Knowmedge - GI Flashcards
If a patient with inflammatory bowel disease is found to have dysplasia on colonoscopy, what is the best next step in management?
Proctocolectomy
Which extra-intestinal manifestions can mirror inflammatory bowel disease?
Arthritis and Erythema Nodosum
What 2 steps should be performed after patients undergo cholecystectomy and still complain of right upper quadrant pain?
Liver function tests and a Right upper quadrant (RUQ) ultrasound
What is the pattern of dysphagia with mechanical causes?
Solids initially and can progress to liquids later
What is the most common cause of death in patients with hemochromatosis?
Liver cirrhosis
OCPs are associated with which hepatic pathology?
Hepatic adenoma
What should be checked in individuals with refractory hypothyroidism, despite being compliant on medication?
Celiac panel

What are treatment options for achalasia?
Pneumatic dilatation or Surgical myotomy or Botulinum toxin
Patients with hepatitis C who have undergone a liver transplant and have never been treated for HCV are at an increased risk of what diagnosis immediately after surgery?
Recurrent HCV infection immediately after surgery
Cigarette smoking is associated with which type of esophageal cancer?
Squamous cell carcinoma of the esophagus
What are the red flag symptoms that should be ruled out before a diagnosis of irritable bowel syndrome is made?
Unintentional weight loss, fevers, nocturnal symptoms, and blood in the stool
HbSAg is positive. Which hepatitis B marker will indicate chronicity or carrier state of infection?
HB core IgG being positive
What are 5 major causes of elevated Transferrin saturation?
Hemochromatosis, Excessive alcohol use, Fatty liver disease, Neoplasm, Hepatitis C infection
How long does 6-mercaptopurine usually take to exert an effect?
In benign postoperative cholestasis, is direct bilirubin elevation greater or indirect bilirubin elevation?
Direct biliru
Three months
bin elevation
What is the next step for patients presenting with uncontrolled reflux symptoms (despite medical therapy) and progressive dysphagia?
What is the next step for patients presenting with uncontrolled reflux symptoms (despite medical therapy) and progressive dysphagia?
What is the class of anti-hypertensive medications used to treat Raynaud’s phenomenom?
Calcium channel blockers
What is the oral antihypertensive of choice in patients presenting with hypertension & Raynaud’s syndrome?
Calcium channel blockers
What is the gold standard for diagnosing small intestinal bacterial overgrowth?
Endoscopy with jejunal aspirate
If the transaminase level is greater than what number is a non-alcohol process at play?
AST > 500 U/L
What are the most and 2nd most common tumors of the liver?
Hepatic hemangioma is the most common tumor of the liver. Focal nodular hyperplasia is the second most common tumor of the liver.
What anti-hypertensive treatment can be used in the treatment of diffuse esophageal spasm (DES)?
Calcium channel blockers
Which is NOT an indication for repeat colonoscopy in 3 years: 2 Adenomas, Polyp size >1cm, High grade dysplasia, or Villous component?
Which is NOT an indication for repeat colonoscopy in 3 years: 2 Adenomas, Polyp size >1cm, High grade dysplasia, or Villous component?
What prophylactic antibiotic is recommended for infective endocarditis patients undergoing GI or GU procedures?
No prophylactic antibiotic is recommended for patients undergoing GI or GU procedures
What test can be performed to confirm eradication of Helicobacter pylori?
Stool antigen or Urea breath test (not H. pylori serology)





