GI/nutrition reverse

Question 1

Cholelithiasis or cholecystitis

Answer 1

Fat, forty, female, fertile with RUQ pain

Question 2

Cholecystitis

Answer 2

Fever, RUQ pain, radiation to back

Question 3

GERD

Answer 3

Chronic cough, bitter taste in mouth or throat, dyspepsia

Question 4

Acute pancreatitis

Answer 4

N/V, epigastric abdominal pain, radiates to the back, worse supine, caused by alcohol ingestion, or following fatty meals

Question 5

Acute pancreatitis (Cullen and Grey Turner’s sign)

Answer 5

Peri-umbilical or flank ecchymosis

Question 6

Testicular torsion and paraphimosis

Answer 6

Urologic emergencies

Question 7

SBO

Answer 7

Abdominal distension, bloating, intermittent, colicky pain, high-pitched rushes and tinkles

Question 8

SBO*

Answer 8

Air fluid levels on upright abd plain film

Question 9

Perforated viscus, perforated ulcer

Answer 9

Air under diaphragm, rigid board like abdomen

Question 10

Diverticulitis. IV ABx, fluids, NPO

Answer 10

> 60yo F, LLQ

Question 11

Crohn’s disease

Answer 11

Transmural granulomatous disease, affecting any part of GI tract - mouth to anus

Question 12

Mesenteric ischemia

Answer 12

Elderly, Hx atherosclerosis. Dull crampy periumbilical pain post-prandial

Question 13

Pyloric stenosis

Answer 13

Neonate with projectile vomiting. Olive sized mass

Question 14

Esophageal varices (Tx w/ octreotide)

Answer 14

Alcoholic with massive hemoptysis

Question 15

Colon cancer

Answer 15

apple core lesion

Question 16

Colon cancer - get colonoscopy

Answer 16

elderly with positive hemoccult

Question 17

Colon carcinoma

Answer 17

CEA

Question 18

Familial adenomatous polyposis (Gardner’s syndrome)

Answer 18

Family history of young age colon cancer, multiple polyps found on colonoscopy

Question 19

Ovarian carcinoma

Answer 19

CA-125

Question 20

E. coli is cause. Hydration and Cipro to treat

Answer 20

Traveler’s diarrhea

Question 21

Giardia

Answer 21

Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 “eyes”. Water, travel, camping history

Question 22

Internal hemorrhoids

Answer 22

Painless rectal bleeding. Bulging perianal mass w/ straining

Question 23

Pruritis anal - pinworms (enterobiasis). Tx is mebendazole

Answer 23

Pediatric with perianal pruritis esp. at PM. Positive cellophane tape test

Question 24

Direct inguinal hernia

Answer 24

With your finger in a male patient’s inguinal canal the patient coughs. You feel intestine tap the lateral aspect of your finger

Question 25

Celiac sprue

Answer 25

Weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods

Question 26

Indirect inguinal hernia

Answer 26

with your finger in a male patient’s inguinal the patient coughs. You feel intestine tap the distal tip of your finger

Question 27

Ulcerative colitis

Answer 27

Inflammatory disease of the mucosa and submucosa only. Continuous pattern, with rectum nearly always involved.

Question 28

Ligament of Treitz

Answer 28

Anatomical separation for upper verses lower GI bleed

Question 29

H. pylori

Answer 29

Most common cause of nonerosive gastritis

Question 30

Pancreatitis

Answer 30

Ranson’s criteria

Question 31

Abdominal pain, alleviating factor is leaning forward

Answer 31

Pancreatitis

Question 32

Greater than 30

Answer 32

BMI suggestive of obesity