GI Wk 2

Question 1

HbsAg+
Anti-Hbc+
IgM anti-Hbc negative

Answer 1

Chronic HBV Infection

Question 2

HbsAg+
Anti-Hbc+
IgM anti-Hbc +

Answer 2

Acutely infected

Question 3

HbsAg -
Anti-Hbc +
Anti-Hbs +

Answer 3

Immune due to infection

Question 4

Just Anti-Hbs +

Answer 4

Immune due to vaccine

Question 5

How long does it take for HbsAg to show up after transmission?

Answer 5

About 4 weeks on average

Question 6

In a patient without an acute infection, when should they test HbsAg negative?

Answer 6

Around 14 weeks

Question 7

PPI’s cause which 2 SE’s

Answer 7

HA and Nausea

Question 8

Promethazine

Answer 8

Phenergan

Phenothiazine class

Question 9

pANCA antibodies =

Answer 9

Ulcerative Colitis

Question 10

Which infammatory bowel dz is transmural?

Answer 10

Crohns

Question 11

NOT smoking makes which IBD worse?

Answer 11

Ulcerative colitis

Smoking makes crohns worse.

Question 12

Charcots Triad

Answer 12

Of Acute Cholangitis
RUQ pain
Jaundice
Fever and chills

Question 13

Which IBD had cobblestoning

Answer 13

Crohns

Question 14

String sign =

Answer 14

Crohns

Question 15

Murphys sign =

Answer 15

Acute Cholecystitis

Question 16

Why should porcelain GB be removed?

Answer 16

GB Adenocarcinoma

Question 17

AMA antibody =

Answer 17

PBC (Primary BIliary Cirrhosis)

Question 18

ANCA Antibody =

Answer 18

Primary Sclerosing Cholangitis

Question 19

Drugs to tx Ulcerative Colitis

Answer 19

Sulfasalazine
Mesalazine
Steroids

Question 20

Skip lesions =

Answer 20

Crohns

Question 21

Which IBD is more likely to have bloody diarrhea?

Answer 21

Ulcerative Colitis

Question 22

ASCA Test =

Answer 22

Crohns

Question 23

IBS is a dx of?

Answer 23

Exclusion

Question 24

IBS abd pain is relieved by?

Answer 24

defacation

Question 25

Cholecystitis is usually caused by?

Answer 25

Gallstones

Question 26

HIDA Scan

Answer 26

Cholescintography

Checks out biliary tree

Question 27

If GB doesnt fill in HIDA scan, whats the dz?

Answer 27

Obstructive, acute cholelithiases

Question 28

Abx for acute cholecystitis?

Answer 28

Cipro and Flagyl

Question 29

Why should porcelain GB be removed?

Answer 29

Risk for GB Adenocarcinoma

Question 30

What is inflammation of the bile duct system called?

Answer 30

Cholangitis

Question 31

Primary sclerosing cholangitis is associated with?

Answer 31

Ulcerative colitis

80% crossover

Question 32

Definitive tx for primary sclerosing cholangitis?

Answer 32

Transplant

Question 33

Main 2 symptoms of Primary BIliary Cirrhosis

Answer 33

Fatigue and Pruritis
Also Portal HTN
Hyperpigmentation

Question 34

UDCA is used to tx?

Answer 34

PBC`

Question 35

Gilberts shows elevation in which liver lab?

Answer 35

Unconjugated BIli (Indirect .Bili)

Question 36

Bronzing, diabetes and cirrhosis =

Answer 36

Hemochromatosis

Question 37

Excess of copper in early life =

Answer 37

Wilsons dz

Liver dz and neuropsych

Question 38

Keiser-Fleicher rings =

Answer 38

Wilsons dz

Question 39

What is the AST:ALT ratio in alcoholic hepatitis?

Answer 39

Greater than 2

Question 40

Chronic HBV Tx

Answer 40

Interferon

Question 41

Which hep causes HCC?

Answer 41

HCV

Question 42

HCV Tx

Answer 42

Peginterferon

Question 43

Waterborne RNA Virus

Answer 43

HEV

Question 44

Encephelopathy Tx

Answer 44

Lower Ammonia Levels with …
Lactulose
Enemas

Question 45

HDV is associated with?

Answer 45

HBV

Question 46

85% of all GI bleeds are?

Answer 46

Upper

PUD Most common, then varices, gastritis

Question 47

Most common site for LGI Hemorrhage?

Answer 47

Colon

Usually diverticulosis

Question 48

Which component in gluten causes celiacs?

Answer 48

Gliadin

Question 49

IgA Antibodies to Endomysium

Answer 49

Pathognomonic for Celiacs Dz

Question 50

Dermititis Herpitiformis

Answer 50

Associated with Celiacs