Misc

Question 1

interstitial cells of cajal

Answer 1

“pacemaker cells” of the intestines

Question 2

infectious esophagitis due to HSV

Answer 2

multi nucleated giant cells
Focal punched out ulcers
Odynophagia

Question 3

Schatzki ring almost always associated with

Answer 3

hiatal hernia

Question 4

vomiting center located in

Answer 4

medulla

Question 5

phase 1 detox in liver

Answer 5

Adds a functional group.
Activates/inactivates drug.
More hydrophilic

Question 6

phase 2 detox in liver

Answer 6

Conjugates drug.

Inactive, susceptible to excretion

Question 7

Pancreatic ductal adenocarcinoma

Answer 7

• older adults
• smoking
• chronic pancreatitis
• NOT alcohol
• CA-19-9
• painless jaundice
• secondary diabetes
• pancreatic intestinal neoplasia (PanIN)

Question 8

serous cystadenoma

Answer 8

• benign
• older adults
• honey comb
• lined by simple cuboidal cells

Question 9

intraductal papillary mucinous neoplasm (IPMN)

Answer 9

• mucin producing
• malabsorption
• epithelial lining
• risk for malignancy

Question 10

mucinous cystic neoplasm (pancreas)

Answer 10

• large mucin filled cysts
• ER+
• risk for malignancy
• lined by columnar epithelium

Question 11

solid & pseudopapillary tumors

Answer 11

• young adults
• solid & cystic mass
• malignancy potential

Question 12

currant jelly stool

Answer 12

intussusception

Question 13

CRC screening if: HNPCC

Answer 13

20-25 yrs

Question 14

CRC screening if: FAP

Answer 14

12

Question 15

CRC screening if: pancolitis

Answer 15

8 years after diagnosis, every year

Question 16

CRC screening if: PSC

Answer 16

every year starting at diagnosis

Question 17

CRC screening if:
1st deg relative with CRC <60
2 1st deg relatives with CRC, any age

Answer 17

begin age 40, repeat every 5 years

Question 18

CRC screening if: average risk

Answer 18

begin age 50, every 10 years

Question 19

IgG4+

Answer 19

autoimmune acute pancreatitis