GIT Flashcards

1
Q

Hepato duodenal ligament

A

Hepatic A portal V CBD ( hepatic vein missing) pringle maneuver

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2
Q

Pancreatic cholera

A
VIPoma 
Watery
Diarrhea 
Hypokalemia 
Achlorhydria
Syndrome
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3
Q

VIPoma from

A

Pancreatic islet

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4
Q

Jejunal ulcers

A

Gastrinoma (ZE syndrome)

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5
Q

Corkscrew esophagus

A

Diffuse esophageal spasm

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6
Q

Plummer winson syndrome risk

A

Squamous cell carcinoma

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7
Q

Which ulcer has ca risk

A

Gastric

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8
Q

Celiac disease

A

Gluten sensitive enteropathy

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9
Q

Whipple disease code

A

FOAMY WHIPPed cream in a CAN

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10
Q

Meckels diverticulum

A

Vitelline duct (omphalomesenteric duct)

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11
Q

Hirschprungs disease always involve

A

Rectum

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12
Q

Crohns dis mostly involve

A

Terminal ileum

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13
Q

Ulcerative colitis always involve

A

Rectum

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14
Q

Lynch syndrome

A

HNPCC

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15
Q

Lynch syndrome due to

A

Mutation of DNA mismatch repair gene

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16
Q

eg. of motilin receptor agonist

A

eryhtromycin

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17
Q

another name for papillary cystadenoma lymphomatosus

A

warthin tumor (have germinal centers)

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18
Q

malignant tumour of salivary gland

A

mucoepidermoid ca (pleomorphic is benign)

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19
Q

mallory weiss vs. boerhaave

A

m for mucosal

boerhaave is transmural

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20
Q

budd chiari syndrome which vein

A

hepatic

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21
Q

onion skin bile duct fibrosis

A

primary sclerosing cholangitis (ulcerative colitis, c-ANCA)

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22
Q

trousea syndrome

A

migratory thrombophlebitis seen in pancreatic adeno ca

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23
Q

indication of sulfasalazine

A

IBD

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24
Q

cardiac use of misoprostol

A

maintain PDA

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25
duodenal atresia seen in
down syndrome
26
apple peel atresia is a
vascular accident
27
caecum in RUQ
midgut volvulus | SMA involved- ladds bands
28
most common TEF
distal
29
failure to pass NG tube but air in CXR
TEF
30
2 points for gastrohepatic ligament
contain gastric arteries | can be cut to access lesser sac
31
erosions are limited to
mucosa (eroad superficial)
32
kehr sign
left shoulder pain in splenic infarct
33
short gastric vein
no anastomatosis
34
trichrome stain for
kupffer cells
35
centrilobular necrosis- drugs
CCL4, halothane, rifampicin, bromo benzene
36
bladder and peritoneum
bladder is extraperitoneal
37
inguinal hernia repair which nerve damage
ilioinguinal nerve
38
gastrin increased in
chronic atrophic gastritis by pylori ZE syndrome chronic PPI use
39
newborn erythromycin for reflux
motilin agonist for peristalsis
40
VIPoma treatment and location
somatostatin and pancreas (non a non b)
41
pancreatic cholera
VIPoma, WDHA syndrome
42
4 tumors of pancreas
insulin, glucagon, VIP, gastrinoma, ZE syndrome
43
3 imp acid stimulators
Ach, gastrin, histamine
44
pleomorphic adenoma
benign, recurrence
45
Warthin tumor (PCL)
papillary cystaenoma lymphomatosis | benign, cystic,germinal center
46
malignant tumor of salivary gland
mucoepidermoid carcinoma
47
achalasia which plexus and risk
myenteric (auerabch) | squamous cell ca
48
Boerheave is mallory
boer strong, mallory for mucosal
49
eosinophilic esophagitis seen in
atopic patients
50
punched out lesions
HSV
51
esophagus pathology in CREST
fibrous displacement of muscularis layer
52
Barret esophagus what epithelium
intestinal
53
adenoca of esophagus
barret, GERD, fat, cigarette (both)
54
menetrier disease
brain gyri in stomach
55
signet cells are seen in
linitus plasticus
56
hypertrophy of brunner gland
duodenal ulcer
57
ZE syndrome which ulcer
Duodenal
58
celiac disease antibodies
endomyseal, tissue transglutaminase, gliadin, gluten
59
lactic intolerance vs celiac disease
normal vs blunting of villi
60
celiac disease similar disease
tropical sprue
61
oxalate and bile stones in crohns
bile acid more- bind to calcium- oxalate absorbed and form stones cholesterol more- bile stones
62
crypt abscess and ulcer
UC (ulcerative colitis)
63
cobble stone
crohns disease
64
priamry sclerosing cholangitis and IBD
UC
65
treatment for UC
5 aminosalicylic acid (mesalamine)
66
treatment for irritable BD
loperamide
67
psoas sign (flexion of hip against resistance)
retrocecal appendix
68
red diarrhea and IBD
UC (crohn is pain)
69
meckel diverticulum which duct
vitelline duct (omphalomesenteric duct)
70
pain after food
gal bladder, stomach, chronic mesenteric ischemia
71
which plexus for hirschsprung
both (submucosa for diagnosis), failure of neural creast
72
syndrome and give association with hirschsprung
down and RET
73
abdominal pain out of proportion of physical finding
acute mesenteric ischaemia
74
tortous dilation of blood vessels in intestine
angiodysplasia
75
duodenal atresia associated with
down sundrome (double bubble)
76
meconium ileus associated with
CF
77
pneumatosis intestinalis in newborn
necrotising enterocolitis
78
harmless polyps
hyperplastic and hamartomatous
79
Classify polyp syndrome
1, FAP,gardner, turcot | 2, peutz jeghers,juvenile polyposis
80
gardener sydnrome
bone and teeth
81
turcot sydnrome
brain
82
peutz jeghers and juvenile polyposis
hamartamatous
83
inheritance of lynch
AD
84
iron def anemia which colon cancer
ascending colon
85
most specific amrker of acute pancreatitis
lipase (amylase not so specific)
86
cholestasis specific marker
gamma GTrans peptidase
87
treatment for cirrhosis ascites
salt restriction, furosemide and sprinolactone
88
ppting factors for hepatic encephalopathy
hypokalemia, alkalosis, hypovolemia (diuretic induced)
89
non alcoholic fatty liver
metabolic syndrome
90
lactulose MOA
reduce pH,NH3 becomes NH4
91
monitor cirrhosis patients with
AFP
92
3 things about cavernous hemangioma
congenital malformation, ectasia, no biopsy
93
hepatic adenoma
OCP
94
hepatic A, hepatic vein, portal vein
hepatic art- post transplantation hepatic vein- budd chiari (centrilobular) portal vein- portal HTN, ascites
95
cirrhosis with PAS positive globules
a1 antitrypsin def
96
baby with direct hyperbilirubinemia
neonatal hepatitis or extrahepatic biliary atresia
97
treatment for type 2 criggler najar
phenobarbitone Iess severe
98
wilson disease most imp
low ceruloplasmin
99
wilson disease extra hepatic problems
hemolytic anemia | basal ganglia degeneration (parkinson)
100
wilson disease treatment
penicillamine, trientine
101
primary biliary cirrosis, which ab
anti mitochondrial
102
primary sclerosing cholangitis
onion skin and beading | Hyper IgM, CANCA +
103
opiod analgesics for pain
meperidine (not morphine)
104
2 rare causes of cholecystitis
infections with CMV, ischaemia in hospitalized patients
105
marker of pancreatic cancer
c19-9 (15-19-125)
106
trousseau syndrome
migratory thrombophlebitis in pancreatic ca
107
retroperitoneal hematoma in stable patient cause
pancreatic injury
108
cimetidine 2 side effects
inhibit P450, anti androgenic
109
PPI SE
c difficile, low Mg, pneumonia
110
ulcer base drugs
bismuth and sucralfate
111
treatment for carcinoid tumor
octreotide
112
SE of all antacids
hypokalemia
113
sulfasalazine indication and SE
IBD, reversible oligospermia, | antibacterial and anti inflammatory
114
treatment for travellers diarrhea
ondansetron (side effect)
115
orlistat MOA
lipase inhibitor
116
pyoderma gangrenosum seen in
IBD
117
toxic megacolon investigation
X ray plain (others CI)
118
hyperemesis gravidarum
promethazine