas
  5. rectal involvement
  6. perianal disease
  7. SB involvement
72
Q

what are the main drugs used for IBD treatment?

73
Q

MOA/side effect of

  • Mesalamine
  • Sulfasalazine
  • flagly
  • budenoside
  • MAB
74
Q

MOA/side effect of 6-MP and azathiopurine, mtx for IBD?

75
Q

how do you diagnose crohns?

76
Q

patient presentation of Crohn colitis?

77
Q

antibodies assoicated with IBD?

78
Q

what are the terminal illeum problems in CD?

79
Q

compare treatment based on

  • severity
  • stools/day
  • KUB fidnings
  • Tx for UC
  • Tx for Crohns
80
Q

medical treatment for Crohn?

81
Q

what predicts recurrence in CD?

82
Q

what are the treatment scenarios for CD based upon location?

83
Q

diagnosis of UC?

84
Q

main symptoms of UC?

85
Q

what are the extraintestinal manifestations of UC?

86
Q

what are the complications of UC?

87
Q

what is the risk factors and screening recs for UC?

88
Q

what is the curative treamtent for UC?

89
Q

what are hte noncanerous indications for surgery for UC?

90
Q

what is treatment for UC flare?

91
Q

what is the treatment for mild disease UC?

92
Q

what is the tx option for moderate/severe UC?

93
Q

what is the maintenance treamtents for UC?

94
Q

buzz word in IBD

  1. Tenesmus
  2. Rectal bleeding
  3. fecal soiling
  4. hydronephrosis withoutstones
  5. pneumaturia
95
Q

define diarrhea and duration of acute vs persistent vs chronic

96
Q

how do you make dx of acute diarrhea?

97
Q

what are the mechanisms of chronic diarrhea?

98
Q

what are the causes of secretory diarrhea?

99
Q

osmotic vs secretory diarrhea:

  1. Volume
  2. effect of fasting on volume
  3. serum Osm
  4. stool osm
  5. stool osmotic gap
100
Q

what are some causes of chronic diarrhea?

A
  1. HIV
  2. IBD
  3. diabetes
  4. Carcinoid
  5. diabetic diarrhea
  6. visceral autonomic neuropathy (diabetes, amyloidosis)
  7. Microscopic colitis
  8. Radiation enteritis
  9. Endocrinopathies (thyroid, adrenal insufficiency)
101
Q

diarrhea + HIV + fever = ddx?

102
Q

what is carcinoid syndrome?

103
Q

how do you diagnose carcinoid syndrome?

104
Q

what is visceral autonomic neuropathy

105
Q

what is the stage 1 of dx of chronic diarrhea?

106
Q

what is stage 2 and 3 of diagnosis of chronic diarrhea?

107
Q

when do you suspect malabsorption?

108
Q

what are the 2 big categories of malabsorption that you can divide it into?

109
Q

what are the causes of malabsorption due to decreased mucosal transport?

110
Q

what is celiac disease?

111
Q

what are the extraintestinal manifestations of celiac disease?

112
Q

what is the nutritional deficiencies of celiac disease?

113
Q

what are patient’s with celiac disease at risk of developing?

115
Q

what is the diagnostic criteria of celiac disease?

116
Q

how do you treat celiac disease?

117
Q

what is collagenous sprue? tx?

118
Q

what is tropical sprue?

119
Q

tetrad associated with whipple’s disease?

120
Q

what is whipple’s disease?

121
Q

how do you diagnose whipple’s disease?

122
Q

what are the symptoms of whipple’s disease?

123
Q

how do you treat whipple’s disease? ddx?

124
Q

what is short bowel syndrome?

125
Q

what are the 2 main causes of malabsorption due to decreased digestion?

126
Q

what is the best indicator of malabsorption?

127
Q

how do you know if the cause of malabsorption is a small bowel mucosal problem vs a digestive problem?

128
Q

what is SIBO?

129
Q

how do you diagnose SIBO?

130
Q

how do you treat SIBO?

131
Q

how much resection causes malabsorption and what symptoms?

132
Q

what work up will you do for patient’s with constipation + ?

133
Q

what is the treatment of constipation?

134
Q

what are the symptoms of IBS?

135
Q

how do you need to do to establish the diagnosis of IBS?

136
Q

what are characteristic symptoms of IBS?

137
Q

what is the treatment of IBS?

138
Q

what are the 4 types of diverticular disease?

139
Q

what is the treatment of diverticulitis?

140
Q

what is the follow up for diverticulitis

141
Q

what is rendu-osler weber syndrome?

142
Q

what are the symptoms of bowel obstruction?

143
Q

what are the 4 types of intestinal ischemia?

144
Q

symptoms, dx and tx of acute mesenteric ischemia?

145
Q

pathophysiology/symptoms of ischemic colitis?

146
Q

dx and tx of ischemic colitis?

147
Q

chronic mesenteric ischemia?

148
Q

mesenteric venous thrombosis?

149
Q

Constipation algorithim?

150
Q

what are the symptoms of malabsorption?

A

bloody diarrhea, crampy abdominal pain, low-grade fever, weight loss, elevated inflammatory markers, hypoalbuminemia, and anemia.

151
Q

when is the following used or not used?

Deferoxamine?

Penciliamine?

Vitamin C?

A
  1. Deferoxamine - iron-chelating agents used in patients with iron overload 2/2 hemolytic anemia or dyserythropoietic syndromes
  2. Penicillamine is a copper - chelating agent used in Wilson’s disease
  3. Vitamin C should be avoided in patients with herediatry hemochromatosis because it increaseses absoprtion of iron.
152
Q

Name the bulking agents used in constipation?

153
Q

name the osmotic laxatives agents used in constipation? dose and side effect?

154
Q

Name the stimulant laxatives and chloride channel activators used in constipation?