GI pance prep Flashcards
1
Q
what is like a colonoscopy of the upper GI
A
EGD
2
Q
what is the best test for chrons disaease
A
upper GI series with small bowel follow through
3
Q
what are the 2 MC causes of esophagitis
A
- GERD
2. Immunocompramised
4
Q
esophagitis test
A
EGD
5
Q
Esophagitis: yellow white plaques visual
A
candidia
6
Q
Esophagitis:superficial shallow ulcers visual
A
CMV
7
Q
Esophagitis: small deep ulcers ulcers visual
A
HSV
8
Q
eosinophilic esophagitis is associated with what condition
A
atopic triad
9
Q
Pill esophagitis is associated with what 2 medications
A
bisphosphenates
NSAID
10
Q
relaxation of LES
A
GERD
11
Q
1st line GERD dx
A
endoscopy
12
Q
what is the 1st line tx for GERD
A
H2
13
Q
Increased LES pressure
A
achalasia
14
Q
dysphagia of both solids and liquids
A
achalasia
15
Q
DX of achalasia
A
esophageal manometry
16
Q
2 tx for achalasia
A
- botox
2. CCB
17
Q
excessive contractions of esophagus during peristalsis
A
nutcracker esophagitis
18
Q
parangoesophageal pouch
A
zenkers diverticulum
19
Q
zenkers diverticulum tx
A
diverticulectomy
20
Q
full thickness rupute of distal esopahgus
A
full thickness rupute of distal esopahgus
21
Q
forcefull vomiting after ETOH and bleeding
A
- mallory weiss tear
22
Q
dialation fo the collateral submucosal veins as a complication of portal hypertension
A
esophageal verices
23
Q
what medication decreased active GI bleeding
A
octreotide
24
Q
what type of hernia is type I
A
slidding
25
what type of hiatial hernia is MC
type I
26
what type of esophageal neoplasm is MC
squamous cell
27
what is the mC location of esophageal neoplasm
- upper 1/3
28
2 MC risk factors of esophageal neoplasms
- tobacco
| - ETOH
29
what type of esophageal cancer is a complication of GERD
adenocarcinoma
30
dysphagia with only solid foots think what
- adenocarcinoma
31
what is the test of choice with esophageal neoplams
- edoscopy
32
what are the 3 MC causes of gastritis
1. helicobacter
2. NSAID
3. stress
33
what are the MC cause of PUD
1. Hpylori
| 2. NSAID
34
what is the MC cause of upper GI bleed
PUD
35
what is the best test for PUD
endoscopy
36
what is triple therapy for H pylori
Clarithromycin
amoxicillin
PPI
37
what type of PUD gets better with food
duodenal
38
what type of PUD is MC benign and most always benign
- duodeanal
39
gastrin secreting neuroendocrine tumor
zollinger ellison syndrome
40
Kissing ulcers is what syndrome
zollinger ellison syndrome
41
what is the MC symptom of gastrin sectrting tumor
diarrhea
42
increased indirect bilirubin levels with normal EFT
Gilbert's syndrome
43
what is the test of choice for choleithiasis
US
44
what is the TX for choledicholithiasis
ERCP
45
what is the MC cause of acute cholecystitis
ecoli
46
what is Boas sign
right shoulder pain from the gallbaldder
47
cholecystitis Dx test 1st
US
48
cholecystitis Dx test gold standard
HIDA
49
cholecystitis Tx 2
1. Ceftriaxone + metronigtazole
| 2. CCY
50
If someone has increased Bilirubin without increased LFT suspect what
Dubin Johnson
| gilbert syndrome
51
Increased direct Bilirubin and Dark liver what Dx
Dubin Johnson
52
Increased indirect Bilirubin without an increase in LFT
Gilbert syndrome
53
what is the tx for acute hepatic failure (3)
- Lactlose
- Rifampin
- protein restriction
54
what is rays syndrome
asprin use with viral hepititis
55
what hep has a spiking fever
Hep A
56
what will someone with acute Hep not do
smoke
57
what Hep becomes chronic
Hep C
58
hepatic vein obstruction is AKA what syndrome
Budd chairi syndrome
59
AFP is increased in what type of cancer
- Liver
60
autoimmune distruction of liver cells in middle aged women
PBC
61
PBC treatment
urosdeoycycline
62
autoimmune destruction of liver in crones CUC
PSC
63
too much copper what dx
wilsons disease
64
tx for wilsons disease
- D pencillamine
65
what are the 2 MC reasons for acute pancreatitis
etoh
| gallstones
66
what position is worse for pancreatitis
supine
67
what is the best test for pancreatitis
CT
68
is is courvoisier sign associated with
pancreatic cancer
69
what is painless jaundice associated with
pancreatic cancer
70
what is the tx for pancreatic cancer
Whipple procedure
71
what is the symptom of merkels diverticulum
painless rectal bleeding
72
what is the MC cause of a small bowel obstruction
adhesions
73
ladder pattern on abdominal radiograph
SBO
74
decreased peristalsis without obstruction
paralytic illius
75
what is the best dx test for paralytic illius
abdominal X ray
76
what is the dx for celiac disease
small bowel biopsy
77
what is the best test for lactose intolerance
hydrogen breath test
78
diviticulosis is what type of diet
low fiber
79
what is the best test for dirvirticular diseases
CT
80
what area of the colon is MC for dirvirticular diseases
sigmoid
81
what is the best tx for volculus
endoscopic decompression
82
Hallmark: altered bowel habits with abdominal pain
IBS
83
what is the qualification fx for IBS
1 day for week for 3 months
84
what emotional medication is used for IBS
TCA
85
sudden decrease in blood supply to the bowel
mesenteric ischemia
86
dx for mesenteric ischemia
angiogram
87
MC case of lower GI bleed
diverticulitis
88
what is the qulaification for toxic mega colon
> 6 cm + symptoms
89
what are 2 MC causes of toxic mega colon
crohns, CUC
90
what are the 2 IBD
1. Crohns
| 2, CUC
91
what IBD has bloody diarrhea
CUC
92
string sign what pathology
Crones
93
a Colonoscopy is contraindicated in the acute phases of what pathology
- IBD
94
what are the three polyp types
1. psodopolyps
2. hyperplastic
3. adenomatous
95
what type of polyp is the worset
adenomatous- villious adenoma
96
what is teh MC location of spread for colon cancer
liver
97
what is the MC reason for large bowel obstruction in adults
CRC
98
CEA is elevated in what type of cancer
CRC
99
apple core lesion think what
CRC
100
what age for colonoscopy
avg: 50 - 75
1st > 60: 40- 75 (Q10)
1st < 60: 40- 75 (Q5)
101
FAP what age for coloniscopy
screen at 12
102
MC cause of gastroenteritis in adults
norovirus
103
MC cause of diarrhea in kids
Rota Virus
104
Diarrhea with dary, mayonnase, meat, eggs
- staphylococcus aurus
105
contaminated food or water rice water stools
vibrio cholerae
106
vibrio cholerae tx
tetracyclne
107
what is the tx for C diff
metronigtazole
108
what are the three MC causes of infectious esophagitis
- candida
- CMV
- HSV
109
what tx for CMV esophagitis
ganciclovir
110
what is the gold standard for GERD
24 Hr Ph
111
what is a full thickness tear of the distal esopahgus
Boerhaave syndrome
112
Boerhaave syndrome dx
contrast esophogram
113
what three pathologies does octreotide tx
carcinoid tumor
excess growth hormone
esophageal varices
114
how do you dx gastritis
endoscopy
115
what is the MC cause of upper GI bleed
PUD
116
best test for zollinger ellison syndrome
fasting gastrin level
| secretin tests
117
early satiety think what
gastric carcinoma
118
water bottle stomach is a sign of what
gastric carcinoma
119
how do you treat Dubin johnson or Gilbert's syndromw
- no tx needed
120
what is the MC cause of hepatic failure
acetaminiphen
121
what is
- encephalopathy
- asterixis
associated with
liver failure
122
what lab is associated with liver failure
Inc ammonia
| Inc PT /INR
123
what are some of the MC (3) associated with the prodromal phase of hepatitis
- malaise
- arthralgia
- fatigue
124
what hep is associated with waterborn outbreak
Hep E
125
tx for hep B
Tenovir
126
what comes first IG-G or Ig-M
Ig-M
127
what is the marker for hep B immunizations
HBsAB (surface antibody)
128
when is hep B vaccinations given
0
1
6 months
129
who cannot get the hep B vaccination
if they are alergic to bakers yeast
130
what is the trifecta for Budd chiai syndrome
- RQU pain
- ascites
- hepatomegaly
131
Budd chiai syndrome dx
US
132
what exzyme is associated with HCC
AFP
133
what is the #1 symp of PBC
fatigue
134
is is the hallmark of PBC
anti - mitochondiral antibody
135
what is PSC asscoated with
IBD
136
what pathology is decreased cerulopasmin
wilsons
137
where is the location of pcreatic carcinoma
head
138
what is a palpable non tender gallbladder
courvoiseir sign (pancreatic cancer)
139
what DX is pacreatic cancer
CT
140
what is the auscultation on SBO
high pitched tinkes
141
what is the dx for paralytic ilius
plain radiograph
142
how do you tx diverticulitis
cipro + flagyl
143
what IBD is bloody diarrhea
UC 4 show
144
- cobblestone
| - skip lesions
Crones
145
colonoscopy CI in what condition
CUC
