GI nutrition word assoc

Question 1

Fat, forty, female, fertile w/ RUQ pain

Answer 1

Cholelithiasis or Cholecystitis

Question 2

Fever, RUQ pain, radiation to back

Answer 2

Cholecystitis

Question 3

Elevated Alkaline phosphatase, urinary bilirubin

Answer 3

Cholecystitis

Question 4

F, RUQ pain, Jaundice, gallstones & dilated common duct on US

Answer 4

Ascending cholangitis (Charcot’s triad)

Question 5

Hx IBD, progressive RUQ pain, wt loss, F, jaundice & pruritis. Elevated bilrubin & alkaline phosphate. ERCP with bile duct stenosis, dilatation

Answer 5

Primary sclerosing cholangitis (diffuse intra- and extrahepatic duct sclerosing and dilatation)

Question 6

Elevated AST, ALT, indirect bilirubin

Answer 6

Hepatitis

Question 7

Isolated elevated indirect bilirubin

Answer 7

Gilbert’s syndrome

Question 8

Elevated indirect bilirubin w/ defective glucuronyl transferase

Answer 8

Crigler-Najjar Dz

Question 9

Photosensitivity, abd pain w/ neurologic dysfunction, erythema or skin fragility

Answer 9

Porphyria

Question 10

H.pylori gastritis

Answer 10

2antibiotics & PPI

Question 11

Chronic cough, bitter taste in mouth or throat, dyspepsia

Answer 11

GERD

Question 12

Multiple or constant GI ulcer pain despite medications

Answer 12

Zollinger-Ellison Syndrome

Question 13

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

Answer 13

Acute pancreatitis

Question 14

Peri-umbilical or flank ecchymosis

Answer 14

Acute pancreatitis (Cullen & Grey Turner’s Sign)

Question 15

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

Answer 15

SBO

Question 16

Air fluid levels on upright abd plain film

Answer 16

SBO

Question 17

Air under diaphragm, rigid board-like abdomen

Answer 17

Perforated viscus, perforated ulcer

Question 18

> 60yo F, LLQ pain

Answer 18

Diverticulitis. IV Abx, fluids, NPO.

Question 19

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

Answer 19

Mesenteric ischemia

Question 20

Neonate w/ projectile vomiting. Olive sized mass.

Answer 20

Pyloric stenosis

Question 21

Choking, cyanosis, respiratory distress, increased secretions in 1st hours of life

Answer 21

Tracheoesophageal fistula

Question 22

Painless rectal bleeding in pediatrics

Answer 22

Meckel’s diverticulum

Question 23

Alcoholic with massive hemoptysis

Answer 23

Esophageal varicies (Tx w/ octreotide)

Question 24

Female with recurrent abdominal pain, alternating diarrhea, constipation.
Pain relieved with defecation.

Answer 24

IBS. TCA’s (nortriptyline) good if diarrhea predominant symptom

Question 25

Bloody Diarrhea

Answer 25

Ulcerative colitis

Question 26

Supraclavicular LAD (L > R)

Answer 26

Virchow's node - metastatic abdominal cancer

Question 27

Hard periumbilical nodule

Answer 27

Sister mary Joseph nodule = indicates metastatic gastric and pancreatic cancers

Question 28

PUD, Pernicious anemia (Type A Gastritis), H. pylori

Answer 28

Gastric Ca

Question 29

Apple core lesion

Answer 29

Colon Cancer

Question 30

Elderly with positive hemmocult.

Answer 30

Colon Cancer - get colonoscopy

Question 31

CEA

Answer 31

Colon Carcinoma

Question 32

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

Answer 32

Familial adenomatous polyposis (Gardner's syndrome)

Question 33

AFP

Answer 33

Hepatocellular carcinoma, testicular seminoma (germ cell tumor)

Question 34

CA 19-9

Answer 34

Pancreatic Ca

Question 35

CA-125

Answer 35

Ovarian Carcinoma

Question 36

Chemotherapy induced N&V

Answer 36

Treat with Ondansetron (Zofran) (5- HT3 blockers)

Question 37

Traveler's Diarrhea

Answer 37

E. coli is cause. Hydration & Cipro to treat

Question 38

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

Answer 38

Giardia

Question 39

Afebrile, watery or loose stool. No blood or mucus

Answer 39

Viral Gastroenteritis

Question 40

Abdominal pain, diarrhea after picnic/party. Eaten ham, cream, custards, mayonnaise

Answer 40

Staphylococcus aureus infectious diarrhea

Question 41

Acute bacterial diarrhea w/ prodrome of HA, F, then crampy abd pain & diarrhea

Answer 41

Campylobacter jejuni - most common cause of acute bacterial diarrhea

Question 42

Painless rectal bleeding. Bulging perianal mass w/ straining

Answer 42

Internal hemorrhoids

Question 43

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

Answer 43

Pruritis ani - Pinworms (enterobiasis). Tx is Mebendazole

Question 44

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

Answer 44

Celiac Sprue

Question 45

Anti-endomysial antibodies

Answer 45

Celiac Sprue

Question 46

Beriberi

Answer 46

Thiamine; Alcoholics, Neuro Sx

Question 47

Pellagra

Answer 47

Niacin (4D's dermatitis, diarrhea, dementia, death), bright red tongue

Question 48

Scurvy

Answer 48

Vit C (easy bleeding, bruising, hair & tooth loss, joint pain & swelling)

Question 49

Rickets

Answer 49

Vit D (Osteomalacia)

Question 50

Night blindness

Answer 50

Vit A deficiency

Question 51

Magenta tongue

Answer 51

Riboflavin deficiency (B2)

Question 52

s/p gastric bypass surgery or gastric surgery. N, abd cramping, dizziness after eating. No masses, bleeding

Answer 52

Dumping syndrome