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General Surgery > GI pance prep > Flashcards

GI pance prep Flashcards

1
Q

what is like a colonoscopy of the upper GI

A

EGD

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2
Q

what is the best test for chrons disaease

A

upper GI series with small bowel follow through

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3
Q

what are the 2 MC causes of esophagitis

A
  1. GERD

2. Immunocompramised

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4
Q

esophagitis test

A

EGD

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5
Q

Esophagitis: yellow white plaques visual

A

candidia

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6
Q

Esophagitis:superficial shallow ulcers visual

A

CMV

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7
Q

Esophagitis: small deep ulcers ulcers visual

A

HSV

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8
Q

eosinophilic esophagitis is associated with what condition

A

atopic triad

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9
Q

Pill esophagitis is associated with what 2 medications

A

bisphosphenates

NSAID

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10
Q

relaxation of LES

A

GERD

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11
Q

1st line GERD dx

A

endoscopy

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12
Q

what is the 1st line tx for GERD

A

H2

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13
Q

Increased LES pressure

A

achalasia

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14
Q

dysphagia of both solids and liquids

A

achalasia

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15
Q

DX of achalasia

A

esophageal manometry

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16
Q

2 tx for achalasia

A
  1. botox

2. CCB

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17
Q

excessive contractions of esophagus during peristalsis

A

nutcracker esophagitis

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18
Q

parangoesophageal pouch

A

zenkers diverticulum

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19
Q

zenkers diverticulum tx

A

diverticulectomy

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20
Q

full thickness rupute of distal esopahgus

A

full thickness rupute of distal esopahgus

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21
Q

forcefull vomiting after ETOH and bleeding

A
  • mallory weiss tear
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22
Q

dialation fo the collateral submucosal veins as a complication of portal hypertension

A

esophageal verices

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23
Q

what medication decreased active GI bleeding

A

octreotide

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24
Q

what type of hernia is type I

A

slidding

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25
Q

what type of hiatial hernia is MC

A

type I

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26
Q

what type of esophageal neoplasm is MC

A

squamous cell

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27
Q

what is the mC location of esophageal neoplasm

A
  • upper 1/3
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28
Q

2 MC risk factors of esophageal neoplasms

A
  • tobacco

- ETOH

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29
Q

what type of esophageal cancer is a complication of GERD

A

adenocarcinoma

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30
Q

dysphagia with only solid foots think what

A
  • adenocarcinoma
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31
Q

what is the test of choice with esophageal neoplams

A
  • edoscopy
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32
Q

what are the 3 MC causes of gastritis

A
  1. helicobacter
  2. NSAID
  3. stress
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33
Q

what are the MC cause of PUD

A
  1. Hpylori

2. NSAID

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34
Q

what is the MC cause of upper GI bleed

A

PUD

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35
Q

what is the best test for PUD

A

endoscopy

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36
Q

what is triple therapy for H pylori

A

Clarithromycin
amoxicillin
PPI

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37
Q

what type of PUD gets better with food

A

duodenal

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38
Q

what type of PUD is MC benign and most always benign

A
  • duodeanal
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39
Q

gastrin secreting neuroendocrine tumor

A

zollinger ellison syndrome

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40
Q

Kissing ulcers is what syndrome

A

zollinger ellison syndrome

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41
Q

what is the MC symptom of gastrin sectrting tumor

A

diarrhea

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42
Q

increased indirect bilirubin levels with normal EFT

A

Gilbert’s syndrome

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43
Q

what is the test of choice for choleithiasis

A

US

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44
Q

what is the TX for choledicholithiasis

A

ERCP

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45
Q

what is the MC cause of acute cholecystitis

A

ecoli

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46
Q

what is Boas sign

A

right shoulder pain from the gallbaldder

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47
Q

cholecystitis Dx test 1st

A

US

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48
Q

cholecystitis Dx test gold standard

A

HIDA

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49
Q

cholecystitis Tx 2

A
  1. Ceftriaxone + metronigtazole

2. CCY

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50
Q

If someone has increased Bilirubin without increased LFT suspect what

A

Dubin Johnson

gilbert syndrome

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51
Q

Increased direct Bilirubin and Dark liver what Dx

A

Dubin Johnson

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52
Q

Increased indirect Bilirubin without an increase in LFT

A

Gilbert syndrome

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53
Q

what is the tx for acute hepatic failure (3)

A
  • Lactlose
  • Rifampin
  • protein restriction
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54
Q

what is rays syndrome

A

asprin use with viral hepititis

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55
Q

what hep has a spiking fever

A

Hep A

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56
Q

what will someone with acute Hep not do

A

smoke

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57
Q

what Hep becomes chronic

A

Hep C

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58
Q

hepatic vein obstruction is AKA what syndrome

A

Budd chairi syndrome

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59
Q

AFP is increased in what type of cancer

A
  • Liver
60
Q

autoimmune distruction of liver cells in middle aged women

A

PBC

61
Q

PBC treatment

A

urosdeoycycline

62
Q

autoimmune destruction of liver in crones CUC

A

PSC

63
Q

too much copper what dx

A

wilsons disease

64
Q

tx for wilsons disease

A
  • D pencillamine
65
Q

what are the 2 MC reasons for acute pancreatitis

A

etoh

gallstones

66
Q

what position is worse for pancreatitis

A

supine

67
Q

what is the best test for pancreatitis

A

CT

68
Q

is is courvoisier sign associated with

A

pancreatic cancer

69
Q

what is painless jaundice associated with

A

pancreatic cancer

70
Q

what is the tx for pancreatic cancer

A

Whipple procedure

71
Q

what is the symptom of merkels diverticulum

A

painless rectal bleeding

72
Q

what is the MC cause of a small bowel obstruction

A

adhesions

73
Q

ladder pattern on abdominal radiograph

A

SBO

74
Q

decreased peristalsis without obstruction

A

paralytic illius

75
Q

what is the best dx test for paralytic illius

A

abdominal X ray

76
Q

what is the dx for celiac disease

A

small bowel biopsy

77
Q

what is the best test for lactose intolerance

A

hydrogen breath test

78
Q

diviticulosis is what type of diet

A

low fiber

79
Q

what is the best test for dirvirticular diseases

A

CT

80
Q

what area of the colon is MC for dirvirticular diseases

A

sigmoid

81
Q

what is the best tx for volculus

A

endoscopic decompression

82
Q

Hallmark: altered bowel habits with abdominal pain

A

IBS

83
Q

what is the qualification fx for IBS

A

1 day for week for 3 months

84
Q

what emotional medication is used for IBS

A

TCA

85
Q

sudden decrease in blood supply to the bowel

A

mesenteric ischemia

86
Q

dx for mesenteric ischemia

A

angiogram

87
Q

MC case of lower GI bleed

A

diverticulitis

88
Q

what is the qulaification for toxic mega colon

A

> 6 cm + symptoms

89
Q

what are 2 MC causes of toxic mega colon

A

crohns, CUC

90
Q

what are the 2 IBD

A
  1. Crohns

2, CUC

91
Q

what IBD has bloody diarrhea

A

CUC

92
Q

string sign what pathology

A

Crones

93
Q

a Colonoscopy is contraindicated in the acute phases of what pathology

A
  • IBD
94
Q

what are the three polyp types

A
  1. psodopolyps
  2. hyperplastic
  3. adenomatous
95
Q

what type of polyp is the worset

A

adenomatous- villious adenoma

96
Q

what is teh MC location of spread for colon cancer

A

liver

97
Q

what is the MC reason for large bowel obstruction in adults

A

CRC

98
Q

CEA is elevated in what type of cancer

A

CRC

99
Q

apple core lesion think what

A

CRC

100
Q

what age for colonoscopy

A

avg: 50 - 75
1st > 60: 40- 75 (Q10)
1st < 60: 40- 75 (Q5)

101
Q

FAP what age for coloniscopy

A

screen at 12

102
Q

MC cause of gastroenteritis in adults

A

norovirus

103
Q

MC cause of diarrhea in kids

A

Rota Virus

104
Q

Diarrhea with dary, mayonnase, meat, eggs

A
  • staphylococcus aurus
105
Q

contaminated food or water rice water stools

A

vibrio cholerae

106
Q

vibrio cholerae tx

A

tetracyclne

107
Q

what is the tx for C diff

A

metronigtazole

108
Q

what are the three MC causes of infectious esophagitis

A
  • candida
  • CMV
  • HSV
109
Q

what tx for CMV esophagitis

A

ganciclovir

110
Q

what is the gold standard for GERD

A

24 Hr Ph

111
Q

what is a full thickness tear of the distal esopahgus

A

Boerhaave syndrome

112
Q

Boerhaave syndrome dx

A

contrast esophogram

113
Q

what three pathologies does octreotide tx

A

carcinoid tumor
excess growth hormone
esophageal varices

114
Q

how do you dx gastritis

A

endoscopy

115
Q

what is the MC cause of upper GI bleed

A

PUD

116
Q

best test for zollinger ellison syndrome

A

fasting gastrin level

secretin tests

117
Q

early satiety think what

A

gastric carcinoma

118
Q

water bottle stomach is a sign of what

A

gastric carcinoma

119
Q

how do you treat Dubin johnson or Gilbert’s syndromw

A
  • no tx needed
120
Q

what is the MC cause of hepatic failure

A

acetaminiphen

121
Q

what is
- encephalopathy
- asterixis
associated with

A

liver failure

122
Q

what lab is associated with liver failure

A

Inc ammonia

Inc PT /INR

123
Q

what are some of the MC (3) associated with the prodromal phase of hepatitis

A
  • malaise
  • arthralgia
  • fatigue
124
Q

what hep is associated with waterborn outbreak

A

Hep E

125
Q

tx for hep B

A

Tenovir

126
Q

what comes first IG-G or Ig-M

A

Ig-M

127
Q

what is the marker for hep B immunizations

A

HBsAB (surface antibody)

128
Q

when is hep B vaccinations given

A

0
1
6 months

129
Q

who cannot get the hep B vaccination

A

if they are alergic to bakers yeast

130
Q

what is the trifecta for Budd chiai syndrome

A
  • RQU pain
  • ascites
  • hepatomegaly
131
Q

Budd chiai syndrome dx

A

US

132
Q

what exzyme is associated with HCC

A

AFP

133
Q

what is the #1 symp of PBC

A

fatigue

134
Q

is is the hallmark of PBC

A

anti - mitochondiral antibody

135
Q

what is PSC asscoated with

A

IBD

136
Q

what pathology is decreased cerulopasmin

A

wilsons

137
Q

where is the location of pcreatic carcinoma

A

head

138
Q

what is a palpable non tender gallbladder

A

courvoiseir sign (pancreatic cancer)

139
Q

what DX is pacreatic cancer

A

CT

140
Q

what is the auscultation on SBO

A

high pitched tinkes

141
Q

what is the dx for paralytic ilius

A

plain radiograph

142
Q

how do you tx diverticulitis

A

cipro + flagyl

143
Q

what IBD is bloody diarrhea

A

UC 4 show

144
Q
  • cobblestone

- skip lesions

A

Crones

145
Q

colonoscopy CI in what condition

A

CUC

General Surgery (30 decks)

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