Hernias/ gall bladder

Question 1

hiatal hernia are

Answer 1

stomach into chest

Question 2

Spigelian hernia

Answer 2

rectus abdominis muscles meet with obliques.

Question 3

TX of hernias

Answer 3

mesh surgery

Question 4

diag of hernias

Answer 4

Physical exam

Question 5

indirect hernia

Answer 5

inguinal ring

Question 6

femoral hernia

Answer 6

below inguinal hernia

Question 7

colicky pain with right shoulder pain

Answer 7

cholecystitis

Question 8

chole diag?

Answer 8

US, increased bilirube, alk phose

Question 9

Tx cholecystitis?

Answer 9

abx, IVF, ERCP (pancreatitis if stone)

Question 10

Chronic chole pain is…

Answer 10

cholelithiasis - CCY

Question 11

Cholelithiasis risk factors

Answer 11

female, fertile, fat, 40s

Question 12

cholelithiasis presents

Answer 12

RUQ pain, epigastric

Question 13

ursideixycholic acid is used for?

Answer 13

dissolve stone

Question 14

Ascending cholangitis presents with

Answer 14

Charcot 3: fever jaundice, Ruq, nd Reynold 5: HoTN, AMS

Question 15

Ascending cholangitis is caused by

Answer 15

stones and infection

Question 16

Ascending cholangitis tx is

Answer 16

ABx, drainage, ERCP, Cultures

Question 17

Ascending cholangitis can lead to

Answer 17

PCS - cirrhosis

Question 18

Black gall stones vs brown?

Answer 18

black = calcium, bron = infection.

Question 19

Sudden onset of pain to RUQ is?

Answer 19

symptomatic cholelithiasis

Question 20

before two weeks of age, which two antibiotics are associated with increased risk of developing pyloric stenosis

Answer 20

Erythromycin and azithromycin

Question 21

hypochloremic, hypokalemic, metabolic alkalosis result from

Answer 21

projectile, nonbilious vomiting

Question 22

risk factor associated with the development of pancreatic cancer?

Answer 22

Smoking

Question 23

How do you diag a duodenal ulcer?

Answer 23

EGD

Question 24

bilious emesis in infants?

Answer 24

Malrotation with volvulus

Question 25

histopathologic term is commonly used to describe a gastric malignant cell?

Answer 25

Signet-ring cell

Question 26

Chronic anal fissures need?

Answer 26

internal sphincterotomy

Question 27

What electrocardiogram finding is associated with macrolide antibiotic use?

Answer 27

QT interval prolongation

Question 28

Esophageal cancer that affects the voice is? and located where?

Answer 28

SCC, upper 1/3

Question 29

Patients without dysphagia odynophagia gastrointestinal bleeding or anemia; weight loss; and chest pain get what?

Answer 29

Empiric trial of PPI

Question 30

initial diagnostic test to diagnose and stage pancreatic cancer?

Answer 30

CT

Question 31

Which hematologic abnormality is associated with gastritis?

Answer 31

Pernicious anemia

Question 32

Gastritis vs PUD

Answer 32

PUD need and EGD. Gastritis is just inflammation, alcohol and stress.

Question 33

Acute hemorrhoids pain is treated with

Answer 33

excision of thrombosed hemorrhoid’s

Question 34

UC is to toxic megacolon as Crohns is to?

Answer 34

Cholesterol gall stones, amyloidosis

Question 35

hepatic encephalopathy with liver failure is due to?

Answer 35

GI bleeding

Question 36

metocloprimide’s MOA is?

Answer 36

promotility

Question 37

rice water diahhrea is?

Answer 37

Vibrio cholera

Question 38

P or C anca is with UC?

Answer 38

P anca

Question 39

SE of metronidazole include?

Answer 39

periphera neuropathy

Question 40

Upper GI bleeds with have increased BUN to creatinine bc?

Answer 40

more protein in the blood.

Question 41

chronic melena + small clusters on angio with fernlike lesions is?

Answer 41

AV malformations

Question 42

Chronic Pancreatitis does not have?

Answer 42

Jaundice

Question 43

OCPs are a risk factor for hepatic adenomas?

Answer 43

Yes

Question 44

do bile acids like cholestyramine treat diahhrea or constipation?

Answer 44

diahhrea

Question 45

What is the cure for bead-like dilation on liver?

Answer 45

PSC needs a liver transplant.